慢性萎缩性胃炎唇象、舌象、胃镜象辨证分布规律研究

发布时间：2019-06-08 10:10

【摘要】：研究目的:本研究旨在观察慢性萎缩性胃炎患者的唇象、舌象、胃镜象,分析其分布规律及其相关性,依据三者的分布规律、相关性等研究结果指导临床辨证、用药。研究方法:选取122例符合纳入标准的慢性萎缩性胃炎病例,收集患者的一般资料、症状、辨证分型等相关信息,并依次对患者进行唇象、舌象、胃镜象的观察和结果记录,运用统计学方法处理数据,分析唇象、舌象、胃镜象的分布规律及相关性。研究结果:本研究共收集病例122例,其中男性55例,女性67例,男女比例为1:1.22。年龄最小32岁,最大80岁。职业分布以离退休患者常见。病程分布以1-2年最多。发病诱因以饮食不慎为主。证型分布以脾胃虚弱证最多,胃络瘀阻证最少。脾胃虚弱证:唇象以淡红唇、唇周萎黄为主;胃镜象以粘白相或血管透见为主。肝胃不和证:淡红唇为主;胃镜下胆汁反流常见。脾胃湿热证:唇象以淡红或红绛唇、唇生疮疡为主;胃镜多见粘膜糜烂。胃阴不足证:唇象以淡红和暗红唇为主;胃镜象多见粘膜白相或血管透见。胃络瘀阻证:唇象以暗红或青紫唇为主;胃镜象多见粘膜粗糙或颗粒增生。胃镜象为粘膜白相或血管透见时,舌色以淡红、淡白为主,多见正常舌形和胖大或齿痕舌,舌苔以薄白苔和白腻苔为主。粘膜粗糙或颗粒增生常见瘀点瘀斑或青紫舌,舌苔以薄白苔和少或无苔为主。伴胆汁反流则以淡红舌、黄腻苔常见。伴粘膜糜烂者以红绛舌、黄腻苔为主。本研究唇象与胃镜象无相关性。研究结论:1.CAG的证型以脾胃虚弱证为主,胃络瘀阻证少见。2.证型与唇象、胃镜象均具有相关性。脾胃虚弱证唇象以淡红唇、唇周萎黄为主,胃镜象多见粘白相或血管透见;肝胃不和则以淡红唇为主,胃镜下胆汁反流多见。3.胃镜象与舌象具有相关性。胃镜下粘膜白相者以淡红舌、薄白苔为主;胆汁反流者则以淡红舌、黄腻苔常见;粘膜粗糙者多见瘀点瘀斑舌;胃镜下粘膜糜烂者常见红绛舌、黄腻苔。4.本研究唇象与胃镜象无相关性。
[Abstract]:Objective: the purpose of this study was to observe the lip image, tongue image and gastroscopy image of patients with chronic atrophic gastritis, to analyze their distribution and correlation, and to guide clinical syndrome differentiation and drug use according to the distribution law and correlation of the three studies. Methods: 122 cases of chronic atrophic gastritis were selected. The general data, symptoms, syndrome differentiation and other related information of the patients were collected, and the lip image, tongue image and gastroscopic image of the patients were observed and recorded in turn. The distribution and correlation of lip image, tongue image and gastroscopy image were analyzed by statistical method. Results: a total of 122 cases were collected, including 55 males and 67 females. The ratio of male to female was 1 鈮，

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