结直肠息肉与中医体质及危险因素相关性研究  

Approach to correlativity between colorectal polyps and TCM constitution and risk factors

作　　者：罗倩 蒋进广[1] 丁康[2] 方磊 吕梅[1] LUO Qian;JIANG Jin-guang;DING Kang(Suqian Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Suqian 223800,China;不详)

机构地区：[1]南京中医药大学附属宿迁市中医院,宿迁223800 [2]南京中医药大学附属南京市中医院

出　　处：《山西中医》2025年第4期54-57,共4页Shanxi Journal of Traditional Chinese Medicine

基　　金：江苏省镇江市中医脾胃病临床医学研究中心开放课题资助项目(编号:SSPW2022-KF09);江苏省中医药科技发展计划项目(编号:MS2022134);江苏省2024年宿豫区市科技计划项目(编号:S202401)。

摘　　要：目的:探讨结直肠息肉发生与患者中医体质、危险因素的相关性。方法:收集2021年12月1日至2023年12月31日江苏省南京市中医院、江苏省镇江市中医院、江苏省宿迁市中医院肛肠科患者200例,按照不同中医体质分型分为平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质,收集各组患者的临床资料。分析预测结直肠息肉患者发生率。结果:男女体重指数比较,差异具有统计学意义(P﹤0.01);结直肠腺瘤发生部位顺序为乙状结肠﹥升结肠﹥横结肠﹥直肠﹥降结肠;中医体质类型分布显示为平和质(27.2%)﹥阳虚质(18%)﹥痰湿质(13.5%)﹥湿热质(12.5%)﹥气虚质(9.5%)﹥气郁质(7.5%)﹥阴虚质(6.0%)﹥血瘀质(3.5%)﹥特禀质(2.5%)。结论:结直肠息肉分辨率男性高于女性;BMI增高会增加结肠息肉的风险;乙状结肠是结直肠息肉的最多发生部位;息肉患者中相当一部分患者属于平和质,其他主要集中为阳虚质、痰湿质、湿热质。Objective:To approach the correlativity between colorectal polyps and TCM constitution and risk factors of patients.Methods:200 cases of anorectal patients were collected from Nanjing Hospital of Traditional Chinese Medicine,Zhenjiang Hospital of Traditional Chinese Medicine and Suqian Hospital of Traditional Chinese Medicine in Jiangsu Province from December 1,2021 to December 31,2023.According to different TCM constitution types,they were divided into 9 TCM constitutions,i.e.balanced constitution(BC),qi-deficiency constitution(QDC),yang-deficiency constitution(YADC),yin-deficiency constitution(YIDC),phlegm-dampness constitution(PDC),dampness-heat constitution(DHC),blood stasis constitution(BSC),qi-stagnation constitution(QSC)and inherited special constitution(ISC).The clinical data of patients in each group were collected.Analyze and predict the incidence of patients with colorectal polyps.Results:Compared male body mass index(BMI)with female body mass index,the difference was statistically significant(P﹤0.01).The sequence of occurrence site of colorectal adenoma was sigmoid colon﹥ascending colon﹥transverse colon﹥rectum﹥descending colon.The distribution of TCM constitution types showed as follows:BC(27.2%)﹥YADC(18%)﹥PDC(13.5%)﹥DHC(12.5%)﹥QDC(9.5%)﹥QSC(7.5%)﹥YIDC(6.0%)﹥BSC(3.5%)﹥ISC(2.5%).Conclusion:The resolution of colorectal polyps shows that male is higher than female.Increased BMI will increase the risk of colon polyps.Sigmoid colon is the most common occurrence site of colorectal polyps.A considerable number of patients with colorectal polyps belong to balanced constitution,while the constitutions of others patients focus on yang-deficiency constitution,phlegm-dampness constitution and dampness-heat constitution mainly.

关 键 词：结直肠息肉 中医体质 临床基础研究 

分 类 号：R574.6[医药卫生—消化系统]