慢性淺表性胃炎中醫(yī)證候分布特點(diǎn)的臨床研究
發(fā)布時間：2018-12-06 20:27
【摘要】：目的:探討慢性淺表性胃炎患者性別、年齡、職業(yè)、誘發(fā)因素、病程長短、HP感染程度分布、中醫(yī)證候分布特點(diǎn),為臨床辨證論治提供指導(dǎo),為未來的相關(guān)科學(xué)研究提供指導(dǎo)和借鑒。方法:收集2014年2月至2015年10月,在濱州醫(yī)學(xué)院煙臺附屬醫(yī)院消化內(nèi)科確診為慢性淺表性胃炎的患者四診資料,對慢性淺表性胃炎患者進(jìn)行性別、年齡、職業(yè)、誘發(fā)因素、病程長短、HP感染程度分布、中醫(yī)證候進(jìn)行統(tǒng)計。結(jié)果:本次調(diào)查的700例慢性淺表性胃炎患者中,男性患者294例(42%),女性患者406例(58%),男女比例約21:29;慢性淺表性胃炎患者以中青年居多,老年患者較少;慢性淺表性胃炎患者職業(yè)因素分布情況中,工人與職員所占比例最多;慢性淺表性胃炎誘發(fā)因素分布情況中,幽門螺旋桿菌感染者352例(50. 3%),情志不遂250例(35. 8%),這兩種因素為主要因素,并且部分患者存在多種誘發(fā)因素;慢性淺表性胃炎病程分布:在調(diào)查的700例慢性淺表性胃炎患者中,病程最短10天,病程最長30余年,病程小于半年的患者130例,病程為1-3年的患者246例,病程為3-5年患者118例,病程為5-10年患者152例,病程大于10年的患者53例;慢性胃淺表性胃炎感染HP的患者較多,其中輕度、中度的患者總和占總?cè)藬?shù)的65%, HP重度感染的患者較少;脾胃濕熱證患者HP感染率最高;慢性淺表性胃炎各獨(dú)立證候出現(xiàn)的頻次(包括兼證的)分別為脾胃虛弱證522次40.4%)、肝郁氣滯證453次(35.0%)、脾胃濕熱證133次(10.3%)、胃絡(luò)瘀血證148次(11.5%)、胃陰不足證36次(2.8%);慢性淺表性胃炎實(shí)際表現(xiàn)的證型出現(xiàn)頻次最高的為脾胃虛弱兼肝氣郁滯證共205例;分析各獨(dú)立證候與性別的關(guān)系得出女性常見的證候多以脾胃虛弱證與肝郁氣滯證為主,男性患者常見證候則以脾胃濕熱證與胃絡(luò)瘀血證為主,胃陰不足證在男女患者之間沒有顯著差異。結(jié)論:慢性淺表性胃炎與性別無關(guān);慢性淺表性胃炎患者中,中、青年人群較多,老年人較少,主要原因為慢性淺表性胃炎反復(fù)發(fā)作,最終演變?yōu)槁晕s性胃炎;在治療慢性淺表性胃炎時要注重情志因素的調(diào)節(jié)以及檢查是否存在幽門螺旋桿菌,感染HP的患者,需及時根除,并且針對脾胃濕熱的患者要尤其注意檢查是否存在HP感染;慢性淺表性胃炎患者主要癥狀不僅表現(xiàn)為脾胃的疾病,也包括其他臟腑的疾病,在制定診斷標(biāo)準(zhǔn)時應(yīng)加予考慮;獨(dú)立證候出現(xiàn)構(gòu)成比最高的為脾胃虛弱證,這提示我們在治療的過程中要注意對脾胃的調(diào)理;在辨證治療男性慢性淺表性胃炎患者應(yīng)注重清熱燥濕健脾以及活血化瘀,女性患者因注重疏肝理氣。
[Abstract]:Objective: to explore the gender, age, occupation, inducing factors, duration of disease, distribution of HP infection degree and TCM syndrome distribution in patients with chronic superficial gastritis, so as to provide guidance for clinical treatment based on syndrome differentiation. To provide guidance and reference for related scientific research in the future. Methods: from February 2014 to October 2015, the data of patients diagnosed as chronic superficial gastritis in the Department of Digestive Medicine of Yantai affiliated Hospital of Binzhou Medical College were collected, and the sex, age, occupation and inducing factors of patients with chronic superficial gastritis were analyzed. The duration of the disease, the distribution of HP infection, and TCM syndromes were statistically analyzed. Results: among 700 patients with chronic superficial gastritis, 294 (42%) were male, 406 (58%) were female, the ratio of male to female was 21: 29. In the distribution of occupational factors in patients with chronic superficial gastritis, the proportion of workers and employees was the largest, and 352 cases of Helicobacter pylori infection were found in the distribution of inducing factors of chronic superficial gastritis. (3%), 250 cases (35. 5%). These two factors are the main factors, and some patients have a variety of inducing factors. Distribution of chronic superficial gastritis: among 700 patients with chronic superficial gastritis, the shortest course was 10 days, the longest course was more than 30 years, the course of disease was less than half a year in 130 cases, and the course of disease was 1-3 years in 246 cases. The course of disease was 3 to 5 years (118 cases), the course of disease was 5 to 10 years (152 cases), and the course of disease was more than 10 years (53 cases). The patients with chronic superficial gastritis infected with HP were more than those with mild and moderate gastritis, and the patients with severe HP infection were less than those with mild or moderate HP infection, the infection rate of HP was the highest in the patients with damp-heat syndrome of spleen and stomach. The frequency of independent syndromes of chronic superficial gastritis (including both syndromes) were 522 times of deficiency of spleen and stomach (40.4%), 