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肝胃百合汤加味治疗胃痛病肝胃不和证的临床效果分析
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作者 刘志坚 《中国科技期刊数据库 医药》 2023年第8期104-107,共4页
分析肝胃百合汤加味治疗胃痛病肝胃不和证的临床效果。方法 选取2022年1月至2023年1月30例胃痛病肝胃不和证患者进行研究,随机分为观察组(15例,肝胃百合汤加味治疗)与对照组(15例,常规治疗)。分析患者临床疗效、中医症状积分、炎性因子... 分析肝胃百合汤加味治疗胃痛病肝胃不和证的临床效果。方法 选取2022年1月至2023年1月30例胃痛病肝胃不和证患者进行研究,随机分为观察组(15例,肝胃百合汤加味治疗)与对照组(15例,常规治疗)。分析患者临床疗效、中医症状积分、炎性因子水平、肝功能水平、肾功能水平。结果 各项指标对比,(P<0.05)。结论 肝胃百合汤加味可显著提高对患者临床疗效,降低患者中医症状积分,降低患者炎性因子水平,改善患者肝功能水平与肾功能水平,对改善患者预后具有重要的影响,值得广泛推广。 展开更多
关键词 百合汤加味 胃痛病 不和证
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张晋云主任医师治疗胃痛病经验 被引量:1
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作者 何春华 张晋云 《云南中医中药杂志》 2015年第11期3-5,共3页
胃痛病,又称胃脘痛,是以上腹胃脘部近心窝处疼痛为主的病证。胃痛病录属于西医的急性胃炎、慢性胃炎、消化性溃疡、功能性消化不良等范畴,是临床中的多发和常见病。吾师张晋云勤学广读,中西医理论知识及技能扎实,尤喜中医,熟读中... 胃痛病,又称胃脘痛,是以上腹胃脘部近心窝处疼痛为主的病证。胃痛病录属于西医的急性胃炎、慢性胃炎、消化性溃疡、功能性消化不良等范畴,是临床中的多发和常见病。吾师张晋云勤学广读,中西医理论知识及技能扎实,尤喜中医,熟读中医经典,勤于临证,临证时善于中医辨证论治。临床中以治消化系统疾病为多,现将吾师胃痛病的临床诊治经验总结如下。 展开更多
关键词 胃痛病 张晋云 辨证论治
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疏肝理气止痛治疗胃痛病163例疗效观察
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作者 申太明 罗开颜 《云南中医中药杂志》 2001年第4期13-14,共2页
应用疏肝理气法治疗胃痛病 163例 ,有效率 93 %。认为胃痛病主要病机是因肝胆脾胃之气机失调所致 ,疏肝理气法对胃肠道有明显的双向调节作用 ,同时能消除消化道局部炎症促进胃排空 。
关键词 疏肝理气 胃痛病 中医药疗法 治疗 疗效
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基于数据挖掘傅汝梅教授治疗胃痛病临床经验 被引量:4
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作者 黄少君 傅汝梅 《中医药导报》 2018年第5期39-41,49,共4页
目的:从胃痛病数据统计结果分析傅汝梅教授对于胃痛病脏腑辨证及用药规律,为传承名老中医经验提供方法借鉴。方法:收集整理傅汝梅教授临床病案,按照纳入标准、排除标准进行筛选,将符合条件的病案资料导出,建立数据库,运用统计软件进行... 目的:从胃痛病数据统计结果分析傅汝梅教授对于胃痛病脏腑辨证及用药规律,为传承名老中医经验提供方法借鉴。方法:收集整理傅汝梅教授临床病案,按照纳入标准、排除标准进行筛选,将符合条件的病案资料导出,建立数据库,运用统计软件进行分析。结果:本研究临床跟诊收集傅汝梅教授诊治163例胃痛病例,傅教授临床中根据五脏气机论,从肝脾论治胃痛病,注重调节脾胃,升降相宜,同时强调肝的疏泄功能是脾胃气机升降的重要条件,宜疏肝理气,调畅气机。结论:本研究运用统计学方法,从多个层面和多角度挖掘傅汝梅教授治疗胃痛病临床经验和用药特色。能为当代名老中医经验的传承模式提供一种新的尝试。 展开更多
关键词 傅汝梅 胃痛病 临床经验
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胃痛病人如何选用中成药
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作者 韦公远 《慢性病学杂志》 1999年第4期43-43,共1页
胃痛多属慢性病症,一般需要经过较长时间的治疗,方可获得良效或痊愈。然而,由于治疗胃病的中成药品种繁多,且药物组成的功用各不相同,故必须根据具体病症来进行选择。现举五种临床常用且效果肯定的中成药。
关键词 中成药 胃痛病 消化不良 慢性萎缩性 香砂养 猴菇菌片 三九 中成药品 益气丸 慢性
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基于“心胃相关”理论探析胃食管反流病相关性胸痛病机
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作者 罗楠 王少丽 +2 位作者 李萌 姜天童 刘震 《中国中医基础医学杂志》 CAS CSCD 2024年第4期607-610,共4页
胃食管反流病是临床上一种常见的疾病,胃食管反流病相关性胸痛是非心源性胸痛最常见的食管源性病因,与心血管系统疾病有关胸痛极易混淆,在临床上需认真鉴别,以便明确诊疗。心与胃位置相邻,经络相通,生理与病理上相互联系,心在脾胃病的... 胃食管反流病是临床上一种常见的疾病,胃食管反流病相关性胸痛是非心源性胸痛最常见的食管源性病因,与心血管系统疾病有关胸痛极易混淆,在临床上需认真鉴别,以便明确诊疗。心与胃位置相邻,经络相通,生理与病理上相互联系,心在脾胃病的辨证论治中具有重要作用。“心胃相关”理论为胃食管反流病相关性胸痛提供了理论基础。脾胃虚弱,推动无力,气血生化乏源,心失所养;脾虚,肝木乘克脾土,肝胃不和,气郁日久,郁而化热,热扰心神,胃气挟火热上逆,日久耗伤阴血。因虚致瘀或气滞血瘀,不通则痛,胸脉瘀阻,引起胸痛。本文基于“心胃相关”理论从“虚、郁、瘀”角度出发,探讨胃食管反流病相关性胸痛,为临床诊疗提供更好的思路。 展开更多
