胃食管反流病中医证候学研究探索-环球中医药杂志.PDF

环球中医药2016年8月第9卷第8期摇 Global Traditional Chinese Medicine,August2016,Vol郾9,No郾8 摇摇931 ·论著 · 胃食管反流病中医证候学研究探索 王文婷摇 张厂摇 王林恒摇 李军祥摇 胡立明摇 孟捷摇 韩海啸摇 王志斌摇 陈润花摇 余轶群摇 赵薇巍摇 彭丹 揖摘要铱摇 目的摇 探讨胃食管反流病发病相关的危险因素和中医证型分布规律。 方法摇 采用流 行病学调查方法,对253例胃食管反流病患者的临床资料进行收集,采用因子分析联合聚类分析的 方法,得出胃食管反流病患者常见的中医证素、病性和证型分布规律。 结果摇 (1)253例胃食管反流 病患者中类寒热错杂证(35.17%),类肝脾胃不和证(24.11%),类肝胃郁热证(40.71%),(2)病性 以虚实夹杂证居多,占58.89%,单纯实证较少,占40.71%。 结论摇 本研究显示胃食管反流病的中 医证型主要归为类寒热错杂证、类肝脾胃不和证、类肝胃郁热证三型;病性以虚实夹杂证居多,单纯 实证较少。 揖关键词铱摇 胃食管反流病;摇 中医证候;摇 分布规律 揖中图分类号铱摇 R573摇 揖文献标识码铱摇 A摇 doi:10郾3969/ j郾issn郾1674鄄1749郾2016郾08郾007 Clinical study on the traditional Chinese medicine syndromes of the gastroesophageal reflux disease 摇 WANG Wen鄄ting, ZHANG Chang, WANG Lin鄄heng, et al. 摇 Beijing Yangfangdian Hospital,Beijing 100038,China Corresponding author:ZHANG Chang,E鄄mail:zchang0520@163.com 揖Abstract铱摇 Objective摇 To investigate the risk factors and TCM syndrome type distribution of gas鄄 troesophageal reflux disease (GERD). Methods摇 Epidemiological methods was used to investigate 253 cases of patientswith GERD and regularities of distribution of TCM syndrome typeswas analyzed by factor analysis and cluster analysis methods. Results摇 The syndrome distribution type was classified as three type,type of cold heat complicated syndrome (35. 17%), type of disharmony of liver qi and spleen鄄 stomach syndrome (24. 11%), type of stagnation heat of liver and stomach syndrome (40. 71%). Conclusions摇 The research shows GERD of TCM syndrome type of three type ,including cold and heat syndrome,liver spleen and stomach disharmony syndrome and stagnation heat of liver and stomach syndrome. The distribution of cold and heat syndrome is the most while simple sthenia syndrome is less. 揖Key words铱摇 Gastroesophageal reflux disease;摇 TCM syndromes;摇 Regularity of distribution 摇 摇 胃食管反流病(gastroesophageal reflux disease, 进行