慢性萎缩性胃炎虚实证的临床研究

作者	单位
柯晓	福建省第二人民医院
武一曼	福建中医学院
杨春波	福建中医学院
葛振华	福建中医学院
林求诚	福建中医学院

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中文摘要:

本研究对238例慢性萎缩性胃炎的虚实证进行了临床观察。结果显示,虚证表现为:胃酸分泌功能、造血功能、细胞免疫功能和合成代谢能力减弱,其中脾肾虚红细胞、血红蛋白、尿17-羟类固醇、HDL-C、TG、CD₈、HP感染率、不典型增生程度和PNA着色程度均较脾虚证低,而LPO水平及血沉又较之增高,加快。实证表现为:血清胃泌素水平高、体液免疫功能亢进,血液里高粘、浓、凝、聚状态,分解代谢增强,其中气滞血瘀型较气滞型胃粘膜的萎缩程度重、血沉快;胃酸分泌功能表现热郁<湿热<湿阻,LPO水平以热郁型最高。虚实证之间关系是以虚证为本,实证为标;本虚导致标实,标实加重本虚;虚愈甚,实愈重。

英文摘要:

In this study, Syndrome of Deficiency revealed that gastric acid secretion, cellular immunity,hematopoietic and synthetic metabolism were all decreased. The RBC, Hb, TG, HDL-C. CD8,infection rate of HP, the degree of atypical hyperplasia and the staining intensity of PNA weredifferent for Spleen-Kidney-Deficiency syndrome from spleen-I)eficiency syndrome, the former waslower than the latter, while LPO was higher and ESR was faster for the former. Syndrome of Excessrevealed that the serum gastrin level was higher, humoral immunity and catabolic metabolism wereincreased, its blood was in hyperviscosity and hypercoagulation state. The Qi Stagnation with BloodStasis was different from the Qi stagnation alone which including the atrophic degree of the formerwas severer, the ESR was faster than that of the later. The Heat Stagnation (HS), retention ofDampness (RD) and Hamp-Heat (DH) have some difference. First, for secretion of gastric acid. HSwas the lowest, DH the next, RD the third. Second, for the level of LPO, HS was the highest.

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