关键词 食管反流相关性胸 相关
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奥美拉唑结合气滞胃痛颗粒在糖尿病合并慢性胃炎患者治疗中的应用 被引量:4
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作者 张敏 《糖尿病新世界》 2019年第3期67-68,共2页
目的探究奥美拉唑结合气滞胃痛颗粒对糖尿病合并慢性胃炎患者的作用与影响。方法资料显示,该院在2016年1—10月共接诊治疗过糖尿病合并慢性胃炎患者共80例,经患者及患者家属同意后,将其随机分成观察组和对照组,每组40例患者。对照组患... 目的探究奥美拉唑结合气滞胃痛颗粒对糖尿病合并慢性胃炎患者的作用与影响。方法资料显示,该院在2016年1—10月共接诊治疗过糖尿病合并慢性胃炎患者共80例,经患者及患者家属同意后,将其随机分成观察组和对照组,每组40例患者。对照组患者给予奥美拉唑进行治疗,观察组在奥美拉唑的基础上给予气滞胃痛颗粒进行治疗。治疗期间,医护人员对两组患者的病情恢复情况和治疗临床效果详细记录并进行分析。结果观察组患者治疗有效率(97.50%)和不良反应发生率均高于对照组患者治疗有效率(90.00%)和不良反应发生率,两组数据差异有统计学意义(P<0.05)。结论奥美拉唑结合气滞胃痛病颗粒可以有效提高糖尿病合并慢性胃炎患者的治疗有效率,很大程度减少了出现并发症的概率,增加患者治疗的安全可靠性,值得被广泛的推广使用。 展开更多
关键词 奥美拉唑 气滞胃痛病 糖尿 慢性
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以胸痛慢性咳嗽为主要表现的胃食管反流病200例临床特征分析 被引量:2
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作者 杨艳 《中国实用医药》 2010年第33期74-74,共1页
胃食管返流病是指胃,十二指肠内容物返流入食管引起的烧心等症状,可引起返流性食管炎以及咽喉,气管等食管邻近的组织损害[1],在临床上十分常见,西方国家人群中发病率达4%~15%,对北京、上海进行的随机抽样调查,其患病率为2.5%~4.7%,现... 胃食管返流病是指胃,十二指肠内容物返流入食管引起的烧心等症状,可引起返流性食管炎以及咽喉,气管等食管邻近的组织损害[1],在临床上十分常见,西方国家人群中发病率达4%~15%,对北京、上海进行的随机抽样调查,其患病率为2.5%~4.7%,现将本院自2006年1月至2010年1月因胸痛,慢性咳嗽等症状,排除可能的心肺疾病后到消化内科就诊的患者200例进行临床分析报告如下。 展开更多
关键词 食管返流 慢性咳嗽 误诊
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基于关系型数据库的中医胃腕痛病诊疗数据库的构建及研究性探索
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作者 徐伟 张晋咏 +2 位作者 梁浩 陶阁 王小丽 《电脑知识与技术》 2017年第9期23-24,共2页
在国家的大力支持下,借助互联网技术的传播,人们已经逐渐了解到传统中医胃腕痛病的特色诊疗和治法在临床上显著的疗效,当今时代是计算机技术高速发展的时代,将二者结合把医学向着信息化发展将是人类的又一大进步。传统中医结合关系型数... 在国家的大力支持下,借助互联网技术的传播,人们已经逐渐了解到传统中医胃腕痛病的特色诊疗和治法在临床上显著的疗效,当今时代是计算机技术高速发展的时代,将二者结合把医学向着信息化发展将是人类的又一大进步。传统中医结合关系型数据库技术,对中医胃腕痛病诊治过程中保留的案例进行归类并建立成医案数据库,对资料库进行筛选,并用筛选症状、诊断结果、组方用药构建病例决策表,对有用信息通过数据挖掘技术探索病、证、方、药的关联法则,从而对中医胃腕痛病的临床起到直接或者间接的指导作用。 展开更多
关键词 关系型数据库 关联法则
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子午流注针刺法治疗急诊胃食管反流病相关性胸痛的效果研究 被引量:1
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作者 吴娟 《当代医药论丛》 2021年第19期171-173,共3页
目的:探讨并研究用子午流注针刺法治疗急诊胃食管反流病相关性胸痛的效果。方法:选择2020年3月至2021年3月期间黔东南苗族侗族自治州中医医院急诊科接诊的50例胃食管反流病相关性胸痛患者作为研究对象。按照随机数表法将其分为观察组与... 目的:探讨并研究用子午流注针刺法治疗急诊胃食管反流病相关性胸痛的效果。方法:选择2020年3月至2021年3月期间黔东南苗族侗族自治州中医医院急诊科接诊的50例胃食管反流病相关性胸痛患者作为研究对象。按照随机数表法将其分为观察组与对照组,每组各有25例患者。对两组患者均进行西医常规治疗,在此基础上采用子午流注针刺法对观察组患者进行治疗,然后比较两组患者的胸痛评分及临床疗效。结果:治疗后,观察组患者的胸痛评分低于对照组患者,差异有统计学意义(P<0.05)。观察组患者治疗的优良率高于对照组患者,差异有统计学意义(P<0.05)。结论:在对急诊胃食管反流病相关性胸痛患者进行西医常规治疗的基础上,采用子午流注针刺法对其进行治疗能显著减轻其胸痛的程度,缓解其病情。 展开更多
关键词 子午流注针刺法 急诊食管反流相关性胸 低危胸 高危胸
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基于KNN的中医胃疼病患者分类研究 被引量:1
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作者 王景文 李伟 李永彬 《电脑与信息技术》 2019年第5期40-43,共4页
本文采用KNN算法实现对中医胃痛病的自动诊断。采集某医院中医科门诊胃疼病患者数据,用Excel文档存储,并对数据进行初始化处理,以便于编程实现;将整理后的数据分为训练数据和测试数据,采用归一化函数计算每条测试数据在训练数据中的症... 本文采用KNN算法实现对中医胃痛病的自动诊断。采集某医院中医科门诊胃疼病患者数据,用Excel文档存储,并对数据进行初始化处理,以便于编程实现;将整理后的数据分为训练数据和测试数据,采用归一化函数计算每条测试数据在训练数据中的症状符合度(SCR,Symptom coincidence rate),通过SCR和k值共同确定测试数据的证候分类。采用Python语言编程实现KNN算法,对测试数据进行了预测分类处理。结果表明,采用KNN算法对可以实现中医胃疼病患者症状数据进行自动分类,准确率高,该方法可以应用于中医疾病的自动诊断。 展开更多
