| 内镜成像技术在溃疡性结肠炎中医辨证中的应用研究 |
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| 引用本文： | 殷泙,杨振华,黄傲霜,张仁岭,史琲,武和平,邹煜明.内镜成像技术在溃疡性结肠炎中医辨证中的应用研究[J].上海中医药杂志,2010(4):3-6. |
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| 作者姓名： | 殷泙 杨振华 黄傲霜 张仁岭 史琲 武和平 邹煜明 |
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| 作者单位： | 上海中医药大学附属龙华医院内镜室;上海中医药大学附属龙华医院浦东分院内镜室; |
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| 基金项目： | 上海中医药大学校级课题资助项目(54) |
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| 摘 要： | 目的研究溃疡性结肠炎（UC）影像检测结果与中医证型的相关性。方法采用内镜成像技术和计算机图像软件定量分析UC患者结肠黏膜变化。159例UC患者分为EUS组、NBI内镜组和AFI内镜组。EUS组评估炎症深度分UC-M、UC-SM、UC-SMdeep、UC-MP和UC-SE;NBI内镜组分析炎症程度的黏膜表面微血管类型（CP）改变分UC-CPI、UC-CPII、UC-CPIII和UC-CP0;AFI内镜组获取的RGB值进行荧光强度（G/R比值）分析。结果EUS组湿热证患者肠壁UC-M、UC-SM和UC-SMdeep厚于脾虚证患者;脾虚证患者肠壁UC-MP和UC-SE厚于湿热证患者（P〈0.05）。NBI内镜组湿热证患者多见UC-CPII和UC-CPIII,脾虚证多见UC-CPI和UC-CP0（P〈0.05）。AFI内镜组患者脾虚证R成分明显低于湿热证,脾虚证G成分明显高于湿热证;湿热证G/R比值明显低于脾虚证（P〈0.05）。结论溃疡性结肠炎脾虚证与活动期（轻度）和缓解期之间及湿热证与活动期之间存在一定的相关性。
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| 关 键 词： | 溃疡性结肠炎 内镜成像技术 湿热证 脾虚证 |
Application of endoscopic imaging technique to syndrome differentiation of ulcerative colitis |
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| YIN Ping YANG Zhen-hua HUANG Ao-shuang ZHANG Ren-ling SHI Bei WU He-ping ZOU Yu-ming.Application of endoscopic imaging technique to syndrome differentiation of ulcerative colitis[J].Shanghai Journal of Traditional Chinese Medicine,2010(4):3-6. |
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| Authors: | YIN Ping YANG Zhen-hua HUANG Ao-shuang ZHANG Ren-ling SHI Bei WU He-ping ZOU Yu-ming |
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| Affiliation: | YIN Ping1 YANG Zhen-hua1 HUANG Ao-shuang1 ZHANG Ren-ling1 SHI Bei1 WU He-ping1 ZOU Yu-ming21.Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine2.Pudong Branch of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine |
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| Abstract: | Objective To study the correlativity between endoscopic imaging results and Chinese medical syndromes in ulcerative colitis(UC) patients.Methods Endoscopic imaging technique and computer image analysis software were used to detect the colonic mucosa of UC patients.Total 159 subjects were divided into EUS group(endoscopic ultrasonography group),NBI group (narrow band imaging group) and AFI group (autofluorescence imaging group).We measured the thickness of intestinal wall of EUS group to assess the inflammat... |
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| Keywords: | Ulcerative colitis endoscopic imaging technique damp-heat syndrome spleen deficiency syndrome |
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