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不同中医证型反流性食管炎与食管黏膜内镜分级的关系探讨
引用本文:叶蔚,刘庆生,张洁,叶彬,王小奇.不同中医证型反流性食管炎与食管黏膜内镜分级的关系探讨[J].中华中医药学刊,2011(10):2302-2303.
作者姓名:叶蔚  刘庆生  张洁  叶彬  王小奇
作者单位:杭州市中医院消化内科;
基金项目:浙江省中医药管理局资助项目(2008CB053,2009CA086); 杭州市卫生局资助项目(2008B0062)
摘    要:目的:研究不同中医证型反流性食管炎与食管黏膜内镜分级的关系。方法:对1785例反流性食管炎患者的进行中医分型,分为肝胃郁热、脾胃虚弱、气郁痰阻3型。观察和分析反流性食管炎患者的内镜检出率,与性别、年龄分布以及不同中医证型反流性食管炎与食管黏膜内镜分级的关系。结果:反流性食管炎的检出率为9.7%,男女性别比为1.06∶1。随着年龄增长,反流性食管炎检出率逐步升高,且病变程度呈加重的趋势。反流性食管炎内镜分级以A、B级为主。不同中医证型反流性食管炎的食管黏膜内镜严重程度存在着明显的差异,而且肝胃郁热证>脾胃虚弱证>气郁痰阻。结论:不同中医证型反流性食管炎与食管黏膜内镜分级存在明显的关系。

关 键 词:反流性食管炎  内镜分级  中医证型

Relationship between TCM Syndrome Differentiation of Reflux Esophagitis and Esophageal Mucosa Grading under Endoscope
YE Wei,LIU Qing-sheng,ZHANG Jie,YE Bin,WANG Xiao-qi.Relationship between TCM Syndrome Differentiation of Reflux Esophagitis and Esophageal Mucosa Grading under Endoscope[J].Chinese Archives of Traditional Chinese Medicine,2011(10):2302-2303.
Authors:YE Wei  LIU Qing-sheng  ZHANG Jie  YE Bin  WANG Xiao-qi
Affiliation:YE Wei,LIU Qing-sheng,ZHANG Jie,YE Bin,WANG Xiao-qi(Department of Gastroenterology,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,Zhejiang,China)
Abstract:Objective:To investigate the relationship between TCM syndrome differentiation of Reflux Esophagitis(RE) and esophageal mucosa grading under endoscope.Methods:1785 patients with RE were divided into three groups with three types of TCM syndrome,that is: the group of liver and stomach heat retention,the group of stomach and spleen weakness and the group of Qi depression and phlegm resistance.To observe and analysis the relevance ratio under endoscope,the relationship with sex and age,and the relationship bet...
Keywords:Reflux esophagitis  endoscopic grade  TCM syndrome  
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