幽门螺杆菌相关性胃炎的微观证素研究

摘要

[目的]探讨幽门螺杆菌相关性胃炎的微观证素及证型分布。[方法]选择100例符合诊断标准的幽门螺杆菌相关性胃炎患者，根据胃镜报告，统计病性、病位证素出现的频数、频率，病性与病位相结合，得出常见证型。[结果]幽门螺杆菌相关性胃炎的病位证素以胃窦最为多见；病性证素主要涉及热、湿、痰瘀、虚、瘀血；常见证型有：胃热证、痰瘀阻胃证、湿热蕴胃证、胃虚证、湿困胃证、瘀阻胃络证。[结论]鉴于目前幽门螺杆菌相关性胃炎的临床证候分型不一，微观证素辨证能够进一步规范证型，进而指导治疗。%Objective To discuss the microcosmic elements and syndromes distribution of H pylori-related gastritis. [Method] Choose 100 cases, under gastroscope report, make statistics of frequency of disease nature elements and location elements, combine the nature and location for common syndromes. [Result] The H pylori-related gastritis has main disease location elements in stomach, esp. the sinuses ventriculi;the disease nature elements mainly concern hot, wet, sputum stasis, deficiency and blood stasis; the common syndromes: hot stomach, sputum and stasis blocking stomach, wet-hot accumulated in stomach, deficient stomach, wet stranding stomach and stasis blocking gastric col aterals. [Conclusion] Over the inconsistent syndromes in clinical H pylori-related gastritis, the microcosmic elements differentiation can further standardize syndromes and guide the treatment.