基于新疆少数民族酒精性胃炎的中医证素及证型方面的临床研究

摘要

目的：基于新疆少数民族特殊的地域环境及饮食因素的影响，系统评价酒精性胃炎患者的中医证型及证素的影响因素，为中医药防治酒精性胃炎提供可靠的临床数据，更好的应用于临床医学实践中。方法：收集2014年1月至2014年10月就诊于自治区中医院门诊患者，运用横断面研究的方法对符合纳入标准要求的500例少数民族酒精性胃炎患者的中医证型和证素分布等相关影响因素进行回顾性调查研究及统计分析。结果：新疆地区少数民族酒精性胃炎患者中，占主要方面的中医证型分布多为胃阴亏虚证（64．0％）居多；中医证素分布情况多为阴虚者（72．0％）偏盛。介于50～70岁年龄组，长期饮酒导致酒精性胃炎的发病率最高。结论：基于新疆少数民族酒精性胃炎基本病因病机为胃阴亏虚，其虚则多以阴虚为主，养阴活胃是治疗该病的重要法则之一。值得临床医家借鉴参考，才能够更好的指导临床治疗研究。%Objective:Based on the special geographical environment of the Xinjiang minority nationality and influence of the eat-ing habits,the syndromes and their essences of TCMof alcohol gastritis patients were systematically evaluated so as to provide reli-able clinical data for medical prevention and treatment of alcohol gastritis in our country and better application in clinical practice. Methods:Patients from January 2014 to October 2014 in the autonomous region hospital were collected and analyzed by the meth-od of cross-sectional to explore the TCMsyndromes and essences of 500 alcohol gastritis patients and to perform retrospective inves-tigation and statistical analysis.Results:Among the alcohol gastritis patients in Xinjiang minority,more than a half(64.0%)were diagnosed as stomach yin deficiency syndrome,similar to the distribution of syndrome essence:yin deficiency(72.0%).Among the 50-70 aged group,the patients who drink for a long-term had the highest morbidity.Conclusion:The basic pathogenesis of al-cohol gastritis of the Xinjiang minority nationality is stomach yin deficiency,mostly is yin deficiency.Nourishing yin and activating stomach is the main treating principle.The results are valuable to guide the doctors and their treatment.