慢性胃炎湿热证患者常见病位的口腔呼气气味图谱特征

发布时间：2018-06-28 09:01

本文选题：慢性胃炎 + 湿热证　；参考：《中华中医药杂志》2017年09期

【摘要】：目的:运用电子鼻探讨慢性胃炎湿热证患者的口腔呼气气味图谱特征。方法:采用证素辨证的方法筛选出285例慢性胃炎湿热证患者并判断病位证素,运用基于阵列式气体传感器技术的医用电子鼻(EN0l1103-A)采集口腔呼气的气味图谱,选择气味图谱响应曲线的振幅、面积作为图谱特征参数,探讨慢性胃炎湿热证患者的口腔呼气气味图谱特征。结果:(1)慢性胃炎湿热证的主要病位证素分布是:胃90.2%,脾44.6%,肝23.5%;主要病位为胃、脾胃、肝脾胃;(2)胃湿热证与脾胃湿热证、肝脾胃湿热证的气味图谱响应曲线的振幅特征比较:肝脾胃组口腔呼气气味图谱曲线B、C、D、E、F、I、J显著高于胃组(P0.05,P0.01),肝脾胃组E、J高于脾胃组(P0.05),胃组与脾胃组差异无统计学意义。(3)胃湿热证与脾胃湿热证、肝脾胃湿热证的气味图谱响应曲线的面积特征比较:肝脾胃组口腔呼气气味图谱曲线A、B、C、D、E、F、G、H、I、J显著高于胃组(P0.01),G、J高于脾胃组(P0.05),胃组与脾胃组差异无统计学意义。结论:运用电子鼻可初步判断慢性胃炎湿热证不同病位间的口腔呼气气味差异。
[Abstract]:Objective: to study the characteristics of breath smell in patients with chronic gastritis dampness and heat syndrome by electronic nose. Methods: 285 cases of chronic gastritis with dampness and heat syndrome were selected by syndrome differentiation method, and the syndrome factors were judged. The odour map of oral exhalation was collected by medical electronic nose (EN0l1103-A) based on array gas sensor technology. The amplitude and area of the response curve of odour map were selected as the characteristic parameters of the atlas to study the characteristics of breath odor map of patients with chronic gastritis damp-heat syndrome. Results: (1) the main syndromes of damp-heat syndrome in chronic gastritis were as follows: stomach 90.2, spleen 44.6, liver 23.5.The main diseases were stomach, spleen and stomach, liver, spleen and stomach; (2) stomach damp-heat syndrome and spleen stomach damp-heat syndrome. Comparison of amplitude characteristics of odour map response curve of liver, spleen and stomach dampness heat syndrome: the breath smell pattern curve of liver, spleen and stomach group was significantly higher than that of stomach group (P0.05, P0.01), and the EJ of liver, spleen and stomach group was higher than that of spleen and stomach group (P0.05). There was no significant difference between stomach group and stomach group. (3) the syndrome of damp-heat of stomach and damp-heat of spleen and stomach, Comparison of the area characteristics of the odour map response curve of liver, spleen and stomach dampness heat syndrome: the area characteristics of the odour map curve in the liver, spleen and stomach group were significantly higher than those in the stomach group (P0.01) and the spleen and stomach group (P 0.05), but there was no significant difference between the stomach group and the spleen and stomach group. Conclusion: the electronic nose can be used to determine the difference of breath smell between different diseases of chronic gastritis dampness and heat syndrome.
【作者单位】：福建中医药大学中医证研究基地;福建省中医健康状态辨识重点实验室(福建中医药大学);福建工程学院;福建中医药大学附属晋江中医院;
【基金】：国家自然科学基金项目(No.81373552) 福建省自然科学基金项目(No.2014J01362) 福建省中医药科研项目(No.wzpw201313) 福建省教育厅A类项目(No.JA14212)~~
【分类号】：R259

【相似文献】