胃电图与胃镜诊断、中医证型的关系及耳穴电阻值的观察——附220例临床分析

Observation on Conformity Rate between Electrogastrogram and Gastroscopic Diagnosis and Relationship between Syndrome Differentiation of TCM and Resistance of Auricular Points—Clinical Analysis of 220 Cases of Epigastric Pain

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中文关键词: 胃电图中医证型胃镜诊断穴位电阻符合率电阻值十二指肠球部溃疡十二指肠溃疡溃疡病胃炎

英文关键词:

基金项目:

作者	单位
翁泰来	广西中医学院针灸经络研究室
陆美芬	广西中医学院针灸经络研究室
卢献群	广西中医学院针灸经络研究室
陆文英	广西中医学院针灸经络研究室
张国芬	广西中医学院针灸经络研究室
费惠珍	广西中医学院第二附属医院

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中文摘要:

本文介绍了220例胃病患者的胃电图与胃镜诊断的符合率、中医证型的关系及胃病与耳部胃、十二指肠穴位电阻的关系。结果:胃电图与胃镜诊断总符合率为73.15%,其中胃炎及胃癌符合率为80%,溃疡病的符合率在53～70%之间。耳穴位电阻值低于对照点及健康人相应穴位的电阻值。中医辨证分型以脾胃虚寒及脾胃虚弱兼气滞型为多。

英文摘要:

A non-aggressive method of the superficial electrode bipolar leads was used to observe the conformity rate between electrogastrogram(EGG)and gastroscopic diagnosis in 220 cases,and the relationship between syndrome differentiation of TCM in 149 epigastric pain patients and resistance of auricular points in 56 cases of epigastric pain patients and 13 cases of healthy persons was analysed.Results:(1)In the observation of 149 cases with EGG diagnosis,109 cases of EGG diagnosis conformed to the gastroscopic diagnosis,the rate was 73.15%.in which the gastritis and gastric cancer were 80%.the gastro-duodenal ulcer were 53～70%.(2)The value of resistance of auricular point was lower than that of the control point.The mean values of resistance of stomach and duodenum points on the auricle of epigastric pain patients was lower than that of healthy persons. (3)In observing the relationship between syndrome differentiation of TCM and EGG,the results were as follows:Among 149 patients with epigastric pain,50 cases(33.5%)were with deficiency and cold type of Spleen and Stomach. and 59 cases(39.6%)with the above type were accompanied with stagnation of Qi(气).The amplitude of EGG was lower than that of the healthy persons.

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