摘要
以食管压力测定的方法研究吞酸证的病理变化及中医证型特点。对 4 7例吞酸证进行辨证分型 ,肝胃不和型占 4 8.9% ;脾虚型占 12 .8% ;肝郁脾虚型占 38.3%。结果吞酸证食管动力异常以低动力出现率最高 ;高动力出现率最低 ,且都出现在肝胃不和型 ;动力不协调主要出现在肝郁脾虚型和脾虚型。提示吞酸证的病理机制与食管动力改变有关。食管动力异常以低动力为主 ,个别实证患者有高动力的表现 ,动力不协调主要出现在有脾虚表现的证型 。
To explore the relationship between pathological changes and TCM syndromes of acid regurgitation,esophageal pressure was determined in 47 cases of acid regurgitation.The percentage of different TCM syndromes in 48 cases was as follows:incoordination between the liver and the stomach, 48.9% ; deficiency of the spleen, 12.8% ; stagnation of liver-qi and deficiency of the spleen, 38.3% .The results showed that the attenuation of esophageal movement was the important cause of acid regurgitation syndrome. The enhancement of esophageal movement was observed in some patients with the syndrome of incoordination between the liver and the stomach. The positive rate of motility incoordination in patients with deficiency of the spleen was significantly higher than that in patients with stagnation of liver-qi and deficiency of the spleen. It is suggested that deficiency of the spleen is one of the possible causes of incoordination of esophageal motility.
出处
《广州中医药大学学报》
CAS
2000年第2期137-139,共3页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省中医药管理局立项课题!编号 :96 131
关键词
吞酸证
胃食管反流
食管压力
测定
中医证型
ACID REGURGITATION
GASTROESOPHAGEAL REFLUX
ESOPHAGEAL MOTILITY DISORDERS (original article on page 137)
