慢性萎缩性胃炎证素分布特征

Distribution characteristics of syndrome elements in chronic atrophic gastritis

目的:总结慢性萎缩性胃炎(CAG)的证素分布特征,为实现本病客观化、智能化辨证提供参考依据。方法:对125例符合纳入标准的CAG患者采用证素辨证方法,分析其证素分布特征,探讨其证素分布与病理改变、性别的关系。结果:CAG的常见病位证素为胃、脾、肝、肾,常见病性证素为气滞、湿、痰、阴虚、气虚、阳虚、热、食积,以气滞和湿最为常见;本病不同病理类型之间,气虚、食积证素积分差异有统计学意义(P<0.05)。CAG女性患者气虚、阳虚证素出现的频数显著高于男性(P<0.01),肝、气滞证素积分显著高于男性(P<0.05)。结论:CAG的病位主要在胃,与脾、肝密切相关;病性上总体呈现“虚实夹杂、以实为主”的特点;气滞、湿是不同病理类型CAG的核心病理要素;性别也是影响该病证素分布的重要因素之一。

Objective:To summarize the distribution characteristics of syndrome elements of chronic atrophic gastritis,and to provide a reference for the realization of the objective and intelligent syndrome differentiation of this disease.Methods:A total of 125 patients with chronic atrophic gastritis who met the inclusion criteria were analyzed by syndrome element differentiation method to analyze the distribution characteristics of syndrome elements,and explore the relationship between the distribution of syndrome elements and pathological changes and gender.Results:The distribution characteristics of the syndrome elements of chronic atrophic gastritis:the common syndrome elements of disease location of chronic atrophic gastritis were stomach,spleen,liver,and kidney;the common syndrome elements of disease nature were stagnation of qi,dampness,phlegm,yin deficiency,and qi deficiency,yang deficiency,heat,food accumulation;qi stagnation and dampness were the most common;the difference of qi deficiency and food accumulation syndrome element scores among different pathological types of this disease was statistically significant(P<0.05).The frequency of qi-deficiency and yang-deficiency syndromes in female patients with this disease was significantly higher than that of men(P<0.01),and the scores of liver and qi stagnation syndromes were also higher than those of male patients(P<0.05).Conclusion:The disease location of chronic atrophic gastritis was mainly in the stomach,which was closely related to the spleen,liver;the disease was generally characterized by‘A mixture of virtual and real,with the real as the main’;qi stagnation and dampness were the core pathological elements of different pathological types of chronic atrophic gastritis;in addition,gender was also one of the important factors affecting the distribution of the disease’s syndromes.