首页|全国172 773例幽门螺杆菌感染患者中医证候分布的文献研究

全国172 773例幽门螺杆菌感染患者中医证候分布的文献研究

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目的:基于文献研究分析幽门螺杆菌(Helicobacter pylori,HP)感染者的中医证候分布情况,为中医或中西医结合治疗HP感染奠定基础。方法:系统检索中国知网(CNKI)、万方数据库、维普数据库(VIP)自建库至2024年1月8日有关HP中医证候的临床研究文献,对其中医证候分布进行统计分析。结果:共纳入1 581篇文献,172 773例HP感染者,分布于全国七大地区。中医证型主要是脾胃湿热证(36。67%)、脾胃虚弱证(23。51%)、肝胃不和证(17。91%)、寒热错杂证(5。32%)、脾胃气滞证(2。94%)。亚组分析显示,七大地区多以脾胃湿热证占比最高;5种不同HP感染相关性胃病中,除慢性萎缩性胃炎(脾胃虚弱证最多,29。14%)、消化性溃疡(脾胃虚弱证最多,37。93%)、胃食管反流病(肝胃不和证最多,46。59%)外,慢性非萎缩性胃炎、功能性消化不良均以脾胃湿热证为多(50。67%vs26。12%)。中医证候分布情况敏感性分析表明,单证型研究、多证型研究与总体研究的证型分布差异无统计学意义,结果稳定。结论:HP感染在总体、七大地区、5种HP感染相关性胃病中中医证候前3名均为脾胃湿热证、脾胃虚弱证、肝胃不和证,且占比达70%以上,未来应主要针对上述3种证型开展临床与基础研究,明确中医或中西医结合个体化治疗的适应证、根除方案及作用机制。
Literature study on distribution of Traditional Chinese Medicine syndromes in 172 773 patients with Helicobacter pylori infection
Objective:To analyse the distribution of Traditional Chinese Medicine(TCM)syndromes in Heli-cobacter pylori(H.pylori)infected patients based on literature studies,and to provide a basis for clinical and sci-entific researches on the treatment of H.pylori infection with TCM or integrative medicine.Methods:A system-atic retrieval including CNKI,Wangfang and VIP was conducted up to Jan 8,2024 for clinical studies about TCM syndromes of H.pylori infected patients.WPS office and SPSS were used for statistical analysis.Results:1 581 studies were included with 172 773 H.pylori infected patients from 7 regions of China.The prime TCM syn-dromes were pattern of dampness and heat in the spleen and stomach(36.67%),pattern of spleen and stomach deficiency(23.51%),pattern of disharmony of liver and stomach(17.91%),pattern of cold and heat complex(5.32%),pattern of spleen and stomach disharmony(2.94%).Subgroup analyses demonstrated that the prime TCM syndromes were pattern of dampness and heat in the spleen and stomach,pattern of spleen and stomach de-ficiency and pattern of disharmony of liver and stomach in 7 regions and 5 H.pylori associated gastric diseases.Sensitivity analysis showed that the results of multi-TCM syndromes studies and full studies were basically con-sistent.Conclusion:The prime TCM syndromes were pattern of dampness and heat in the spleen and stomach,pattern of spleen and stomach deficiency,pattern of disharmony of liver and stomach in full patients,7 regions and 5 H.pylori associated gastric diseases.Extensive clinical and basic researches should be conducted on the above patterns to explore individualized treatment for H.pylori infected patients.

Helicobacter pyloriTraditional Chinese Medicine syndromesliterature study

张阳阳、齐子熠、陈菁菁、张泽楠、杨严凯、毛一清、胡蓝烁、王泓皓、陆芳、赵阳、赵迎盼

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北京中医药大学(北京,100029)

中国中医科学院研究生院

中国中医科学院西苑医院中药临床研究与评价重点实验室

中国中医科学院西苑医院脾胃病研究所

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幽门螺杆菌 中医证型 文献研究

中国中医科学院科技创新工程重大攻关项目西苑医院结余经费再立项课题

CI2021A01010ZLX15-156

2024

中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子:1.363
ISSN:1671-038X
年,卷(期):2024.32(4)
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