广州地区功能性消化不良的中医证型分布特点及相关性研究

【目的】探讨广州地区功能性消化不良(FD)患者的中医证型分布特点及其相关性。【方法】选取在广州地区诊断为FD的326例患者进行中医证型的调查,将所得数据建立数据库,进行统计分析。【结果】326例广州地区FD患者的中医证型分别为脾虚气滞证占41.71%、肝胃不和证占26.07%、脾胃湿热证占11.96%、脾胃虚寒证占11.04%、寒热错杂证占9.20%,证型分布差异有统计学意义(P0.05)。各中医证型间的发病平均年龄和在广州居住时间比较,差异均有统计学意义(P0.05)。不同中医证型间的西医亚型与幽门螺杆菌(Hp)感染情况比较,差异均有统计学意义(P0.05)。【结论】广州地区功能性消化不良中医证候分布具有地域性,与居住广州年限、性别、年龄、西医亚型、Hp感染状况等具有相关性。

Distribution of Traditional Chinese Medicine Syndrome Types of Functional Dyspepsia in Guangzhou and Their Correlation with Some Factors

Objective To investigate the distribution of traditional Chinese medicine (TCM) syndrome types of functional dyspepsia (FD) in Guangzhou, and to explore their correlation with some factors such as residence time in Guangzhou, gender, age, and Helicobacter pylori (Hp) infection. Methods A total of 326 cases of FD patients from Guangzhou were investigated. Database of the related clinical data was built and analyzed. Results The commonly-seen TCM syndrome types of FD patients in Guangzhou were spleen-deficiency and qi stagnation, disharmony of liver and stomach, dampness-heat of spleen and stomach, deficiency-cold in spleen and stomach, and concurrence of cold and heat, accounting for 41.71%, 26.07%, 11.96%, 11.04% and 9.20%, respectively. There were significant differences among the TCM syndromes(P < 0.05). The differences of average age of onset, residence time in Guangzhou, FD subtypes and Hp infection were significant among each syndrome type (P < 0.05). Conclusion The distribution of TCM syndrome types of FD in Guangzhou is dominated by spleen-deficiency and qi stagnation, and the syndrome types are correlated with residence time in Guangzhou, gender, average age of onset, FD subtypes, and Hp infection.