防城港地区胃息肉患者病理性质及相关影响因素的调查研究  

Investigation on the pathological properties and related influencing factors of gastric polyp in Fangchenggang area

作　　者：陈清 黄小艺 李树标 苏芮 陈明冰 李海元 陈柏辉 CHEN Qing;HUANG Xiaoyi;LI Shubiao;SU Rui;CHEN Mingbing;LI Haiyuan;CHEN Baihui(Department of Spleen and Stomach Diseases,Fangchenggang Hospital of Traditional Chinese Medicine,Fangchenggang,Guangxi,538021,China)

机构地区：[1]防城港市中医医院脾胃病科,广西防城港538021

出　　处：《中国中西医结合消化杂志》2025年第1期58-62,共5页Chinese Journal of Integrated Traditional and Western Medicine on Digestion

基　　金：广西中医药管理局自筹课题(No:GZZC2020273)。

摘　　要：目的:分析防城港地区胃息肉患者的病理类型及影响因素。方法:回顾性分析2020年1月-2022年12月防城港地区各大医院(防城港市第一人民医院、防城港市中医医院、防城区人民医院、东兴市人民医院)1 000例消化内科门诊及住院胃息肉患者的临床资料。结果:1 000例胃息肉患者中,胃息肉的病理类型主要为胃底腺息肉(88.90%),>50~60岁为高发年龄段(35.54%),女性多发(64.30%);胃底腺息肉主要分布于胃体,增生性息肉主要分布于贲门、胃窦;炎性息肉主要分布于胃体、胃角;黏膜中度慢性炎息肉主要分布于贲门、胃底、胃体、胃窦;息肉均呈现多发趋势。胃息肉患者的好发体质依次为湿热质(40.60%)、气虚质(29.40%)、气郁质(20.30%)、阳虚质(4.10%)、血瘀质(3.00%)、阴虚质(2.60%)。增生性息肉患者最常见的体质是气虚质(47.69%),其次是湿热质(35.38%)和气郁质(16.92%);炎性息肉最常见的体质是阴虚质(27.59%)和湿热质(27.59%),其次是气郁质(24.14%)和气虚质(20.69%);黏膜中度慢性炎息肉最常见的体质是湿热质(41.18%),其次是气郁质(23.53%)、气虚质(11.76%)、阳虚质(11.76%)、阴虚质(5.88%)和血瘀质(5.88%)。胃息肉病理类型在不同年龄段、不同部位、不同体质间均存在差异。结论:防城港地区湿热体质的中高龄女性人群更容易罹患胃息肉病,几乎无恶变倾向的胃底腺息肉是最主要的病理类型,根据患者体质制定差异性的管理策略可达到“未病先防”的目的,以促使患者获得更为良好的预后。Objective The pathological types and influencing factors of gastric polyps in Fangchenggang area were analyzed.Methods Retrospective analysis of the clinical data of 1000 patients with gastric polyps in the outpatient and inpatient departments of gastroenterology in major hospitals in Fangchenggang area(Fangchenggang First People's Hospital,Fangchenggang Traditional Chinese Medicine Hospital,Fangcheng District People's Hospital,Dongxing People's Hospital)from January 2020 to December 2022.Results Among the 1000 patients with gastric polyps,the pathological type of gastric polyps was mainly fundic gland polyps(88.90%),>50-60 years old was the high-risk age group(35.54%),and women were more common(64.30%);the fundic gland polyps were mainly distributed in the gastric body,and the hyperplastic polyps were mainly distributed in the cardia and gastric antrum.Inflammatory polyps are mainly distributed in the gastric body and gastric angle;moderate chronic inflammation of the mucosa is mainly distributed in the cardia,gastric fundus,gastric body,gastric antrum;polyps showed a multiple trend.The predilection constitutions of patients with gastric polyps were damp-heat constitution(40.60%),Qi deficiency constitution(29.40%),Qi stagnation constitution(20.30%),Yang deficiency constitution(4.10%),blood stasis constitution(3.00%)and Yin deficiency constitution(2.60%).The most common constitution of patients with hyperplastic polyps was Qi deficiency(47.69%),followed by damp-heat(35.38%)and Qi stagnation(16.92%).The most common constitutions of inflammatory polyps were Yin deficiency(27.59%)and damp-heat(27.59%),followed by Qi stagnation(24.14%)and Qi deficiency(20.69%).The most common constitution of moderate chronic inflammation of mucosa was damp-heat constitution(41.18%),followed by Qi stagnation constitution(23.53%),Qi deficiency constitution(11.76%),Yang deficiency constitution(11.76%),Yin deficiency constitution(5.88%)and blood stasis constitution(5.88%).The pathological types of gastric polyps were different in differe

关 键 词：胃息肉 病理类型 影响因素 中医体质 中医药防治 

分 类 号：R256.3[医药卫生—中医内科学]