结直肠癌高危人群中医体质类型分析  

Analysis of Traditional Chinese Medicine Constitution Types in High Risk Population of Colorectal Cancer

作　　者：邓婷婷 周韩 甘万兴 彭坚 Deng Tingting;Zhou Han;Gan Wanxing;Peng Jian(Shenzhen Longgang District Fourth People’s Hospital,Shenzhen,Guangdong 518000)

机构地区：[1]深圳市龙岗区第四人民医院,广东深圳518000

出　　处：《科技与健康》2023年第22期37-40,共4页Technology and Health

基　　金：结直肠癌高危人群中医体质类型分布规律及危险因素的研究(LGWJ2021-106)。

摘　　要：为研究结直肠癌高危人群中医体质类型的分布规律,筛选2020年9月—2022年12月深圳市龙岗区南湾街道45~74岁居民为受试对象,进行结直肠癌问卷调查联合粪便潜血试验初筛,判定为高危人群则进行中医体质辨识,完善肠镜并记录随访结果。结果显示,805名高危人群中,613人问卷调查为高风险,占76.15%;粪便潜血试验阳性者324人,占40.25%。进一步完善肠镜检查,顺应率为29.19%(235/805),155名居民完善活检,其中病变检出结肠息肉81人(52.26%),肠炎17人(10.97%),腺瘤15人(9.68%),结直肠癌2人(1.90%)。中医体质辨识结果为平和质25人,占3.11%;偏颇体质780人,占96.89%。研究发现,结直肠癌高危人群中医体质类型具有特异性,多为偏颇体质,痰湿质、阳虚质、气虚质、湿热质、气郁质为易感体质。男性以痰湿质、阳虚质、湿热质为主,女性则主要为阳虚质、气郁质、气虚质。结直肠癌高危人群肠镜结果以息肉、腺瘤及肠炎为主,年龄、性别是其危险因素。To study the distribution pattern of traditional Chinese medicine(TCM)constitution types among high-risk groups for colorectal cancer,residents aged 45-74 years old in Nanwan Street,Longgang District,Shenzhen from September 2020 to December 2022 were selected as the subjects.A questionnaire survey on colorectal cancer was conducted in conjunction with fecal occult blood test for preliminary screening.If the high-risk group was identifi ed,TCM constitution identifi cation was performed,colonoscopy was improved,and follow-up results were recorded.The results showed that out of 805 high-risk individuals,613 were surveyed as high-risk,accounting for 76.15%;324 people were positive for fecal occult blood test,accounting for 40.25%.Further improvement of colonoscopy examination resulted in a compliance rate of 29.19%(235/805).Among 155 residents,biopsy was completed,including 81 cases of colon polyps(52.26%),17 cases of enteritis(10.97%),15 cases of adenomas(9.68%),and 2 cases of colorectal cancer(1.90%).The results of traditional Chinese medicine constitution identifi cation showed that there were 25 people with mild constitution,accounting for 3.11%;780 people have a biased physique,accounting for 96.89%.Research has found that the traditional Chinese medicine constitution types of high-risk groups for colorectal cancer are specifi c,mostly biased,with phlegm dampness,yang defi ciency,qi defi ciency,dampness heat,and qi stagnation being susceptible constitutions.Men are mainly characterized by phlegm dampness,yang defi ciency,and dampness heat,while women are mainly characterized by yang defi ciency,qi stagnation,and qi defi ciency.Colonoscopy results in high-risk populations for colorectal cancer mainly include polyps,adenomas,and enteritis,with age and gender being risk factors.

关 键 词：结直肠癌筛查 粪便潜血试验 中医体质类型 

分 类 号：R273[医药卫生—中西医结合]