小儿慢性胃炎中医证型与胃镜相关性研究

发布时间：2018-03-10 03:37

本文选题：小儿　切入点：慢性　出处：《云南中医学院》2017年硕士论文　论文类型：学位论文

【摘要】：目的:探索小儿慢性胃炎的发病规律及中医证型与胃镜相的相关性。方法:收集2016年3月~2016年6月在昆明市儿童医院门诊及住院部就诊的做胃镜检查的小儿慢性胃炎患儿。采用Excel进行数据整理与绘图,IBM SPSS 22.0进行数据分析。探讨小儿慢性胃炎的发病规律及中医证型与胃镜相的相关性。结果:小儿慢性胃炎患儿的平均年龄为7.57±3.38岁,男女比例大致相等,为1:1.01,年龄主要集中在3-12岁(86.23%),病程在1~6个月(40.98%)和12个月以上(45.90%),最长的14岁患儿有10年病史。305例患儿中多数有偏食倾向,其中有224例(73.44%)偏煎炸食品、216例(70.82%)偏肉类、210例(68.85%)偏酸食、192例(62.95%)偏甜品、189例(61.97%)偏辛辣。305例患儿均为3岁以上小儿,有一定表达能力,其中有腹痛症状303例(99.34%)、呕吐52例(17.05%)、反酸37例(12.13%)。胃镜下表现以充血、水肿、糜烂为主,分别为充血305例(100%)、水肿299例(98.03%)、糜烂188例(61.64%)。中医证型按照由多到少分别为:湿热中阻、寒邪犯胃、胃阴不足、脾胃虚寒、食滞胃肠、肝胃气滞、瘀阻胃络,其中湿热中阻为231例,占75.74%。中医证型与胃镜下表现的相关性研究中,糜烂与湿热中阻呈正相关(r=0.135,p=0.0180.05),粘膜斑与肝胃气滞呈正相关(r=0.150,p=0.0090.05)。中医证型与饮食的相关性研究中,煎炸与湿热中阻呈正相关(r=0.162,p=0.0050.05);酸食与湿热中阻呈正相关(r=0.115,p=0.0450.05);甜品与湿热中阻呈正相关(r=0.152,p=0.0080.05);生冷与脾胃虚寒呈正相关(r=0.193,p=0.0010.05);无偏好与肝胃气滞呈正相关(r=0.193,p=0.0010.05);结论:1.小儿慢性胃炎高发年龄为学龄前期与学龄期,腹痛为主要临床表现,研究病例中最长病史达10年。在发病率、临床表现、中医证型未发现性别差异。2.充血、水肿、糜烂为小儿慢性胃炎胃镜下主要表现,胃镜下表现可望为中医辨证提供依据。3.饮食因素、精神情绪因素是小儿慢性胃炎的病因,饮食因素在很大程度上决定了小儿慢性胃炎的中医证型,湿热中阻为主要中医证型。
[Abstract]:Objective: to explore the pathogenesis of chronic gastritis in children and the correlation between TCM syndromes and gastroscopy. Methods: from March 2016 to June 2016, children with chronic gastroscopy were collected from outpatient and inpatient department of Kunming Children's Hospital. Children with gastritis. Excel was used to analyze the data. To explore the relationship between TCM syndrome type and gastroscope, the average age of children with chronic gastritis was 7.57 卤3.38 years old. The ratio of male and female was about the same, 1: 1.01. the age was mainly about 86.23 and the course of disease was 1- 6 months (40.98) and more than 12 months (45.90). The longest 14 years old children had 10 years history. 305 children had a tendency of partial eating. Among them, 224 cases (73.44) and 216 cases (70.82 2) partial fried food, including 210 cases with partial meat and 210 cases with 68.85) partial sour food, 192 cases with partial sweet food, 189 cases with partial desserts (61.97 cases) with spicy food, 305 cases were all children over 3 years old and had certain expression ability. There were 303 cases of abdominal pain, 52 cases of vomiting and 17.05 and 37 cases of acid regurgitation. Under gastroscopy, hyperemia, edema and erosion were the main manifestations, which were 305 cases of hyperemia, 100 cases of edema, 299 cases of edema, 98.03N of edema, 188 cases of erosion and 61.644.The types of TCM syndromes were as follows: dampness and heat obstruction, Cold evil invades stomach, deficiency of stomach yin, deficiency of spleen and stomach, deficiency of stomach and stomach, stagnation of stomach and stomach, stagnation of qi of liver and stomach, and stagnation of stomach collaterals. There was a positive correlation between erosion and damp-heat resistance. There was a positive correlation between mucosal plaque and liver-stomach Qi stagnation. There was a positive correlation between frying and damp-heat moderate resistance; acid food and damp-heat resistance were positively correlated; desserts were positively correlated with damp-heat resistance; desserts were positively correlated with damp-heat resistance; cold of spleen and stomach were positively correlated with cold of spleen and stomach; and no preference was positively correlated with Qi stagnation of liver and stomach. Conclusion: 1.Conclusion: 1.The chronic gastritis in children with chronic gastritis. The age of high incidence was pre-school and school-age. Abdominal pain was the main clinical manifestation, and the longest history in the study was 10 years. There was no gender difference in incidence, clinical manifestation and TCM syndrome type. 2. Hyperemia, edema and erosion were the main manifestations under gastroscopy in children with chronic gastritis. The performance under gastroscope is expected to provide basis for TCM syndrome differentiation. Dietary factors and mental and emotional factors are the etiology of chronic gastritis in children. Dietary factors to a large extent determine the TCM syndrome type of chronic gastritis in children, and damp-heat resistance is the main TCM syndrome type.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R272

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