西部中医药2024,Vol.37Issue(5) :76-78.DOI:10.12174/j.issn.2096-9600.2024.05.14

门脉高压性胃病患者中医证型分布特点及其与胃镜下黏膜病变的相关性

Distribution of TCM Patterns of Portal Hypertension Gastropathy and Its Correlation with Mucosal Lesions under Gastroscope

高毅 舒劲 卢雨蓓 刘顺庆 马国珍
西部中医药2024,Vol.37Issue(5) :76-78.DOI:10.12174/j.issn.2096-9600.2024.05.14

门脉高压性胃病患者中医证型分布特点及其与胃镜下黏膜病变的相关性

Distribution of TCM Patterns of Portal Hypertension Gastropathy and Its Correlation with Mucosal Lesions under Gastroscope

高毅 1舒劲 1卢雨蓓 1刘顺庆 1马国珍1
扫码查看

作者信息

  • 1. 甘肃省中医院,甘肃 兰州 730050
  • 折叠

摘要

目的:明确门脉高压性胃病(portal hypertension gastropathy,PHG)患者中医证型分布特点,探究PHG中医证型与胃镜下黏膜病变特点之间的相关性.方法:采用临床调查方式对符合标准的180例PHG患者中医证型、胃黏膜病变特点等资料进行统计学分析.结果:PHG患者中医证型主要为湿热蕴结证、瘀血阻络证;胃黏膜糜烂、充血、水肿、出血以湿热蕴结证患者多见,瘀血阻络证以PHG重度患者多见;肝气郁结证及瘀血阻络证与肝肾阴虚证、水湿内阻证及脾肾阳虚证相比,食管静脉曲张发病率差异有统计学意义(P<0.05).结论:PHG中医证型与胃黏膜病变相关,湿热、瘀血是其主要病理因素.

Abstract

Objective:To clarify the distribution characteristics of TCM patterns of portal hypertension gastropathy(PHG),and its correlation with mucosal lesions under the gastroscope.Methods:Adopting clinical survey,the data,including TCM patterns of 180 PHG patients and the characteristics of gastric mucosal lesions that met the standard,were statistically analyzed to confirm their relationship.Results:TCM patterns of PHG patients are damp-heat accumulation,blood stasis obstructing the collaterals;gastric mucosal lesions,congestion,edema and petechia are frequently seen in patients of damp-heat accumulation pattern,severe patients are mostly suffering blood stasis obstructing the collaterals;the difference had statistical meaning in the incidence of esophageal varices when liver Qi stagnation,blood stasis obstructing the collaterals and Yin deficiency of liver and kidney were compared with water-dampness internal obstruction and Yang deficiency of spleen and kidney(P<0.05).Conclusion:TCM patterns of PHG are related to gastric mucosal lesions,dampness-heat and blood stasis are its main pathological factors.

关键词

门脉高压性胃病/食管静脉曲张/胃黏膜病变/中医证型/相关性

Key words

portal hypertension gastropathy/esophageal varices/gastric mucosal lesions/TCM patterns/the relationship

引用本文复制引用

基金项目

甘肃省中医药管理局项目(CZK-2015-68)

出版年

2024
西部中医药
甘肃中医药研究院

西部中医药

CSTPCD
影响因子:0.98
ISSN:1004-6852
参考文献量13
段落导航相关论文