幽门螺杆菌相关性慢性胃炎中医证候分类研究

安春泰

（陕西省渭南华县中医医院，陕西 渭南，714000）

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摘要：

目的 研究幽门螺杆菌相关性慢性胃炎中医证候分类的相关情况。方法 选择2012年5月至2016年1月我院收治的非萎缩性胃炎和萎缩性胃炎患者各100例为研究对象，采用因子分析方法和复杂系统熵聚堆对其进行四诊信息的分析。结果 幽门螺杆菌阳性慢性胃炎患者的病位要素一般有4个，主要从肝胃脾胆进行分析；幽门螺杆菌阴性慢性胃炎的病位要素一 般可从3方面进行分析，主要是肝胃脾；幽门螺杆菌阴性和幽门螺杆菌慢性胃炎的病因性要素都是9个，分别是阴虚、气虚、气滞、阳虚、湿、热、食积、淤血、寒等；得出8个基本证型：类脾胃虚弱证、类肝胃郁热证、类饮食停滞证、类湿热蕴结证、类脾寒胃热证、类胃阴不足证、类肝胃不和证、类瘀阻胃络证。通过统计学检验，幽门螺杆菌阳性和幽门螺杆菌阴性慢性胃炎的病情要素分布之间不存在明显差异（P>0.05），其基本证型的分布以类胃阴不足证为主，其次是类脾胃虚弱症、类肝胃郁热证和类湿热蕴结证。结论 幽门螺杆菌的感染和湿热具有相关性，其和阴虚的关系更为密切，虽然是一种外来的致病因素，但是幽门螺杆菌的邪气性质和湿热具有密切的联系，同时与热具有更大的关系，在临床上易伤阴液，治疗时需要予以重视。

关键词：幽门螺杆菌；慢性胃炎；中医症候分类

中图分类号：R259文献标志码：A文章编号：2096-1413(2017)14-0111-02

TCM syndrome classification study of helicobacter pylori-associated chronic gastritis
AN Chun-tai
（Traditional Chinese Medicine Hospital of Hua County, Weinan 714000, China）

ABSTRACT: Objective To study the distribution charcuteristics of TCM syndrome classification of helicobacter pylori-associated chronic gastritis. Methods One hundred cases of non atrophic gastritis and one hundred cases of atrophic gastritis patients admitted in our hospital from May 2012 to January 2016 were selected as the study objects. Factor analysis and complex system entropy partition method were used to analyze four diagnostic information of the 200 patients. Results There were 4 disease elements of helicobacter pylori positive patients with chronic gastritis, mainly analyzed from liver, stomach, spleen and gallbladder; there were 3 disease elements of helicobacter pylori negative factors of the chronic gastritis, mainly analyzed from liver, stomach and spleen; there were 9 etiological factors of helicobacter pylori negative and helicobacter pylori chronic gastritis respectively: Yin deficiency, Qi deficiency, Qi stagnation, Yang deficiency, damp, heat, food product, blood stasis and cold; 8 basic syndromes were obtained: spleen and stomach weakness, liver and stomach heat syndrome, diet stagnation card, damp heat syndrome, spleen cold stomach heat syndrome, stomach yin deficiency, liver and stomach disharmoy and blood stasis of stomach syndrome. The difference on disease factors of helicobacter pylori positive and negative chronic gastritis was not significant (P>0.05), but there was significant difference on the distribution of basic syndromes (P<0.05), the main type was stomach Yin deficiency, followed by spleen and stomach weakness, liver and stomach heat syndrome and damp heat syndrome. Helicobacter pylori infection had a clear relationship with dampand heat, and had a more closely relationship with Yin deficiency. Although it was a foreign pathogenic factor, but the nature of helicobacter pylori and hot and humid were closely linked, as well as with heat, it was vulnerable to Yin liquid, which needs to be taken seriously. Conclusion Helicobacter pylori infection and damp heat has obvious relationship to their closer relations and Yin deficiency, which needed clinical attach importance to it.
KEYWORDS: helicobacter pylori; chronic gastritis; TCM symptoms

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