糜烂性胃炎中医分型与幽门螺杆菌感染的相关研究

目的 :分析糜烂性胃炎的中医证型以及幽门螺杆菌 ( H p)的感染情况。方法 :对 12 4例胃镜诊断糜烂性胃炎患者的症候表现进行总结 ,按中医辨证方法分为脾胃湿热型、肝胃不和型、脾胃气虚型 ,同时观察各型 Hp感染的情况。结果 :糜烂性胃炎的三个中医证型中 ,脾胃湿热型占 61.3% ,肝胃不和型占 2 1% ,脾胃气虚型占 17.7% ,三者比较有显著差异 ( P<0 .0 5 ) ,Hp阳性率以脾胃湿热型最高 ,占 76.3% ,有显著差异 ( P<0 .0 5 )。结论 :由此证明 ,糜烂性胃炎的中医分型有一定的科学性 ,脾胃湿热是本病的主要证型 ,且 H p感染率最高 ,提出湿热之邪与 Hp在病因学上是同一种致病原的观点 ,为临床治疗提供依据

Study on the relationship between TCM syndrome-types of erosive gastritis and Helicobacter pylori

Objective:It is to study the relationship between TCM syndrome types of erosive gastritis and infection of Helicobacter pylori. Methods: One hundred and twenty four patients were diagnosed erosive gastritis by gastroscope. The syndromes of them were analyzed. According to differentiation of common syndromes, one hundred and twenty four patients were divided into three TCM syndrome types. The first was damp heat of both spleen and stomach type. The second was unharmony between liver and stomach type. The third was Qi deficiency of both spleen and stomach type. The infection of Hp in the three TCM syndrome types was observed at the same time. Results: In the TCM syndrome types of erosive gastritis, the proportion of the first type was 61.3%, the second was 21%, and the third was 17.7%. There was significant difference between the three types ( P <0.05). The positive rate of Hp was 76.3% in damp heat of both spleen and stomach type and was the largest. There was significant difference between the three types also (P<0.05). Conclusion:TCM syndrome type of erosive gastritis is scientific, and damp heat of both spleen and stomach type is the major syndrome type and the infection rate in it is the highest. The view that the damp heat and Hp are the same pathogenic factor in etiology is proposed in this paper, which provides the basis for clinical treatment.