大肠癌高危人群中医体质分布特点  

Distribution Characteristics of TCM Constitution in High Risk Population of Colorectal Cancer

作　　者：杜雨[1] 黄军英 黄瑶[1] 杨嘉麟 马英 DU Yu;HUANG Jun-ying;HUANG Yao;YANG Jia-lin;MA Ying(Tongji Unversity,Shanghai China,200092;Guangming Hospital of Traditional Chinese Medicine of Pudong New Area of Shanghai,Shanghai,China,200120;Nicheng Community Health Service Center of Shanghai Pudong New Area of Shanghai,Shanghai,China,200120)

机构地区：[1]同济大学,上海200092 [2]上海市浦东新区光明中医医院,上海200120 [3]上海市浦东新区泥城镇社区卫生服务中心,上海200120

出　　处：《河南中医》2021年第11期1734-1738,共5页Henan Traditional Chinese Medicine

基　　金：上海市浦东新区科技发展基金民生科研医疗项目(PKJ2017-Y57)。

摘　　要：目的:总结上海市浦东新区惠南镇地区大肠癌高危人群的中医体质分布特点。方法:选择1092例在上海市浦东新区光明中医医院接受肠镜检查的大肠癌高危患者为研究对象,在肠镜检查前由专人先进行中医体质辨识,体质辨识结束再接受肠镜检查。结果:1092例大肠癌高危人群中平和质为41.2%,基本平和质为7.9%,介于平和质与偏颇体质之间为21.9%,偏颇体质倾向为8.2%,偏颇体质为20.8%。偏颇体质中阳虚质为74.0%,气郁质为9.7%,阴虚质为5.3%,痰湿质为4.8%,气虚质为3.1%,湿热质为1.8%,血瘀质为1.3%,特禀质为0%。肠镜结果阳性患者中,平和质41.9%,基本平和质8.8%,平和质和偏颇体质之间19.4%,偏颇体质倾向8.1%,偏颇体质21.7%。偏颇体质类型中气虚质2.3%,阳虚质75.7%,阴虚质6.2%,痰湿质5.1%,湿热质1.7%,血瘀质1.1%,气郁质7.9%。结论:大肠癌高危患者的中医体质分布特点为阳虚质占第1位,气郁质占第2位,为防治大肠息肉、腺瘤发生发展及癌变提供临床指导。Objective:To summarize the distribution characteristics of TCM constitution of high-risk population of colorectal cancer in Huinan Town,Pudong New Area,Shanghai.Methods:A total of 1092 high-risk patients with colorectal cancer who underwent colonoscopy in Guangming Hospital of Traditional Chinese Medicine of Pudong New Area of Shanghai were selected as the research objects.Before colonoscopy,it is necessary to identify the constitution of TCM by a specially-assigned person,and then accept colonoscopy after the constitution identification.Results:Among the 1092 high-risk population of colorectal cancer,the people with mild constitution accounted for 41.2%;the ones with basically mild constitution accounted for 7.9%;the ones between mild constitution and biased constitution accounted for 21.9%;the ones with biased constitution tendency accounted for 8.2%;the ones with biased constitution accounted for 20.8%.Among the ones with the biased constitution,yang deficiency constitution,qi stagnation constitution,yin deficiency constitution,phlegm-dampness constitution,qi deficiency constitution,dampness-heat constitution,blood stasis constitution,and special constitution accounted for 74.0%,9.7%,5.3%,4.8%,3.1%,1.8%,1.3%,0%respectively.Colonoscopy showed that among the positive patients,the mild constitution,the basically mild constitution,the constitution between the mild constitution and biased constitution,the biased constitution tendency,and the biased constitution accounted for 41.9%,8.8%,19.4%,8.1%,and 21.7%respectively,which could be seen in Table 8.Among the biased constitution types,qi deficiency constitution,yang deficiency constitution,yin deficiency constitution,phlegm-dampness constitution,dampness-heat constitution,blood stasis constitution,and qi stagnation constitution accounted for 2.3%,75.7%,6.2%,5.1%,1.7%,1.1%,and 7.9%respectively.Conclusion:The distribution characteristics of TCM constitution of high-risk patients with colorectal cancer are yang deficiency in the first place and qi depression in the sec

关 键 词：大肠癌高危人群 中医体质 平和质 偏颇体质 阳虚质 气郁质 阴虚质 痰湿质 气虚质 湿热质 血瘀质 特禀质 

分 类 号：R273.353[医药卫生—中西医结合]