关键词 KNN 预测 中医胃痛病 中医证候
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基于“胃心相关”理论探讨胃食管反流病相关性胸痛中医内涵及发病机制 被引量:7
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作者 许高凡 李亚鼎 +7 位作者 何聪 刘晓文 吴月 刘宇洋 孟杨杨 王轶 朱生樑 周秉舵 《北京中医药大学学报》 CAS CSCD 北大核心 2023年第5期705-710,共6页
胃食管反流病相关性胸痛是胃食管反流病食管症状中最重要的不典型症状,以“胃心相关”理论为指导探讨其中医内涵和发病机制,将胃食管反流病相关性胸痛病名为“食心痛”,其病机是胃失和降、胸络痹阻,病位在食管和胃,痛在食管和心。辨证... 胃食管反流病相关性胸痛是胃食管反流病食管症状中最重要的不典型症状,以“胃心相关”理论为指导探讨其中医内涵和发病机制,将胃食管反流病相关性胸痛病名为“食心痛”,其病机是胃失和降、胸络痹阻,病位在食管和胃,痛在食管和心。辨证可分肝气犯胃、痰浊痹阻、瘀血阻络、胸阳不振4种证候类型。胸阳不振证是最常见的临床分型,病机是气机升降乖戾、浊阴上逆、痰气痹阻。临证以通阳宣痹、降气化痰为主,以枳实薤白桂枝汤为基础方随证加减。现代研究认为,异常酸反流、食管-心脏反射通路、脑肠轴等重要发病机制均体现“胃心相关”理论。 展开更多
关键词 心相关 食管反流相关性胸 中医内涵 机制
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指压肩井穴止急性胃痛
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作者 贺用和 《生活与健康》 2018年第5期35-35,共1页
对于一些因胃溃疡、胃痉挛而致的急症胃痛病人,除了给病人开药,我还喜欢指压肩井穴的方法为患者缓解疼痛。
关键词 肩井穴 急性 指压 缓解疼 溃疡 胃痛病 痉挛
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去痛片 治不了胃痛
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《健康必读(健康新语)》 2013年第6期19-19,共1页
很多胃痛病人有这样一个经历,当胃痛时吃了去痛片,胃痛却反而更加严重,有的甚至导致胃或十二指肠出血了。这是为什么呢? 因为胃痛是由于胃黏膜受到各种原因的影响,导致其出现伤口,当胃产生的胃酸等物质刺激这些伤口时就会有疼痛... 很多胃痛病人有这样一个经历,当胃痛时吃了去痛片,胃痛却反而更加严重,有的甚至导致胃或十二指肠出血了。这是为什么呢? 因为胃痛是由于胃黏膜受到各种原因的影响,导致其出现伤口,当胃产生的胃酸等物质刺激这些伤口时就会有疼痛的反应。而去痛片由氨基比林、非那西丁、咖啡因和苯巴比妥组成。它虽具有止痛的作用,但是只能针对肌肉痛、头痛、发热、风湿病等,其中氨基比林和非那西丁属于非甾体抗炎药,这类物质会损伤胃黏膜,加重病情。并且它本身亦无抗酸、解痉作用。所以胃痛时吃去痛片会“雪上加霜”,越吃越痛。 展开更多
关键词 胃痛病 十二指肠出血 非甾体抗炎药 物质刺激 氨基比林 非那西丁 苯巴比妥
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食蔬菜禁忌
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《税收与企业》 1994年第9期33-33,共1页
食蔬菜禁忌茄子:性甘寒,孕妇忌食。芹莱:性辛香,血虚病人忌食。韭莱:性辛温,阴虚阳亢者和孕妇慎食。四季豆:性寒有小毒,胃寒者忌食。黄瓜:性甘凉,脾胃虚寒者忌食。冬瓜:性甘寒,久病滑泄者忌食。生姜:性辛温,热件病和痈疮... 食蔬菜禁忌茄子:性甘寒,孕妇忌食。芹莱:性辛香,血虚病人忌食。韭莱:性辛温,阴虚阳亢者和孕妇慎食。四季豆:性寒有小毒,胃寒者忌食。黄瓜:性甘凉,脾胃虚寒者忌食。冬瓜:性甘寒,久病滑泄者忌食。生姜:性辛温,热件病和痈疮病人忌食。菜:性寒滑,脾虚便秘者忌... 展开更多
关键词 蔬菜 神经官能症患者 虚寒 阴虚阳亢 阴虚火旺 甘寒 胃痛病 辛温 脾虚 四季豆
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Gastroprotection induced by capsaicin in healthy human subjects 被引量:10
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作者 Gyula Mózsik János Szolcsányi István Rácz 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第33期5180-5184,共5页
AIM: To evaluate the gastro-protective effect of capsaicin against the ethanol- and indomethacin (IND)-induced gastric mucosal damage in healthy human subjects. METHODS: The effects of small doses (1-8 μg/mL, 10... AIM: To evaluate the gastro-protective effect of capsaicin against the ethanol- and indomethacin (IND)-induced gastric mucosal damage in healthy human subjects. METHODS: The effects of small doses (1-8 μg/mL, 100 mL) of capsaicin on the gastric acid secretion basal acid