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《Modern Journal of Integrated Traditional Chinese and Western Medicine》 2007-08
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Correlative observation between gastric mucosa pathological changes and differentiation of symptoms and signs for classification of syndrome with traditional Chinese medicine in 262 patients with chronic gastritis

HU Xiao-ping(Qichun People's Hospital,Qichun 435300,Hubei,China)  
Objective It is to study the relationship between gastric mucosa pathological change and differentiation of symptoms and signs for classification of syndrome with traditional Chinese medicine in chronic gastritis and to offer referred basis for observing pathogenetic condition change of chronic gastritis,judging curative effect and adjusting therapeutic regimen.Methods Based on pathogenesis of chronic gastritis on both traditional Chinese medicine and western medicine,262 patients were observed through gastroduodenoscopy and the gastric mucosa was biopsied to get a pathological diagnosis.The constituent ratio and incidence rate of gastric mucosa pathological changes in every type were compared with the others.Results Most types of chronic gastritis were stagnation of liver-Qi and stomach-Qi and deficiency cold of spleen and stomach syndrome(66.8%).Main type of stagnation of liver-Qi and stomach-Qi syndrome and hyperactivity of stomach-heat syndrome was superficial gastritis(P0.01).Main type of deficiency cold of spleen and stomach syndrome and insufficiency of stomach-Yin syndrome was atrophic gastritis(P0.01).Gastritis with intestinal metaplasia mainly belonged to insufficiency of stomach-Yin syndrome(P0.01).Gastritis with bile-reflux mainly belonged to stagnation of liver-Qi and stomach-Qi syndrome(P0.01).There was no significant difference on H.pylori infection rate among those types.Conclusion There is certain relationship among those types in chronic gastritis and gastric mucosa pathological changes.Gastric mucosa pathological changes can be evaluated with referring differentiation of symptoms and signs for classification of syndrome.
【CateGory Index】: R259
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