慢性萎缩性胃炎辩证分型与胃黏膜改变相关性研究

目的]探讨慢性萎缩性胃炎（CAG）微观辩证的可行性.方法]CAG患者70例,按中医辨证分型标准将之分为五型.分析CAG中医证型与其胃黏膜相、病理组织学表现之间的关系.结果]CAG患者：①如证属胃阴不足,其黏膜萎缩程度多属重度;肠上皮化生现象较为普遍.②脾胃虚弱型较为常见,但其黏膜的萎缩程度多较轻.③内镜下见胆汁反流者,临床证型多为肝胃不和型.④内镜下见糜烂者,大多证属脾胃湿热型.结论]CAG的证型与胃黏膜才镜下表现和病理组织学改变之间的确存在着一定的联系和规律性.

Study on the Correlation Between Dialectical Typing of Chronic Atrophic Gastritis and Changes of Gastric Mucosa

Objective] To explore the feasibility of microcosmic dialectical typing of chronic atrophic gastritis（CAG）. Methods] Seventy CAG patients were collected retrospectively and divided into 5 types according to the criteria of traditional Chinese medicine（TCM） dialectical typing. The relationship between the TCM types and the pathohistological manifestations of gastric mucosa（GM） was analyzed. Results] If the CAG patients were stomach-Yi Deficiency, the degree of GM atrophy was usually serious and the intestinal metaplasia was seen commonly. If the deficiency of spleen and stomach was common in the patients, the degree of GM atrophy was usually slight. If the bile regurgitation was seen under the endoscope, the patients were the type of incoordination between the liver and stomach. If the erosion was seen under the endoscope, most of the patients were the type of splenogastric hygropyrexia. Conclusion]The correlation between the TCM types and the manifestations and pathohistological changes exists and has a certain regularity.