[1]陈丽平,林 薇,黄炜平,等.胃溃疡患者中医证型与胃镜分期的关系研究[J].医学信息,2025,38(09):101-104.[doi:10.3969/j.issn.1006-1959.2025.09.019]
　CHEN Liping,LIN Wei,HUANG Weiping,et al.Study on the Relationship Between Traditional Chinese Medicine Syndrome and Gastroscopy Staging in Patients with Gastric Ulcer[J].Journal of Medical Information,2025,38(09):101-104.[doi:10.3969/j.issn.1006-1959.2025.09.019]
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胃溃疡患者中医证型与胃镜分期的关系研究()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年09期
页码:
101-104
栏目:
论著
出版日期:
2025-05-01

文章信息/Info

Title:
Study on the Relationship Between Traditional Chinese Medicine Syndrome and Gastroscopy Staging in Patients with Gastric Ulcer
文章编号:
1006-1959（2025）09-0101-04
作者:
陈丽平1; 林 薇1; 黄炜平1; 陈雅香1; 郑丽敏1; 黄 会2; 余雪英3
1.湄洲湾职业技术学院医学健康系，福建 莆田 351119；2.武汉儿童医院精准医学实验室，湖北 武汉 430019；3.仙游县总医院消化内科，福建 仙游 351299
Author(s):
CHEN Liping1;  LIN Wei1;  HUANG Weiping1;  CHEN Yaxiang1;  ZHENG Limin1;  HUANG Hui2;  YU Xueying3
1.Department of Medical Health, Meizhouwan Vocational Technology College, Putian 351119, Fujian, China; 2.Precision Medicine Laboratory, Wuhan Children’s Hospital, Wuhan 430019, Hubei, China; 3.Department of Gastroenterology, Xianyou General Hospital, Xianyou 351299, Fujian, China
关键词:
胃溃疡; 舌象; 中医证型
Keywords:
Gastric ulcer;  Tongue manifestation;  Traditional Chinese medicine syndrome
分类号:
R259；R573.1
DOI:
10.3969/j.issn.1006-1959.2025.09.019
文献标志码:
A
摘要:
目的 探究不同胃溃疡患者中医证型与胃镜下分期的关系，为中医辨证治疗胃溃疡提供新的依据。方法 选取2019年5月-2023年8月仙游县总医院、莆田市第一医院消化内科门诊及住院的已被确诊为胃溃疡的患者215例，收集研究对象一般资料、中医证型及胃镜分期，比较不同性别、年龄段（18岁以下、18~40岁、41~65岁、65岁以上），以及不同胃镜分期中医证型的关系。结果 不同性别、胃镜分期中医证型比较，差异有统计学意义（P＜0.05），男性以脾胃湿热、肝胃不和、胃阴亏虚3种类型为主，女性以脾胃湿热、肝胃不和、胃络淤阻为主。活动期以脾胃湿热和肝胃不和居多，愈合期及瘢痕期均以胃阴亏虚居多。不同年龄中医证型比较，差异无统计学意义（P＞0.05）。18~40岁、41~65岁、65岁以上均以脾胃湿热为主。结论 中医证型与胃镜分期具有一定关系，能够反映特定的胃溃疡患者在胃镜下的不同分期。
Abstract:
Objective To explore the relationship between traditional Chinese medicine syndrome patterns and endoscopic staging in patients with different gastric ulcer, and to provide a new basis for traditional Chinese medicine syndrome differentiation and treatment of gastric ulcer. Methods From May 2019 to August 2023, 215 patients who had been diagnosed with gastric ulcer in the Department of Gastroenterology of Xianyou General Hospital and Putian First Hospital were selected. The general data, TCM syndromes and gastroscopy stages of the subjects were collected. The relationship between TCM syndromes in different genders, age groups (under 18 years old, 18-40 years old, 41-65 years old, and over 65 years old) and different gastroscopy stages was compared. Results There were statistically significant differences in TCM syndromes between different genders and gastroscopy staging (P<0.05). The main types of male were wetness-heat accumulated in the spleen and stomach, liver-stomach disharmony and stomach yin deficiency. The main types of female were wetness-heat accumulated in the spleen and stomach, liver-stomach disharmony and stomach collateral obstruction. In the active stage, the wetness-heat accumulated in the spleen and stomach and liver-stomach disharmony were the most common, and the stomach yin deficiency was the most common in the healing stage and scar stage. There was no significant difference in TCM syndromes between different ages (P>0.05). The traditional Chinese medicine syndrome of 18-40 years old, 41-65 years old, 65 years old and above was mainly wetness-heat accumulated in the spleen and stomach. Conclusion There is a certain relationship between traditional Chinese medicine syndrome and gastroscopy staging, which can reflect the different stages of specific gastric ulcer patients under gastroscopy.

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更新日期/Last Update: 1900-01-01