Exploration of pathogenesis of chronic atrophic gastritis with HP infection from the changes of tongue manifestations

LI Jian-zhen; YE Hui; LIU Qian

doi:10.16025/j.1674-1307.2018.10.004

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Exploration of pathogenesis of chronic atrophic gastritis with HP infection from the changes of tongue manifestations

更新时间：2023-04-10

- Exploration of pathogenesis of chronic atrophic gastritis with HP infection from the changes of tongue manifestations
- Beijing Journal of Traditional Chinese Medicine Vol. 37, Issue 10, Pages: 923-925(2018)
- 作者机构：
  
  1. 山西职工医学院附属医院肛肠科
  2. 北京大学第一医院中医中西医结合科
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2018.10.004
  CLC：
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LI Jian-zhen, YE Hui, LIU Qian. Exploration of pathogenesis of chronic atrophic gastritis with HP infection from the changes of tongue manifestations. [J]. Beijing Journal of Traditional Chinese Medicine 37(10):923-925(2018)
DOI：

LI Jian-zhen, YE Hui, LIU Qian. Exploration of pathogenesis of chronic atrophic gastritis with HP infection from the changes of tongue manifestations. [J]. Beijing Journal of Traditional Chinese Medicine 37(10):923-925(2018) DOI： 10.16025/j.1674-1307.2018.10.004.

摘要

目的从舌象变化探讨HP感染慢性萎缩性胃炎的病机演变。方法采用前瞻性单臂临床观察性研究设计,收集102例经内镜结合病理学检查及尿素13C呼气试验确诊慢性萎缩性胃炎HP感染的患者,四联疗法对根除HP治疗前后患者的舌象变化进行比较。结果慢性萎缩性胃炎HP感染根除治疗前后患者的舌质变化差异无统计学意义（P> 0. 05）;舌苔变化差异有统计学意义（P <0. 05）。HP感染根除治疗前舌苔以黄腻苔为主; HP感染根除治疗后舌苔以薄白苔为主。结论慢性萎缩性胃炎HP感染根除治疗前后舌苔变化有差异,HP感染根除治疗前舌苔以黄腻苔为主,苔黄腻多为湿热,病邪性质以"湿""热"为主,表现为实证、热证。HP感染治疗后舌苔以薄白苔为主,表现为虚证、寒证。舌象变化的客观性提示HP感染慢性萎缩性胃炎的病机为本虚标实,虚实夹杂,初期以邪实为主,后期以正虚为主。

Abstract

关键词

舌象慢性萎缩性胃炎HP病机

Keywords

舌象慢性萎缩性胃炎HP病机

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