慢性胃炎中医证型与胃镜像的相关性研究

发布时间：2018-07-26 15:15

【摘要】：目的:探索慢性胃炎中医证型与胃镜像分布规律及两者之间的关系,从微观领域证明中医宏观辨证论治的科学性,完善其中医辨证理论体系,为慢性胃炎的临床诊断、治疗及科研提供更多的客观依据。方法:选取2016年10月—2017年2月到甘肃省中医院脾胃病科门诊就诊并符合纳入标准的203例慢性胃炎患者,收集患者一般资料、中医四诊信息、胃镜像表现,用中医传统辨证方法对患者进行辨证分型,用Excel软件对收集的资料进行初步整理,采用SSPS17.0统计软件对数据进行统计学处理。结果:1、脾胃虚寒型以萎缩性胃炎为主。2、脾胃湿热型以伴胃黏膜糜烂为主。3、伴胆汁反流多见于肝胃郁热型或肝郁气滞型。结论:慢性胃炎中医证型与胃镜像表现存在一定的相关性和内在联系,其胃镜像表现可作为中医辨证论治的客观依据,并用于指导临床科学研究。
[Abstract]:Objective: to explore the relationship between TCM syndrome types of chronic gastritis and gastroscopy and the relationship between them, to prove the scientific nature of macroscopical syndrome differentiation and to perfect the theoretical system of TCM syndrome differentiation in order to make the clinical diagnosis of chronic gastritis. Treatment and scientific research provide more objective basis. Methods: from October 2016 to February 2017, 203 patients with chronic gastritis were selected from outpatient department of spleen and stomach of Gansu Provincial traditional Chinese Medicine Hospital and received general information of patients, information of four diagnoses of traditional Chinese medicine, and mirrored appearance of stomach. The traditional methods of TCM syndrome differentiation were used to classify the symptoms and signs of the patients, the collected data were preliminarily sorted by Excel software, and the data were treated statistically by SSPS17.0 statistical software. Results at 1: 1, atrophic gastritis was the main type of spleen and stomach deficiency cold, and dampness and heat of spleen and stomach with gastric mucosal erosion. 3. Bile regurgitation was more common in the type of stagnation of heat in the liver and stomach or in the type of stagnation of qi and qi in the liver and stomach. Conclusion: there is a certain correlation and internal relation between TCM syndromes of chronic gastritis and the manifestation of gastroscope image, which can be used as the objective basis of TCM syndrome differentiation and treatment, and can be used to guide clinical scientific research.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R573.3

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