453 times of stagnation of liver and qi (35.0%), 133 times of syndrome of dampness and heat of spleen and stomach (10.3%). There were 148 (11.5%) cases of blood stasis in stomach collaterals and 36 (2.8%) cases of deficiency of stomach yin. There were 205 cases of chronic superficial gastritis with deficiency of spleen and stomach and stagnation of liver qi. By analyzing the relationship between the independent syndromes and gender, it was found that the common syndromes of female were mainly spleen and stomach deficiency and liver stagnation, while the common symptoms of male patients were spleen and stomach dampness and heat and blood stasis of stomach and collaterals. There was no significant difference between male and female patients with deficiency of stomach yin. Conclusion: chronic superficial gastritis has nothing to do with sex. In the patients with chronic superficial gastritis, there are more young people and fewer old people, the main reason is that chronic superficial gastritis occurs repeatedly, and finally it turns into chronic atrophic gastritis. In the treatment of chronic superficial gastritis we should pay attention to the regulation of emotional factors and check whether there is Helicobacter pylori infection HP patients need to be eradicated in time and the patients with dampness and heat of spleen and stomach should pay special attention to the existence of HP infection; The main symptoms of chronic superficial gastritis are not only spleen and stomach diseases, but also other viscera diseases. The highest proportion of independent syndromes is spleen and stomach weakness, which suggests that we should pay attention to the regulation of spleen and stomach in the course of treatment. In the treatment of male chronic superficial gastritis, we should pay attention to clearing heat, dampness and spleen and promoting blood circulation and removing blood stasis, while female patients should pay attention to soothing the liver and regulating qi.
【學(xué)位授予單位】：濱州醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259
本文編號：2366609
[Abstract]:Objective: to explore the gender, age, occupation, inducing factors, duration of disease, distribution of HP infection degree and TCM syndrome distribution in patients with chronic superficial gastritis, so as to provide guidance for clinical treatment based on syndrome differentiation. To provide guidance and reference for related scientific research in the future. Methods: from February 2014 to October 2015, the data of patients diagnosed as chronic superficial gastritis in the Department of Digestive Medicine of Yantai affiliated Hospital of Binzhou Medical College were collected, and the sex, age, occupation and inducing factors of patients with chronic superficial gastritis were analyzed. The duration of the disease, the distribution of HP infection, and TCM syndromes were statistically analyzed. Results: among 700 patients with chronic superficial gastritis, 294 (42%) were male, 406 (58%) were female, the ratio of male to female was 21: 29. In the distribution of occupational factors in patients with chronic superficial gastritis, the proportion of workers and employees was the largest, and 352 cases of Helicobacter pylori infection were found in the distribution of inducing factors of chronic superficial gastritis. (3%), 250 cases (35. 