[1]徐 晴 李桂贤 王 伟 黄贵华 陈国忠 彭卓嵛 卢杰夫 苏 攀 李 敏.慢性萎缩性胃炎肠上皮化生中医证型与腺管 开口形态的相关性研究[J].大众科技,2018,20(11):35-37.
　The Correlation between Different TCM Syndromes of Intestinal Metaplasia of Chronic Atrophic Gastritis and the Open Morphology of Glandular Canal[J].Popular Science & Technology,2018,20(11):35-37.
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慢性萎缩性胃炎肠上皮化生中医证型与腺管 开口形态的相关性研究()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
20
期数:
2018年11期
页码:
35-37
栏目:
医药与卫生
出版日期:
2018-11-20

文章信息/Info

Title:
The Correlation between Different TCM Syndromes of Intestinal Metaplasia of Chronic Atrophic Gastritis and the Open Morphology of Glandular Canal
作者:
徐 晴 李桂贤 王 伟 黄贵华 陈国忠 彭卓嵛 卢杰夫 苏 攀 李 敏
（广西中医药大学，广西 南宁 530001）
关键词:
慢性萎缩性胃炎; 肠上皮化生; 腺管开口; 中医
Keywords:
chronic atrophic gastritis;  intestinal metaplasia;  opening of glandular canal;  TCM
文献标志码:
A
摘要:
目的：探讨慢性萎缩性胃炎肠上皮化生不同中医证型与腺管开口形态的相关性。方法：将244 例慢性萎缩性胃炎肠化病例进行中医证候分类，观察放大染色内镜下腺管开口形态。结果：A 型腺管开口在肝胃不和证组比率（62.5%）较其他组高（c2＝91.5143，P＝0.00＜0.05）；B 型腺管开口在湿热内蕴证组比率（67.27%）较其他组高（c2＝153.6636，P＝0.00＜0.05）；F 型腺管开口在胃阴不足证组比率（41.86%）较其他组高（c2＝292.7127，P＝0.00＜0.05）。结论：肝胃不和证为萎缩性胃炎发病早期证型，应早期给予干预；发病中期多属于湿热内蕴证；发病后期则属于瘀血阻络证；表明腺体开口与中医证型存在一定的关系。
Abstract:
Objective: To explore the correlation between different Traditional Chinese medicine (TCM) syndromes of intestinal metaplasia of chronic atrophic gastritis and the open morphology of glandular canal. Methods: A total of 244 cases of chronic atrophic gastritis were classified according to TCM syndromes, their open morphologies of glandular canal under magnification staining endoscopy were observed. Results: The ratio (62.5%) of type A gland duct openings in the hepato-gastric disharmony syndrome group was higher than that of other groups (c2=91.5143, P=0.00＜0.05). The ratio (67.27%) of type B glandular openings in the damp-heat accumulation group was higher than that of other groups (c2=153.6636, P=0.00 ＜0.05). The ratio (41.86%) of type F gland duct openings in the gastro-insufficiency group was higher than that of other groups (c2=292.7127, P=0.00＜0.05). Conclusion: The syndrome of liver and stomach disharmony is the early syndrome of atrophic gastritis, which should be intervened at the early stage. The middle stage of the disease belongs to damp-heat syndrome. In the late stage of the disease, it belongs to the syndrome of blood stasis blocking collaterals. It indicates that there is a certain relationship between glandular openings and TCM syndromes.

参考文献/References:

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备注/Memo

备注/Memo:
【收稿日期】2018-09-05 【基金项目】广西中医药大学校级重点课题“慢性萎缩性胃炎肠上皮化生中医证型与腺管开口形态的相关性研究”（2D200837）。 【作者简介】徐晴（1992－），女，广西南宁人，广西中医药大学在读硕士研究生，研究方向为脾胃病临床与实验。 【通信作者】李桂贤，广西中医药大学教授，主任医师，硕士研究生导师，研究方向为脾胃病临床与实验。
更新日期/Last Update: 2018-12-19