慢性胃炎湿热证病性与病位证素的相关性(1)

http://www.100md.com 2018年2月1日 《世界中医药》 20183

     摘要 目的：研究慢性胃炎濕热证病性湿、热与病位证素的相关性，为临床诊疗提供参考依据。方法：采用证素辨证的方法筛选出312例慢性胃炎湿热证患者，探讨湿热证病性湿、热与病位证素之间的关系。结果：312例慢性胃炎湿热证患者的常见的病位证素出现的频数从高往低的分布情况为：胃>脾>肝>肾>肺=胆;湿与脏腑病位证素的相关系数从高到低依次为：脾>胃>肝>肾>胆>肺。结果表明湿与脾、胃、肝存在显著的相关性(P<0.001)，与肾、胆、肺不存在相关性(P>0.005)。热与脏腑病位证素的相关系数从高到低依次为：肝>胆>胃>脾>肺>肾。结果表明热与肝、胆、胃、脾存在相关性(P<0.005)，与肺、肾不存在相关性(P>0.005)。结论：湿热证是慢性胃炎的重要证型，病性证素湿与热均与胃、脾、肝相关。

    关键词 慢性胃炎;湿热证;病性;病位;相关性

    Correlation between Pattern Elements of Disease Nature and Disease Location

    in Damp Heat Pattern of Chronic Gastritis

    Xiao Junjie1，Yang Wenjuan1，Liang Lili1，Wan Xin1，Feng Xiujun1，Lin Xuejuan2

    (1 TCM Pattern Research Base of Fujian University of Traditional Chinese Medicine，Fuzhou 350122，China;

    2 Health Status Identification of Traditional Chinese Medicine in Fujian Province Key Laboratory

    (Fujian University of Traditional Chinese Medicine)，Fuzhou 350122，China)

    Abstract Objective：To investigate the correlation between dampness，heat of pattern elements of disease nature and pattern elements of disease location in damp-heat pattern of chronic gastritis，and to provide reference for clinical diagnosis and treatment.Methods：A total of 312 cases of chronic gastritis with damp-heat pattern were selected by the method of pattern differentiation，and the relationship between dampness，heat of pattern elements of disease nature and pattern elements of disease location in damp-heat pattern was discussed.Results：The distributed feature of the frequency of pattern elements of disease location in 312 cases of chronic gastritis with damp-heat pattern in descending order was：stomach>spleen>liver>kidney>lung>gallbladder; the distributed feature of the correlation coefficient between dampness and pattern elements of disease location in internal organs in descending order was：spleen>stomach>liver>kidney>gallbladder>lung.The results showed that there was a significant correlation between dampness and spleen，stomach and liver (P<0.001)，and there was no correlation between the kidney，gallbladder and lung (P>0.005).The distributed feature of the correlation coefficient between of heat and pattern elements of disease location in internal organs in descending order was：liver>gallbladder>stomach>spleen>lung>kidney.The results showed that there was a correlation between heat and liver，gallbladder，stomach and spleen (P<0.005)，and there was no correlation between lung and kidney (P<0.005).Conclusion：Damp-heat pattern is an important pattern type of chronic gastritis，and the dampness and heat of pattern elements of disease nature are related to the stomach，spleen and liver.(肖俊杰 杨文娟 梁丽丽 万信 冯秀君 林雪娟)

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