摘要
【目的】探究广东地区大肠息肉发病位置及中医证候分布规律,了解不同人群大肠息肉发病特点。【方法】选取广州中医药大学第二附属医院876例大肠息肉患者,统计其性别、年龄、身高、体质量、发病部位及中医证候资料,进行横断面回顾性分析。【结果】(1)大肠息肉患者中,全结肠型发病率最高(占42.24%),其次为左半结肠型(占33.90%),右半结肠型发率最低(占23.86%);发病部位以直肠(占44.86%)、乙状结肠(占39.04%)和横结肠(占37.90%)多见。(2)不同年龄阶段人群,大肠息肉发病类型不同(P=0.001),青年人群以左半结肠型多见(占49.53%),中年人群和老年人群以全结肠型和右半结肠型发病率较高。(3)大肠息肉患者的中医证候分布以脾虚湿滞证最多见(占78.08%),其次为脾胃虚弱证(占10.38%)和湿热瘀阻证(占8.56%);不同性别人群中医证候分布不同(P<0.001),男性患者的湿热瘀阻证(占13.91%)较女性多见(P<0.05),而女性患者的脾胃虚弱证(12.77%)较男性多见(P<0.05);不同年龄阶段人群的中医证候分布不同(P<0.05),青年人群以脾虚湿滞证多见(占86.92%),中年人群以脾虚湿滞证(占78.51%)和湿热瘀阻证(占11.34%)多见,老年人群以脾虚湿滞证(占75.58%)和脾胃虚弱证(占12.44%)多见。【结论】大肠息肉的筛查应注意发病位置的差异及其在不同性别和年龄人群中的分布,以提高检出率;大肠息肉以脾虚湿滞证为其常见中医证候,不同性别和年龄阶段的大肠息肉患者的中医证候分布不同,临床应结合分布特点加以辨证施治。
Objective To investigate the distribution of the location of the colorectal polyps and traditional Chinese medicine(TCM)syndromes in Guangdong area,and to explore the characteristics of colorectal polyps in different populations.Methods A total of 876 patients with colorectal polyps diagnosed in the Second Affiliated Hospital of Guangzhou University of Chinese Medicine were enrolled into the analysis.The information of gender,age,body height,body mass,focus of the colorectal polyps and TCM syndrome manifestations were collected for the crosssectional retrospective analysis.Results(1)Among the studying subjects,the incidence of whole colon polyps was the highest(42.24%),followed by left colon polyps(33.90%)and right colon polyps(23.86%).Colorectal polyps were commonly located in the rectum(44.86%),sigmoid colon(39.04%)and transverse colon(37.90%).(2)In the different age groups,the types of colorectal polyps were different(P=0.001).The youth group usually suffered from the left colon polyps(49.53%),and the middle age group and elderly group usually suffered from total colon polyps and right colon polyps.(3)The predominant syndrome type in colorectal polyps was spleen deficiency and dampness stagnation syndrome(78.08%),and the syndrome types of spleen and stomach weakness syndrome(10.38%)and dampness heat stagnation and obstruction syndrome(8.56%)came next.The distribution of TCM syndromes between men and women was different(P<0.001).Male patients had higher incidence of dampness heat stagnation and obstruction syndrome(13.91%)than the female patients(P<0.05),while the female patients had higher incidence of spleen and stomach weakness syndrome(12.77%)than the male patients(P<0.05).The distribution of TCM syndromes varied in different age groups(P<0.05).The youth group usually suffered from spleen deficiency and dampness stagnation syndrome(86.92%),the middle age group usually suffered from spleen deficiency and dampness stagnation syndrome(78.51%)and the syndrome of dampness heat stagnation and obstruction(11.34%),and the elderly group usually suffered from spleen deficiency and dampness stagnation syndrome(75.58%)and spleen and stomach weakness syndrome(12.44%).Conclusion To increase the detectable rate,more attention should be paid on the difference of the location of colorectal polyps and its distribution characteristics among various genders and age groups during the screening.Spleen deficiency and dampness stagnation syndrome is the predominant syndrome type of colorectal polyps.TCM syndrome types vary in different genders and age groups of patients with colorectal polyps,and syndrome differentiation and treatment in clinic should be based on the distribution characteristics of TCM syndromes of colorectal polyps.
作者
毛文昕
钟子劭
黄穗平
杜洁梅
罗仕娟
MAO Wen-Xin;ZHONG Zi-Shao;HUANG Sui-Ping;DU Jie-Mei;LUO Shi-Juan(Qingyuan Hospital of Traditional Chinese Medicine,Qingyuan 511500 Guangdong,China;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2020年第5期818-822,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
“973”科技支撑项目合作项目(编号:2013CB531703)
广东省中医院院内专项课题(编号:YN2018ZD09)。
关键词
大肠息肉
广东地区
中医证候
分布特征
脾虚湿滞证
colorectal polyps
Guangdong area
traditional Chinese medicine(TCM)syndromes
distribution characteristics
spleen deficiency and dampness stagnation syndrome
