摘要
对４２例胃食管返流患者进行中医辨证分型，肝胃不和型（实证）占７１．４％（３０／４２）；肝郁脾虚型（虚实夹杂证）占２８．６％（１２／４２）；未见单纯脾虚型（虚证）者。４２例患者进行食管３ｈｐＨ监测检查，胃食管返流检出率６９．０％（２９／４２），其中肝胃不和型检出率８０．０％（２４／３０），高于肝郁脾虚型（４１．７％，５／１２），差异有显著性（Ｐ＜０．０５）。提示胃食管返流与中医“肝气不舒，横逆犯胃，胃气上逆”的病机有关，中医证型以肝胃不和为主，与中医对返流症状的病机认识相符；食管ｐＨ监测检出胃食管返流可能是中医“肝气犯胃，胃气上逆”的客观指标之一。
In the TCM syndrome differentiation of 42 cases of gastroesophageal reflux disease (GERD),the syndrome of incoordination between liver and stomach accounted for 71.4%,the syndrome of liver-qi stagnation with spleen deficiency 28.4%,and the syndrome of spleen deficiency was not found. All the 42 patients were monitored with esophageal pH meter for 3 hours,and the total detectable rate of gastroesophageal reflux was 69.0%,in which the syndrome of incoordination beween liver and stomach was 80.0%,while the syndrome of liver-qi stagnation and spleen deficiency was 41.7%(P<0.05).It is indicated that the syndrome of incoordination between liver and stomach is the main type of GERD ,which may be related to the TCM pathogenesis of “the stagnated liver-qi atlacks the stomach,causing upward adverse flow of stomach-qi 'and 3-hour esophageal pH monitoring is one of the objective indexes of the TCM syndrome of incoordination between liver and stomach.
出处
《广州中医药大学学报》
CAS
1996年第2期4-6,共3页
Journal of Guangzhou University of Traditional Chinese Medicine
关键词
胃食管返流
中医病机
肝郁
脾虚
GASTROESOPHAGEAL REFLUX/pathog.(TCM) LIVER STOMACH DISHARMONY/pathog.(TCM) LIVER QI DEPRESSION/pathog.(TCM) SPLEEN ASTHENIA/pathog.(TCM) @ESOPHAGEAL PH MONITORING
