慢性胃炎气阴两虚证候的临床研究-中国中医药信息杂志.pdfVIP

2002 年 7 月第 9 卷第 7 期 中国中医药信息杂志 ·17 · 慢性胃炎气阴两虚证候的临床研究△ 徐 珊 石君杰 朱曙东 杨季国 (浙江中医学院 杭州 310053) [提 要] 目的：研究慢性胃炎气阴两虚证临床症状、体征和胃镜下粘膜象等,探求慢性胃炎气阴两虚证候宏 观和微观诊断指标。方法：根据临床辨证和胃镜确诊设立气阴两虚证、脾气虚证、胃阴虚证 3 组,观察各组病人腹 胀脘痛、食欲、口渴、面色、体重、寒热、二便、舌象、脉象等临床症状和体征。在内窥镜直视下,观察胃粘膜表 现,并作病理活检。结果：慢性胃炎气阴两虚证的主要症状为胃脘隐痛、灼热感,脘腹痞满不舒,嗳气呕恶,嘈杂, 自汗,潮热,盗汗,手足心热,形体消瘦,肢倦乏力,饥不欲食,口唇干燥,大便干燥或稀溏,舌淡红或红而胖嫩,边有齿 痕,苔少或苔中剥,脉细等；胃粘膜红白相间,大片状苍白,粘膜变薄,粗糙干燥,分泌物少,呈龟裂样改变,粘膜颜色 变淡,可透见粘膜下小血管网；气阴两虚证组肠化、异型增生所占的比例 (46.67%)最高,明显高于脾气虚证组 (20.00%,P 0.05)和胃阴虚证组 (16.67%,P 0.05)。结论：提出了慢性胃炎气阴两虚证的宏观与微观的诊断标准和 辨证要点。 [关键词] 慢性胃炎 气阴两虚 临床研究 Clinical Research on Deficiency of Both Qi and Yin of Chronic Gastritis Xu Shan, Shi Junjie, Zhu Shudong, et al (Zhejiang College of TCM, Hangzhou 310053) Abstract Objective ：Made research on the mucosa under gastroscope, physical signs and clinical symptoms of the deficiency of both qi and yin, explore the macroscopic and microcosmic diagnostic indexes of the deficiency of both qi and yin of chronic gastritis. Methods ：Establish 3 groups of syndromes: deficiency of both qi and yin, deficiency of spleen qi and deficiency of gastric yin according to clinical defferentiation of signs and correct diagnosis by gasroscope, then observe the clinical symptoms and signs of all the patients, such as abdominal distension, epigastralgia, appetite, thirsty, complexioin, weight, enuresis, lingual and pulse picture, etc.. Observe the gastric mucosa and make pathologic biopsy under the direct vision of endoscope. Results ：The main symptoms of the deficiency of both qi and yin of chronic gastritis are：vague epigastralgea, burning sensation, fullness in the stomach, belching and nausea, gastric discomfo