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-《西部中医药》

文章信息/Info

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

Author(s):: GAO Yi, SHU Jin, LU Yubei, LIU Shunqing, MA Guozhen; Gansu Provincial Hospital of Traditional Chinese Medicine， Lanzhou 730050， China

Keywords:: portal hypertension gastropathy; esophageal varices; gastric mucosal lesions; TCM patterns; the relationship

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:: ObjectiveTo clarify the distribution characteristics of TCM patterns of portal hypertension gastropathy (PHG), and its correlation with mucosal lesions under the gastroscope. MethodsAdopting 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. ResultsTCM 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). ConclusionTCM patterns of PHG are related to gastric mucosal lesions, dampness-heat and blood stasis are its main pathological factors.