慢性胃病脾虚肝郁证与胃电、胃粘膜病理及脉—心功能的关系

Relationship among Syndrome of Spleen Deficiency and Stagnation of Liver-Qi and Electrogastrogram, Gastric Mucosal Pathology and Pulse-Cardiovascular Function in Chronic Gastric Diseases

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中文关键词: 慢性胃病脾虚肝郁胃电波幅胃粘膜病理脉—心功能

英文关键词:chronic gastric diseases Syndrome of Deficiency of Spleen and Stagnation of Liver-Qi amplitude of EGG gastric mucosal pathology pulse-cardiavascular function

基金项目:

作者	单位
邹襄谷	福建中医药研究所福州 350003
林求诚	福建中医药研究所福州 350003
庄子长	福建中医药研究所福州 350003
吴瑞荣	福建中医药研究所福州 350003

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中文摘要:

本研究对56例慢性胃病(胃炎或溃疡)脾虚肝郁证患者进行胃电、胃粘膜病理观察及脉—心功能检测。结果表明;胃电波幅高低变化与该病的脾虚(虚)、肝郁(实)之间夹杂及其粘膜病理炎变有一定相关性。这对于该病的虚、实辨证和分清标本缓急,有一定应用价值。慢性胃病脾虚肝郁证也累及到心血管功能,说明中医关于心与脾、肝相关理论有其血流动力学基础。

英文摘要:

In this research, Syndrome of Deficiency of Spleen (DS) and Stagnation of Liver-Qi (SLQ) as wellas Observations of electrogastrogram (EGG), gastric mucosal pathology and pulse cardiovascularexamination were investigated in 56 cases of chronic gastric diseases (CGD). The results showed: (1)In SLQ with DS the amplitude of EGG was significantly higher than that of the control group (P<0.01), it often indicated the active period of pathologic change, but in DS with SLQ, the amplitudeof EGG was significantly lower than that of the control group (P<0.01), it frequently denoted thestatic period. In case that DS equalled to SLQ, the amplitude of EGG was significantly higher thanthat of the control group (P<0.01). It revealed that there were no significant difference between thepatient’s number of static and active periods (P>0.05). It is valuable in Syndrome Differentiation ofDeficiency and Excess and analysis of Superficiality and Origin in CGD. (2) Cardiovascular functionwas also affected in Syndrome Differentiation of DS and SLQ. DS with SLQ manifested itself asreduction of left ventricle pump and declination for metabolism of microcirculation, they hadsignificant difference as compared with the control group (P<0.05), while SLQ with DS or eqtalitybetween DS and SLQ had the normal function of left ventricle pump and metabolism of microcircula-tion, even though cardiac output were higher than that of control group (P<0.05). It showed thatthe traditional Chinese medicine theory of interrelation among Heart and Spleen, Liver had theirown hemodynamic bases.

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