中文摘要：

目的：研究胃癌内镜下黏膜相辨治规律。方法：收集并统计分析近10年来山东中医药大学附属医院诊断为胃癌并保守治疗的227例患者的有关资料。结果：发现胃癌常见中医证型以肝胃不和、瘀毒内阻、气血双亏、痰湿凝结、胃热伤阴5型居多;且5个证型的镜下黏膜相各有特征,应分别对其进行中医辨证治疗。结论：胃癌各中医证型的胃黏膜相存在一定的特异性,临证采用宏观、微观辨证有机结合,可更科学、合理、有效地治疗本病,更好地提高患者生存质量,值得进一步深入研究。

英文摘要：

Objective： To study the rules for syndrome differentiation and treatment of gastric mucosa in gastric cancer. Methods： The clinical data of 227 patients who were diagnosed with gastric cancer and received conservative treatment in our hospital in the last decade were collected and analyzed. Results： In gastric cancer,the most common types of syndrome in traditional Chinese medicine（ TCM） were incoordination between liver and stomach,interior retention of toxin stagnation,deficiency of both qi and blood,stagnation of phlegm-dampness,and stomach heat injuring yin. Moreover,these five types of endoscopic syndrome of mucosa should be differentiated and treated separately due to their respective features. Conclusions： In gastric cancer,gastric mucosa with different types of TCM syndrome has certain specificity. A combination of macroscopic and microscopic syndrome differentiation is a scientific,reasonable,and effective approach for the treatment of gastric cancer and improvement in the quality of life in patients,which needs further studies.