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闫慧敏,杨燕.小儿胃脘痛中医辨证与胃镜表现之关系的探讨[J].,2006,(7):617-619
小儿胃脘痛中医辨证与胃镜表现之关系的探讨
Study on the Relationship between TCM Syndrome and Gastroscopic Feature in Children with Stomachache
  
DOI:
中文关键词:  小儿胃脘痛  宏观辨证  微观辨证  胃镜检查
英文关键词:children with stomachache  macroscopic syndrome differentiation  micr oscopic syndrome differentiation  gastroscopic examination
基金项目:
Author NameAffiliation
YAN Hui-min 首都医科大学附属北京儿童医院 北京100045 
YANG Yan 首都医科大学附属北京儿童医院 北京100045 
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中文摘要:
      目的探索小儿胃脘痛中医辨证特点及与胃镜表现的关系。方法借助胃镜检测手段,分析300例胃脘痛患儿中医宏观辨证与胃镜下微观辨证的相互关系。结果所选病例中胃镜疾病检出率为98·3%,中医宏观辨证及电镜微观辨证均以湿热中阻和脾胃虚寒检出率最高;在浅表胃炎中两种辨证方法的一致性较好。结论通过中西医结合手段对小儿胃脘痛的研究,总结辨证规律,指导临床辨证论治,以提高临床疗效。
英文摘要:
      ObjectiveTo explore the characteristic of T CM syndrome in children w ith stomachache and its relationship with the gastroscopic feature. Met hodsTh e relationship between macroscopic syndrome differentiation and microscopic synd rome differentiation in 300 children with stomachache was analyzed by means of c linical syndrome differentiation and gastroscopic examination. Results The tota l disease detectable rate of gastroscopic examination was 98.3%. Dampness-hea t syndrome and deficiency-cold syndrome were the syndromes that most commonly be d etected by either macroscopic or microscopic syndrome differentiation. And the t wo methods of differentiation showed better coherence in superficial gastritis. ConclusionThe clinical effect of TCM therapy on childre n stomachache could be improved through integrative Chinese and Western medical approach, by conducting syndrome differentiation referring to the gastroscopic features, which could co nduct microscopic guidance to the clinical macroscopic syndrome differentiation.
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