|
|
|
| Research on Chinese and western medicine diagnosis and syndrome facters of gastroe-sophageal reflux disease in Fuzhou university town |
| WANG Qing-lian SHAO Yan-feng▲ WANG Jian-ping NING Lu-feng CHEN Wen-hui YE Ting-ting |
| Departmen of Spleen and Stomach Disease, the Third People′s Hospital of Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350108, China |
|
|
|
|
Abstract Objective To explore the symptoms and characteristics of gastroe-sophageal reflux disease in the university town of Fuzhou, the types of traditional Chinese medicine (TCM) and the characteristics of TCM syndromes, so as to provide references for clinical diagnosis and treatment. Methods A total of 120 gastroe-sophageal reflux disease patients admitted to our hospital from January to December of 2019 were selected as the research objects. The patient′s symptoms, gastroesophageal reflux disease questionnaire (GerdQ) points, TCM syndrome types, and TCM syndrome elements were analyzed and studied. Results The average score of GerdQ was (10.48±1.22) points; acid reflux, heartburn, epigastric pain, abdominal distension, belching, and retrosternal pain were the main symptoms, and restless night sleep, nausea, constipation, throat discomfort, dry mouth, bitter mouth, etc. were the main accompanying symptoms; stagnation of heat in the liver and stomach, damp-heat of spleen deficiency, and deficiency of Qi and Ni were the main TCM syndrome types; liver, spleen, stomach and gallbladder were the main diseases of this disease; dampness, heat, qi stagnation, food accumulation, qi deficiency and phlegm were the main diseases. Conclusion The patients with GRED in Fuzhou university town are mainly mild and have complicated clinical manifestations. TCM syndrome differentiation and treatment should take liver, spleen, stomach and gallbladder as the disease location, and pay attention to the pathological characteristics of multiple dampness and heat, stagnation of qi, deficiency of qi, and food accumulation.
|
|
|
|
|
|
| [1] |
张声生，朱生楔，王宏伟，等.胃食管反流病中医诊疗专家共识意见（2017）[J].中国中西医结合消化杂志，2017，25（5）：321-326.
|
| [2] |
翟双庆，黎敬波.内经选读[Ｍ].北京：中国中医药出版社，2016：122.
|
| [3] |
陈旻湖，侯晓华，肖英莲，等.2014年中国胃食管反流病专家共识意见[J].胃肠病学，2015，20（3）：155-168.
|
| [4] |
李军祥，陈誩，李岩.胃食管反流病中西医结合诊疗共识意见（2017年）[J].中国中西医结合消化杂志，2018，26（3）：221-226，232.
|
| [5] |
Dent J，Jones R，Vakil N，et al.A management strategy for GERD base on the gastroesephageal reflux disease questionnaire（GerdQ）[J].Gut，2007，56（Suppl Ⅲ）：A75.
|
| [6] |
EL-Serag HB，Sweet S，Winchester CC，et al.Update on the epidemiology of gastro-oesophageal reflux disease：a systematic review[J].Gut，2014，63（6）：871-880.
|
| [9] |
俞亚转，孙晓宁.胃食管反流病患病影响因素的研究[J].胃肠病学和肝病学杂志，2019，28（10）：1174-1178.
|
| [10] |
屈坤鹏，成晓舟.我国部分地区胃食管反流病患病率的Meta分析[J].中华胃食管反流病电子杂志，2015，2（1）：34-44.
|
| [13] |
汤浩，丁海蛟.胃食管反流病发病因素研究[J].临床军医杂志，2020，48（6）：746-747.
|
| [14] |
陈远方，黄穗平.黄穗平教授从脾虚论治吐酸病经验[J].中国中西医结合消化杂志，2020，28（5）：392-395.
|
| [7] |
Jung HK.Epidemiology of gastroesophageal reflux disease in Asia：a systematic review[J].J Neurogastroenterol Motil，2011，17（1）：14-27.
|
| [8] |
He J，Ma X，Zhao Y，et al.A population-based survey of the epidemiology of symptom-defined gastroesophageal reflux disease：the systematic investigation of gastrointestinal diseases in China[J].BMC Gastroenterol，2010，10（1）：94-104.
|
| [11] |
Martinucci I，Albano E，Marchi S，et al.Extra-esophageal presentation of gastroesophageal reflux disease：new understanding in a new era[J].Minerva Gastroenterol Dietol，2017，63（3）：221-234.
|
| [12] |
吾布力卡斯木·吾拉木，巴突尔·艾克木，买买提·依斯热依力，等.不同亚型胃食管反流病食管黏膜下层炎症因子变化特点研究[J].中华胃食管反流病电子杂志，2018， 5（3）：97-101.
|
| [15] |
杨桐斐，周晓虹.周晓虹教授治疗非糜烂性胃食管反流病经验[J].浙江中医药大学学报，2017，41（3）：228-231.
|
| [16] |
刘菊，苗嘉萌，李姿，等.胃食管反流病患者脾胃虚弱评分与GerdQ的相关性研究[J].中国中西医结合消化杂志，2019，27（6）：411-414.
|
| [17] |
耿华，申青霞，任顺平.从郁论治难治性胃食管反流病[J].中医药学报，2018，46（5）：78-80.
|
| [18] |
周文博，黎明.清热解郁法治疗反流性食管炎患者睡眠障碍临床研究[J].中国中医药现代远程教育，2018，16（17）：110-112.
|
| [19] |
周晓艳，褚传莲.重视难治性胃食管反流病精神心理因素的诊治[J].世界华人消化杂志，2017，25（1）：1-6.
|
|
|
|
