336例胃息肉中医证型与病理类型分布规律相关性研究  

Research on TCM Sydnrome and Pathological Types Distribution of 336 Cases of Gastric Polyps

作　　者：绳荣湍 平倩 陈良荣[1] 陈远能[1] 张涛[1] SHENG Rongtuan;PING Qian;CHEN Liangrong;CHEN Yuanneng;ZHANG Tao(1. Ruikang Hospital Affiliated to Guangxi University of TCM, Nanning 530001, Guangxi, China; 2. The Affiliated Hospital of Jiangxi University of TCM, Nanehang 330006 ,Jiangxi, Chin)

机构地区：[1]广西中医药大学附属瑞康医院,广西南宁530001 [2]江西中医药大学附属医院,江西南昌330006

出　　处：《辽宁中医杂志》2018年第3期554-556,I0002,I0003,共5页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金课题(81360531)

摘　　要：目的：在中医辨证论治思想的指导下,通过分析胃息肉患者中医证型变化特点及其病理类型分布规律的相关性,为胃息肉的微观和宏观防治提供理论依据。方法：收集胃息肉患者336例,采用回顾性研究方法对胃息肉患者的一般资料、中医证候及病理类型数据进行统计分析胃息肉中医证型变化特点和病理类型分布的相关性。结果：脾胃虚寒证153例（45.54%）,气滞痰阻证99例（29.46%）,痰热郁结证66例（19.64%）,血瘀内停证18例（5.36%）;胃息肉主要病理类型为胃底腺息肉126例（37.5%）,增生性息肉27例（8.04%）,炎性息肉180例（53.57%）,腺瘤性息肉3例（0.89%）;不同病理类型的胃息肉中医证型分布具有显著差异性。结论：胃息肉以老年患者发病率高,单发多见,女性发病率大于男性。不同病理类型与中医证型具有相关性,胃底腺息肉以痰热郁结证多见,增生性息肉以气滞痰阻证多见,炎性息肉以脾胃虚寒证多见,腺瘤性息肉以血瘀内停证多见。Objective： To guide the ideological and political theory in TCM,through the analysis of the correlation between TCM syndrome of patients with gastric polypoid changes and pathological type distribution,and provide a theoretical basis for the prevention and treatment of gastric polyps in micro and macro. Methods： We collected 336 cases of patients with gastric polyps,using retrospective study method of general information,TCM syndromes and pathological types of gastric polyps in patients with data for statistical analysis of gastric polyps in TCM syndrome characteristics and pathological type distribution correlation. Results： The spleen deficiency syndrome was in 153 cases（ 45. 54%）,qi stagnation and phlegm obstruction in 99 cases（ 29. 46%）,phlegm heat stagnation syndrome in 66 cases（ 19. 64%）,blood stasis stop syndrome in 18 cases（ 5. 36%）; the main pathological types of gastric polyp is fundic gland polyps in 126 cases（ 37. 5%）,hyperplastic polyps in 27 cases（ 8. 04%）,inflammatory polyps in180 cases（ 53. 57%）,adenomatous polyps in 3 cases（ 0. 89%）; the different pathological types of gastric polyp syndromes have significant difference. Conclusion： The incidence of gastric polyps in elderly patients is high,with more single type. The incidence rate of female is higher than that of male. Different pathological types are correlated with TCM syndrome types,fundic gland polyps commonly has phlegm-heat stagnation syndrome,hyperplastic polyps commonly with Qi stagnation and phlegm obstruction syndrome,inflammatory polyps wtih spleen deficiency syndrome and adenomatous polyp commonly with blood stasis syndrome.

关 键 词：胃息肉 中医证型 病理类型 分布规律 

分 类 号：R573[医药卫生—消化系统]