output (BAO) and its electrolyte concentration, gastric transmucosal potential difference (GTPD), ethanol- (5 mL 300 mL/L i.g.) and IND- (3×25 mg/d) induced gastric mucosal damage were tested in a randomized, prospective study of 84 healthy human subjects. The possible role of desensitization of capsaicin-sensitive afferents was tested by repeated exposures and during a prolonged treatment. RESULTS: Intragastric application of capsaicin decreased the BAO and enhanced “non-parietal” component, GTPD in a dose-dependent manner. The decrease of GTPD evoked by ethanol was inhibited by the capsaicin application, which was reproducible. Gastric microbleeding induced by IND was inhibited by co-administration with capsaicin, but was not influenced by two weeks pretreatment with a daily capsaicin dose of 3×400μg i.g. CONCLUSION: Capsaicin in low concentration range protects against gastric injuries induced by ethanol or IND, which is attributed to stimulation of the sensory nerve endings. 展开更多
关键词 CAPSAICIN ETHANOL INDOMETHACIN Gastric transmucosal potential difference Gastric microbleeding GASTROPROTECTION Healthy human subjects
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Curcumin prevents indomethacin-induced gastropathy in rats 被引量:4
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作者 Duangporn Thong-Ngam Sakonwan Choochuai +2 位作者 Suthiluk Patumraj Maneerat Chayanupatkul Naruemon Klaikeaw 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第13期1479-1484,共6页
AIM: To investigate the effects of curcumin on gastric microcirculation and inflammation in rats with indo- methacin-induced gastric damage. METHODS: Male Sprague-Dawley rats were randomly divided into three groups.... AIM: To investigate the effects of curcumin on gastric microcirculation and inflammation in rats with indo- methacin-induced gastric damage. METHODS: Male Sprague-Dawley rats were randomly divided into three groups. Group 1 (control group, n = 5) was fed with olive oil and 5% NaHCOf (vehicle). Group 2 [indomethacin (IMN) group, n = 5] was fed with olive oil 30 min prior to indomethacin 150 mg/kg body weight (BW) dissolved in 5% NaHCO3- at time 0th and 4th h. Group 3 (INN ± Cur group, n = 4) was fed with curcumin 200 mg/kg BW dissolved in olive oil 0.5 mL, 30 min prior to indomethacin at 0th and 4th h. Leukocyte-endothelium interactions at postcapillary venules were recorded after acridine orange injection. Blood samples were determined for intercellular ad- hesion molecule (ICAM)-1 and tumor necrosis factor (TNF)-a levels using enzyme linked immunosorbent assay method. Finally, the stomach was removed for histopathological examination for gastric lesions and grading for neutrophil infiltration. RESULTS: In group 2, the leukocyte adherence in postcapillary venules was significantly