溃疡性结肠炎患者肠黏膜内镜像与中医体质相关性研究  

Correlation between TCM constitution types and endoscopic views of intestinal mucosa in ulcerative colitis patients

作　　者：王利平[1,2] 高文艳[2] 林一帆[2] 张建觅 于丽[2] 王长洪[2] 

机构地区：[1]辽宁中医药大学研究生院,辽宁沈阳110847 [2]中国人民解放军沈阳军区总医院中医科

出　　处：《中国中西医结合消化杂志》2016年第5期359-361,366,共4页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：辽宁省博士启动基金(No:20111093)

摘　　要：[目的]研究溃疡性结肠炎（UC）患者肠黏膜内镜像与中医体质之间的关系,为UC的诊断及防治提供依据。[方法]对2014年9月~2015年2月在沈阳军区总医院住院治疗的32例UC患者,进行系统的中医体质量表测定。统计UC患者的结肠黏膜内镜像,归纳常见的结肠黏膜内镜像与中医体质类型之间的关系。[结果]32例UC患者结肠黏膜内镜像表现中以Ⅱ型表现为最多,其次为Ⅰ型,Ⅲ型最少。其中Ⅰ型主要表现为黏膜充血（或）水肿;Ⅱ型主要表现为溃疡、糜烂、弥漫性分布;Ⅲ型表现以息肉、肠腔狭窄、肠管僵硬为多。其体质调查中以阳虚质（75%）与气虚质（65.63%）为最多,其余体质类型相对较少,各体质类型之间差异有统计学意义（χ2=40.365,P〈0.05）。UC患者结肠镜像表现中弥漫性分布、溃疡、糜烂、黏膜充血（或）水肿、黏膜脆性增加,触之易出血、颗粒样改变的各体质类型之间差异有统计学意义（P〈0.05）。其余各肠黏膜内镜像的体质类型之间差异无统计学意义（P〉0.05）。[结论]UC患者以阳虚质与气虚质两种体质类型为主,且多为兼夹体质。结肠内镜像分型与中医体质具有相关性,各内镜像分型均以阳虚质、气虚质为主。[Objective]To study the relationship between the endoscopic views of intestinal mucosa and traditional Chinese medicine（TCM）constitution in patients with ulcerative colitis（UC）,and to provide the basis for the diagnosis,prevention and treatment of UC.[Methods]From September 2014 to February2015,quantitative assessment of TCM constitution was carried out in 32 cases of UC hospitalized patients.Endoscopic views of intestinal mucosa in all patients were also recorded and summarized.Then the relationship between endoscopic views of intestinal mucosa and TCM constitution was analyzed.[Results]Among the endoscopic views of intestinal mucosa,type Ⅱ was the most,which was followed by type Ⅰ,and typeⅢ was the least.TypeⅠ mainly showed mucosal congestion or edema,type Ⅱ mainly showed ulcer,erosion and diffuse distribution,while typeⅢ mainly showed polyp,intestinal narrowing,and bowel stiffness.And among the 32 UC patients with TCM constitution,most people belonged to Yang deficiency（75%）and qi deficiency（65.63%）.The rest were relatively small.There were statistically significant differences among various constitution types（χ2=40.365,P〈0.05）.There were significant differ-ences between various TCM constitution types of UC patients whose endoscopic views showed diffused distribution,ulcer,erosion,mucosal congestion or edema,increased mucosal fragility and easy bleeding,or particle-like change（P〈0.05）.The difference between the other TCM constitution types of patients with other endoscopic views were insignificant（P〉0.05）.[Conclusion]UC patients have two main constitution types：yang deficiency and qi deficiency.Most people＇s constitution types are mixed.The endoscopic views of intestinal mucosa are associated with TCM constitution.Yang deficiency and qi deficiency are the most types in all kinds of endoscopic views.

关 键 词：溃疡性结肠炎 阳虚质 气虚质 中医体质 结肠内镜像 

分 类 号：R574[医药卫生—消化系统]