摘要
为探讨痞满证中医证型与食管动力异常的关系，本研究对４３例痞满证患者进行食管压力测定研究。中医辨证分为肝胃不和型１８例，肝郁脾虚型２３例和脾胃虚弱型２例。采用瑞典产ＰＣＰｏｌｙｇｒａｆＨＲ高分辨多通道胃肠功能测定仪进行检测。结果显示：①本组病例以实证（肝胃不和型）和虚实夹杂证（肝郁脾虚型）居多，其临床主要症状的分布在证型之间无显著性差异；②食管压力测定结果，食管动力异常有低动力、高动力和动力不协调３类，其中有脾虚症状的证型（肝郁脾虚和脾胃虚弱型）的动力不协调检出率为６０％，而无脾虚症状的证型（肝胃不和型）的检出率为２７．８％，两者比较差异有统计学意义（Ｐ＜０．０５）。
おo investigate the relationship between the distension syndrome in TCM and abnormal esophageal motility,the esophageal tension of 43 patients with distension syndrome was determined by high_resolution multi_passage gastrointestinal function meter PC Polygraf HR.The syndrome was further differentiated into three types:liver_stomach disharmony (18),liver stagnation with spleen deficiency (23)and spleen_stomach deficiency (2).The results showed that:(1) Most cases were of excess syndrome (liver_stomach disharmony) and excess_deficiency complex syndrome (liver stagnation and spleen deficiency),and the main clinical symptoms had no marked differences among the three types;(2) The abnormal esophageal motility included low motility,high motility and incoordinate motility.The incoordinate motility amounted 60% in patients with symptoms of spleen deficiency (liver stagnation with spleen deficiency and spleen_stomach deficiency),and 27.8% in patients without symptoms of spleen deficiency (liver_stomach disharmony)(P<0.05).It is suggested that the detectable rate of incoordinate motility in patients with symptoms of spleen deficiency was obviously higher than that in excess syndrome without symptoms of spleen deficiency.
出处
《广州中医药大学学报》
CAS
1998年第2期94-96,共3页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广州中医药大学科研课题
关键词
痞满
诊断
病理生理学
食管活动障碍
CHEST_ABDOMINAL DISTENSION/diag.
CHEST_ABDOMINAL DISTENSION/physiopathol.
ESOPHAGEAL MOTILITY DISORDERS
