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目的探讨嗜酸性胃肠炎(EG)的临床症状及体征,诊治措施及内镜特点。方法回顾性分析2012年1月~2013年12月本院收治的40例嗜酸性胃肠炎的临床资料,分析患者的临床症状、内镜检查及治疗情况。结果 37例患者,共有27例患者临床症状得到缓解。激素治疗组患者经过治疗后症状缓解率为70.59%,中医治疗组患者经过治疗后症状缓解率为75.00%,两组患者之间差异无统计学意义(P>0.05)。结论嗜酸性胃肠炎临床少见,其症状和内镜检查无特异性,外周血及组织中富含嗜酸性粒细胞是诊断EG的重要指标,激素及中医药治疗EG具有很好的临床效果。
Objective To investigate the clinical symptoms and signs of eosinophilic gastroenteritis (EG), diagnosis and treatment measures and endoscopic features. Methods The clinical data of 40 cases of eosinophilic gastroenteritis admitted from January 2012 to December 2013 in our hospital were retrospectively analyzed. The clinical symptoms, endoscopy and treatment were analyzed. Results In 37 patients, a total of 27 patients were relieved of clinical symptoms. The rate of symptom relief after treatment in hormone therapy group was 70.59%. The symptom relief rate in Chinese medicine treatment group after treatment was 75.00%. There was no significant difference between the two groups (P> 0.05). Conclusions Eosinophilic gastroenteritis is rare, and its symptoms and endoscopy are nonspecific. Eosinophils are abundant in peripheral blood and tissues. Eosinophils are an important indicator in the diagnosis of EG. Hormone and Chinese medicine have a good clinical effect.