increased com- pared to the control group (6.40±2.30 cells/frame vs 1.20 ± 0.83 cells/frame, P = 0.001). Pretreatment with curcumin caused leukocyte adherence to postcapil- lary venule to decline (3.00±0.81 cells/frame vs 6.40 ± 2.30 cells/frame, P = 0.027). The levels of ICAM-1 and TNF-aincreased significantly in the indomethacin- treated group compared with the control group (1106.50 ± 504.22 pg/mL vs 336.93 a= 224.82 pg/mL, P = 0.011 and 230.92±114.47 pg/mL vs 47.13±65.59 pg/mL, P = 0.009 respectively). Pretreatment with curcumin sig- nificantly decreased the elevation of ICAM-1 and TNF-a levels compared to treatment with indomethacin alone (413.66 ± 147.74 pg/mL vs 1106.50 ± 504.22 pg/mL, P = 0.019 and 58.27 ± 67.74 pg/mL vs 230.92 ± 114.47 pg/mL, P = 0.013 respectively). The histological appear- ance of the stomach in the control group was normal. In the indomethacin-treated group, the stomachs showed a mild to moderate neutrophil infiltration score. Gastric lesions were erosive and ulcerative. In rats treated with indomethacin and curcumin, stomach histopathology improved and showed only a mild neutrophil infiltration score and fewer erosive lesions in the gastric mucosa. CONCLUSION: The results indicate that curcumin pre- vents indomethacin-induced gastropathy through the improvement of gastric microcirculation by attenuating the level of ICAM-1 and TNF-a, 展开更多
关键词 CURCUMIN Nonsteroidal anti-inflammatorydrugs Gastric damage Gastric microcirculation Inter-cellular adhesion molecule-i Tumor necrosis factor-a
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Beneficial effects of Foeniculum vulgare on ethanol-induced acute gastric mucosal injury in rats 被引量:1
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作者 Fatih Mehmet Birdane Mustafa Cemek +2 位作者 Yavuz Osman Birdane lhami Gülin Mehmet Emin Büyükokuro■lu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第4期607-611,共5页
AIM: To examine the anti-ulcerogenic and antioxidant effects of aqueous extracts of Foeniculum vu/gare (FVE) on ethanol-induced gastric lesions in rats.METHODS: FVE was administered by gavage at doses of 75, i50 a... AIM: To examine the anti-ulcerogenic and antioxidant effects of aqueous extracts of Foeniculum vu/gare (FVE) on ethanol-induced gastric lesions in rats.METHODS: FVE was administered by gavage at doses of 75, i50 and 300 mg/kg, and famotidine was used at the dose of20mg/kg.Following a 60 min period, all the rats were given 1 mL of ethanol (80%) by gavage. One hour after the administration of ethanol, all groups were sacrificed, and the gastric ulcer index was calculated; whole blood malondialdehyde (MDA) and reduced glutathione (GSH), serum nitrate, nitrite, ascorbic acid, retinol and β-carotene levels were measured in all the groups.RESULTS: It was found that pretreatment with FVE significantly reduced ethanol-induced gastric damage. This effect of FVE was highest and statistically significant in 300 mg/kg group compared with the control (4.18 ± 2.81 vs 13.15 ± 4.08, P 〈 0.001). Also, pretreatment with FVE significantly reduced the MDA levels, while significantly increased GSH, nitrite, nitrate, ascorbic acid, retinol and β-carotene levels. CONCLUSION: FVE has clearly a protective effect against ethanol-induced gastric mucosal lesion, and this effect, at least in part, depends upon the reduction in lipid peroxidation and augmentation in the antioxidant activity. 展开更多
关键词 Foeniculum vulgare ETHANOL RAT ULCER ANTIOXIDANT
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Prevalence of linked angina and gastroesophageal reflux disease in general practice 被引量:5
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作者 Hirohito Kato Takamasa Ishii +2 位作者 Tatsuo Akimoto Yoshihisa Urita Motonobu Sugimoto 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第14期1764-1768,共5页
AIM: To evaluate the association between gastroesophageal reflux diseases (GERD) and coronary heart diseases. METHODS: One thousand nine hundred and seventy consecutive patients who attended our hospital were enro... AIM: To evaluate the association between gastroesophageal reflux diseases (GERD) and coronary heart diseases. METHODS: One thousand nine hundred and seventy consecutive patients who attended our hospital were enrolled. All of the patients who first attend our hospital were asked to respond to the F-scale questionnaire regardless of their chief complaints. All patients had a careful history taken, and resting echocardiography (ECG) was performed by physicians if the diagnostic necessity arose. Patients with ECG signs of coronary artery ischemia were defined as ST- segment depression based on the Minnesota code. RESULTS: Among 712 patients (36%) with GERD, ECG was performed in 171 (24%), and ischemic changes were detected in eight (5%). Four (50%) of these patients with abnormal findings upon ECG had no chest symptoms such as chest pain, chest oppression, or palpitations. These patients (0.6%; 4/712) were thought to have non-GERD heartburn, which may be related to ischemic heart disease. Of 281 patients who underwent ECG and did not have GERD symptoms, 20 (7%) had abnormal findings upon ECG. In patients with GERD symptoms and ECG signs of coronary artery ischemia, the prevalence of linked angina was considered to be 0.4% (8/1970 patients).CONCLUSION: The present study suggested that ischemic heart disease might be found although a patient was referred to the hospital with a complaint of GERD symptoms. Physicians have to be concerned about missing clinically important coronary artery disease while evaluating patients for GERD symptoms. 展开更多
关键词 Linked angina EPIDEMIOLOGY Generalpractice ELECTROCARDIOGRAPHY Gastroesophageal reflexdisease
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Sensory testing of the human gastrointestinal tract 被引量:1
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作者 Christina Brock Lars Arendt-Nielsen +1 位作者 Oliver Wilder-Smith Asbjφrn Mohr Drewes 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第2期151-159,共9页
The objective of this appraisal is to shed light on the various approaches to screen sensory information in the human gut. Understanding and characterization of sensory symptoms in gastrointestinal disorders is poor. ... The objective of this appraisal is to shed light on the various approaches to screen sensory information in the human gut. Understanding and characterization of sensory symptoms in gastrointestinal disorders is poor. Experimental methods allowing the investigator to control stimulus intensity and modality, as well as using validated methods for assessing sensory response have contributed to the understanding of pain mechanisms. Mechanical stimulation based on impedance planimetry allows direct recordings of luminal cross-sectional areas, and combined with ultrasound and magnetic resonance imaging, the contribution of different gut layers can be estimated. Electrical stimulation depolarizes free nerve endings non-selectively. Consequently, the stimulation paradigm (single, train, tetanic) influences the involved sensory nerves. Visual controlled electrical stimulation combines the probes with an endoscopic approach, which allows the investigator to inspect and obtain small biopsies from the stimulation site. Thermal stimulation (cold or warm) activates selectively mucosal receptors, and chemical substances such as acid and capsaicin (either alone or in combination) are used to evoke pain and sensitization. The possibility of multimodal (e.g. mechanical, electrical, thermal and chemical) stimulation in different gut segments has developed visceral pain research. The major advantage is involvement of distinctive receptors, various sensory nerves and different pain pathways mimicking clinical pain that favors investigation of central pain mechanisms involved in allodynia, hyperalgesia and referred pain. As impairment of descending control mechanisms partly underlies the pathogenesis in chronic pain, a cold pressor test that indirectly stimulates such control mechanisms can be added. Hence, the methods undoubtedly represent a major step forward in the future characterization and treatment of patients with various diseases of the gut, which provides knowledge to dinicians about the underlying symptoms and treatment of these patients. 展开更多
关键词 ENDOSCOPY INTESTINE EXPERIMENTAL NEUROPHYSIOLOGY PAIN
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