胃食管反流病中医证候分布规律的初步研究.pdf

不和证多见，III级和Barrett食管以脾胃虚寒证多见。 结论 结证和胃阴虚证。其中以肝胃积热证和肝胃不和证最多见。病机的关键在于肝胆疏泄 和脾胃升降失常，胃气上逆。 2．本病的发生以实证、热证居多，虚实夹杂、虚证相对较少。虚实夹杂主要为脾 虚湿热证，虚证主要为脾胃虚寒证。 3．脾胃虚寒证和胃阴虚证多病程较长，肝胃积热证、肝胃不和证、痰气郁结证的 病程相对较短，说明本病初起为实证、热证居多，随着病情的发展逐渐转变为虚实夹 杂以及虚证表现。 管以脾胃虚寒证多见，表明虚证的食管炎症程度较实证重。 关键词 胃食管反流病：中医证候；分布规律 The on ofTCM StudyReguIationSympton—sign i n I RefI UXDi sease Gastroesophagea ofTOM SpeciaIity：GastroenteroIogy Author：ZhongHao—yan Xue—bi Tutor：Professor Zhang ng Abstract Objective： tothe oftheTCM of According epidemiologicsurvey reflux themodernmetadata gastroesophagealdisease(GERD)and the ofTCM research in reflux regulationsymptom-signgastroesophageal method andraise todifferentiateand for standard。objective symptomsign classificationof sothat evidenceto of syndrome． provide treatmentandscientificresearch． Method： Research 1．Literature tothesummarizeof and researchstatus ofmodern According analysis work， wefoundthatthe ofGERDis pathogenesisverycomplicated．The of and forclassificationof isindisorder． symponsign syndrome 2．ClinicResearch We ofTCM ofGERDatthebaseof designquestionnairesymptom-sign to1iteratureandremarkfrom deplay in