反流性食管炎的中医证候分类研究

目的:探讨反流性食管炎的中医临床证候分类,为临床证候规范化研究奠定基础。方法:对100例反流性食管炎患者的临床资料进行问卷调查,应用频数和因子分析方法分析中医证候分布特点。结果:反流性食管炎中医临床证候常见3个类型,分布特点为:类肝胃不和证(65例)>类肝郁脾虚证(25例)>类脾虚气滞证(20例),以实证为主,虚实夹杂证亦多见。结论:通过建立反流性食管炎的因子分析模型,揭示了反流性食管炎的中医证候特点,为本病的临床辨证规范化的建立打下了一定基础,并丰富了证候分类研究的方法。

Study on TCM syndromes of reflux esophagitis

Objective: To study the Chinese clinical syndrome differentiation classification method of reflux esophagitis and establish foundation for the standardization of clinical syndrome research.Methods: 100 patients with reflux esophagitis were investigated,and frequencies and factor analysis were used to study the distribution of Chinese syndromes.Results: There were 3 common syndromes and their distribution features were: disharmony between the liver and the stomach(65 cases)>liver depression and spleen deficiency(25 cases)>spleen deficiency and qi stagnation(20 cases),which mainly was the excessive syndrome with excess and deficiency syndrome.Conclusion: The factor analytical model of syndrome distribution unveiled the Chinese syndrome characteristics of reflux esophagitis,established some basis of standardization of Chinese syndrome differentiation diagnosis,and enriched methods of syndrome classification.