【摘要】：研究目的:本研究旨在觀察慢性萎縮性胃炎患者的唇象、舌象、胃鏡象,分析其分布規(guī)律及其相關(guān)性,依據(jù)三者的分布規(guī)律、相關(guān)性等研究結(jié)果指導(dǎo)臨床辨證、用藥。研究方法:選取122例符合納入標(biāo)準(zhǔn)的慢性萎縮性胃炎病例,收集患者的一般資料、癥狀、辨證分型等相關(guān)信息,并依次對(duì)患者進(jìn)行唇象、舌象、胃鏡象的觀察和結(jié)果記錄,運(yùn)用統(tǒng)計(jì)學(xué)方法處理數(shù)據(jù),分析唇象、舌象、胃鏡象的分布規(guī)律及相關(guān)性。研究結(jié)果:本研究共收集病例122例,其中男性55例,女性67例,男女比例為1:1.22。年齡最小32歲,最大80歲。職業(yè)分布以離退休患者常見(jiàn)。病程分布以1-2年最多。發(fā)病誘因以飲食不慎為主。證型分布以脾胃虛弱證最多,胃絡(luò)瘀阻證最少。脾胃虛弱證:唇象以淡紅唇、唇周萎黃為主;胃鏡象以粘白相或血管透見(jiàn)為主。肝胃不和證:淡紅唇為主;胃鏡下膽汁反流常見(jiàn)。脾胃濕熱證:唇象以淡紅或紅絳唇、唇生瘡瘍?yōu)橹?胃鏡多見(jiàn)粘膜糜爛。胃陰不足證:唇象以淡紅和暗紅唇為主;胃鏡象多見(jiàn)粘膜白相或血管透見(jiàn)。胃絡(luò)瘀阻證:唇象以暗紅或青紫唇為主;胃鏡象多見(jiàn)粘膜粗糙或顆粒增生。胃鏡象為粘膜白相或血管透見(jiàn)時(shí),舌色以淡紅、淡白為主,多見(jiàn)正常舌形和胖大或齒痕舌,舌苔以薄白苔和白膩苔為主。粘膜粗糙或顆粒增生常見(jiàn)瘀點(diǎn)瘀斑或青紫舌,舌苔以薄白苔和少或無(wú)苔為主。伴膽汁反流則以淡紅舌、黃膩苔常見(jiàn)。伴粘膜糜爛者以紅絳舌、黃膩苔為主。本研究唇象與胃鏡象無(wú)相關(guān)性。研究結(jié)論:1.CAG的證型以脾胃虛弱證為主,胃絡(luò)瘀阻證少見(jiàn)。2.證型與唇象、胃鏡象均具有相關(guān)性。脾胃虛弱證唇象以淡紅唇、唇周萎黃為主,胃鏡象多見(jiàn)粘白相或血管透見(jiàn);肝胃不和則以淡紅唇為主,胃鏡下膽汁反流多見(jiàn)。3.胃鏡象與舌象具有相關(guān)性。胃鏡下粘膜白相者以淡紅舌、薄白苔為主;膽汁反流者則以淡紅舌、黃膩苔常見(jiàn);粘膜粗糙者多見(jiàn)瘀點(diǎn)瘀斑舌;胃鏡下粘膜糜爛者常見(jiàn)紅絳舌、黃膩苔。4.本研究唇象與胃鏡象無(wú)相關(guān)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，

本文編號(hào)：2495206