5%). These two factors are the main factors, and some patients have a variety of inducing factors. Distribution of chronic superficial gastritis: among 700 patients with chronic superficial gastritis, the shortest course was 10 days, the longest course was more than 30 years, the course of disease was less than half a year in 130 cases, and the course of disease was 1-3 years in 246 cases. The course of disease was 3 to 5 years (118 cases), the course of disease was 5 to 10 years (152 cases), and the course of disease was more than 10 years (53 cases). The patients with chronic superficial gastritis infected with HP were more than those with mild and moderate gastritis, and the patients with severe HP infection were less than those with mild or moderate HP infection, the infection rate of HP was the highest in the patients with damp-heat syndrome of spleen and stomach. The frequency of independent syndromes of chronic superficial gastritis (including both syndromes) were 522 times of deficiency of spleen and stomach (40.4%), 453 times of stagnation of liver and qi (35.0%), 133 times of syndrome of dampness and heat of spleen and stomach (10.3%). There were 148 (11.5%) cases of blood stasis in stomach collaterals and 36 (2.8%) cases of deficiency of stomach yin. There were 205 cases of chronic superficial gastritis with deficiency of spleen and stomach and stagnation of liver qi. By analyzing the relationship between the independent syndromes and gender, it was found that the common syndromes of female were mainly spleen and stomach deficiency and liver stagnation, while the common symptoms of male patients were spleen and stomach dampness and heat and blood stasis of stomach and collaterals. There was no significant difference between male and female patients with deficiency of stomach yin. Conclusion: chronic superficial gastritis has nothing to do with sex. In the patients with chronic superficial gastritis, there are more young people and fewer old people, the main reason is that chronic superficial gastritis occurs repeatedly, and finally it turns into chronic atrophic gastritis. In the treatment of chronic superficial gastritis we should pay attention to the regulation of emotional factors and check whether there is Helicobacter pylori infection HP patients need to be eradicated in time and the patients with dampness and heat of spleen and stomach should pay special attention to the existence of HP infection; The main symptoms of chronic superficial gastritis are not only spleen and stomach diseases, but also other viscera diseases. The highest proportion of independent syndromes is spleen and stomach weakness, which suggests that we should pay attention to the regulation of spleen and stomach in the course of treatment. In the treatment of male chronic superficial gastritis, we should pay attention to clearing heat, dampness and spleen and promoting blood circulation and removing blood stasis, while female patients should pay attention to soothing the liver and regulating qi.
【學(xué)位授予單位】：濱州醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 蘇澤琦;陳潤花;李培彩;張寅;劉福生;劉婷;朱辰辰;王曉迪;丁霞;;慢性萎縮性胃炎證候分布規(guī)律研究現(xiàn)狀與思考[J];北京中醫(yī)藥大學(xué)學(xué)報;2015年01期
2 賈春霞;杜月光;;210例杭州市拱宸橋地區(qū)慢性胃炎胃脘痛患者中醫(yī)證候分析[J];浙江中醫(yī)雜志;2014年04期
3 韓木龍;林雪娟;甘慧娟;高施;;慢性胃炎中醫(yī)證素分布規(guī)律的文獻(xiàn)分析[J];中華中醫(yī)藥雜志;2014年03期
4 宋飛躍;舒鴻飛;;慢性萎縮性胃炎的研究回顧述要[J];光明中醫(yī);2013年07期
5 晏萬旭;;慢性萎縮性胃炎從腎論治[J];光明中醫(yī);2012年09期
6 劉小瓊;黃穗平;阮永隊;曾普華;;慢性淺表性胃炎中醫(yī)證候分布規(guī)律的研究[J];湖南中醫(yī)雜志;2012年04期
7 張萬岱;李軍祥;陳治水;危北海;唐旭東;;慢性胃炎中西醫(yī)結(jié)合診療共識意見(2011年天津)[J];中國中西醫(yī)結(jié)合雜志;2012年06期
8 丁成華;李晶晶;方芳;馮磊;程紹民;石強(qiáng);鄭紹勇;蘭佳;;慢性萎縮性胃炎中醫(yī)病機(jī)與證候分布規(guī)律研究[J];中華中醫(yī)藥雜志;2011年03期
9 張聲生;李乾構(gòu);黃穗平;黃紹剛;;慢性淺表性胃炎中醫(yī)診療共識意見(2009,深圳)[J];中國中西醫(yī)結(jié)合消化雜志;2010年03期
10 謝淑穎;周曉虹;;慢性胃炎的中醫(yī)常見證型研究[J];遼寧中醫(yī)藥大學(xué)學(xué)報;2009年04期
相關(guān)重要報紙文章 前1條
1 孫喜靈;;利用現(xiàn)代數(shù)學(xué)模型破解中醫(yī)證候[N];中國中醫(yī)藥報;2013年
相關(guān)碩士學(xué)位論文 前1條
1 劉小瓊;慢性胃炎中醫(yī)證候分布規(guī)律的研究[D];廣州中醫(yī)藥大學(xué);2005年
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