摘要
目的:探讨不同中医证型肝硬化患者食管胃底静脉曲张的改变,为临床应用中医药辨证肝硬化奠定理论基础。方法:应用电子胃镜检查130例不同证型肝硬化患者的食管静脉曲张的部位、条数、形态、颜色及有无胃底静脉曲张等相关指标。结果:不同中医证型肝硬化患者食管胃底静脉曲张程度比较存在显著性差异。其中食管静脉曲张轻度以肝气郁结证、湿热内蕴证多见,与其他证型比较,差异有显著性意义(P<0.05);食管静脉曲张中度以血瘀证多见,与其他证型比较,差异有显著性意义(P<0.05);食管静脉曲张重度及合并胃底静脉曲张以血瘀证、肝肾阴虚证、脾虚湿盛证多见,与其他证型比较,差异有显著性意义(P<0.01)。结论:①不同中医证型的肝硬化患者食管胃底静脉曲张程度不同。②在一定程度上,食管胃底静脉曲张程度可以反映脾虚湿盛、肝肾阴虚及血瘀证的程度。
Objective：To explore the change of traditional Chinese medicine syndrome in patients with liver cirrhosis esophageal varices,for the clinical application of Chinese medicine syndrome differentiation provide an objective basis.Methods：One hundred and thirty liver cirrhosis patients with different syndrome types and esophageal varices were detected by electronic endoscopy.The indicators included esophageal varices area,strip number,shape,color and whether or not gastric varices and other relevant indicators.Results：Different TCM syndrome types of esophageal varices in patients with cirrhosis there was significant difference in comparison.Of which mild esophageal varices was with liver Qi stagnation type,hot and humid accumulation was more common,compared with other type had more significant difference（P〈0.05）;esophageal varices with moderate to blood stasis was more common,compared with other types had more significant difference（P〈0.05）;severe esophageal varices and gastric varices with blood stasis types,Yin defect of liver and kidney,spleen defect and moisture resistance were more common,compared with the other type had more significant difference（P〈0.01）.Conclusion：①Different TCM syndrome types of esophageal varices different degrees in patients with the liver cirrhosis have;②In a certain extent,the degree of esophageal varices can reflect the degree of spleen defect and moisture resistance,Yin defect of liver and kidney,and blood stasis.
出处
《中西医结合肝病杂志》
CAS
2010年第2期75-76,共2页
Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases
