The Study Of The Relation Between Tongue Diagnosis And Helicobcter Pylori Infction

Objective:To study the relevance between Helicobacter pylori in tongue coating and in gastric,explore the relationship between tongue observation and Helicobacter pylori diagnosis,research the feasibility of enzymatic urea tongue Coating.Methods:Methods:The selection and has a history of chronic symptoms,the last month not to use drugs inhibit Helicobacter pylori,nearly two weeks,or aluminum sulfate is not taking proton pump inhibitors,agreed Endoscopy cases, random inspections.Select the 100 cases,observation of their gender,age,course of disease factors such as relevance,blade of tongue to tongue,including the tongue body,tongue coating.Tongue body include observe the color and the tongue-shaped, tongue-shaped mainly include pale tongue,light red tongue,red tongue,dark purple Tongue(purple-red tongue),purple tongue;tongue body include observe the quality and coating color mainly Change,including thin white coating,white greasy coating yellow coating,yellow greasy coating,light peel coating,line separately tongue intragastric urease and urease test,Helicobacter pylori and stomach tongue compare the relationship between Helicobacter pylori explore Tongue with Helicobacter the relevance of bacilli.Results:100 cases of tongue in patients with Helicobacter pylori-positive rate was 64%＞intragastric Helicobacter pylori infection rate of 48 percent positive, statistically significant difference(p=0.00＜0.01);tongue color distribution as follows: light tongue＞whitish tongue＞purple tongue＞red tongue=purple tongue,x~2=5.464, p=0.243＞0.05;tongue coating distribution as follows:yellow greasy coating＞Yellow Coating＞white grease coating＞thin white coating＞Light peeling coating,x~2= 12.104,p=0.015＜0.05.Conclusion:(1) It can detect Helicobacter pylori from tongue coating, Helicobacter pylori infection rate in tongue coating was significantly higher than the positive rate of infection in gastric,suggesting that tongue coating are probably one of the main settlements of H.pylori.Tongue coating unease enzymatic can be used detection of Helicobacter pylori(2) Helicobacter pylori-positive patients the distribution of tongue color is:light red tongue＞whitish tongue＞purple tongue＞red tongue=purple tongue,statistical analysis showed that the group no significant difference,suggesting that tongue color and Helicobacter pylori infection rate-independent,tongue color can not be used as the basis for the preliminary screening of Helicobacter pylori.(3) Helicobacter pylori-positive patients the distribution of tongue coating as follows:yellow greasy coating＞Yellow coating＞white grease coating＞thin white coating＞Light stripping coating,statistics show that the group was significantly higher,suggesting that tongue coating observation can serve as a Helicobacter pylori Initial screening and diagnosis.