127例慢性萎缩性胃炎伴骨质疏松症的中医证候分布回顾性分析

摘要

目的分析慢性萎缩性胃炎伴骨质疏松症的中医证型及证候要素分布规律，为中医药防治该病提供依据。方法对符合要求的127例慢性萎缩性胃炎伴骨质疏松症患者中医症状、中医证型和证素分布情况进行回顾性调查研究及统计分析。结果慢性萎缩性胃炎伴骨质疏松症主要中医证型分布为气阴两亏证51例(40.16%)，脾肾阳虚证28例(22.05%)，气虚血瘀证21例(16.54%)；中医证素分布情况为气虚者82例(64.57%)，阴虚者61例(48.03%)，阳虚者28例(22.05%)，血瘀者21例(16.54%)，气郁者12例(9.45%)，湿热者6例(4.72%)。结论慢性萎缩性胃炎伴骨质疏松症基本病因病机为脾肾亏虚，肾虚以气虚、阴虚、阳虚，甚或阴阳两虚为主，脾肾双补是治疗该病的重要法则。%Objective To analyze the distribution rule of TCM syndromes and syndrome elements in chronic atrophic gastritis with osteoporosis by retrospective study method, and provide evidence for TCM treatment. Methods TCM symptoms, syndromes and syndrome elements of 127 cases of chronic atrophic gastritis with osteoporosis were retrospectively investigated and statistically analyzed. Results The distribution of TCM syndromes in chronic atrophic gastritis with osteoporosis was as follows:there were 51 cases of asthenia syndrome of both qi and yin, accounted for 40.16%;28 cases of yang deficiency syndrome of spleen and kidney, accounted for 22.05%;21 cases of syndrome of qi deficiency and blood stasis, accounted for 16.54%. The distribution of syndrome elements was:there were 82 cases of qi deficiency, accounted for 64.57%;61 cases of yin deficiency, accounted for 48.03%;28 cases of yang deficiency, accounted for 22.05%;21 cases of blood stasis, accounted for 16.54%;12 cases of qi stagnation, accounted for 9.54%;6 cases of dampness-heat, accounted for 4.72%. Conclusion The basic pathogenesis of chronic atrophic gastritis with osteoporosis is deficiency of both spleen and kidney. Deficiency of kidney is mainly qi deficiency, yin deficiency, yang deficiency, or even deficiency of both yin and yang. Reinforcing spleen and kidney is the important principle of treatment.