泰安地区结肠息肉患者中医体质、中医证型、病理类型及危险因素的临床调查

Clinical Investigation on TCM Constitution,TCM Syndrome,Pathological Type and Risk Factors of Colonic Polyps in Tai'an

目的总结泰安地区结肠息肉发病情况,明确结肠息肉发病特点、发病因素、中医证型、中医体质与病理类型分布情况及相关性。方法通过回顾性调查收集2022年3月—2022年10月于山东省泰安市中医医院确诊结肠息肉住院患者的中医体质、中医证型、病理类型及危险因素等相关信息,通过统计学软件SPSS 24.0进行分析,初步探讨泰安地区结肠息肉患者中医体质、中医证型、病理类型及危险因素的分布规律。结果泰安地区结肠息肉好发于男性、吸烟、饮酒、高胆固醇、高甘油三酯、身体质量指数增高的人群,好发年龄段为50-59岁,中医证型以肝郁气滞证、大肠湿热证、脾胃气虚证为主,中医体质以痰湿质、气郁质、气虚质为主。多元Logistic分析回归显示,甘油三酯与肝郁气滞证相关(OR=OA78,95%CI:0.238~0.959),甘油三酯与肝郁脾虚证相关(OR=0.139,95%CZ:0.050~0.388)。结论泰安地区结肠息肉的发生发展与性别、年龄、吸烟、饮酒、离胆固醇、高甘油三酯、身体质量指数、中医证型、中医体质关系密切,针对合并上述危险因素者,及时行肠镜检查有助于降低当地结肠息肉、结肠癌的发病率和病死率。

Objective To summarize the incidence of colonic polyps in Tai'an,and to clarify the correlation among the pathogenic features,pathogenic factors,TCM syndrome types,TCM constitution and pathological types of colonic polyps.Methods Through a retrospective survey,we collected the information about TCM constitution,TCM syndrome types,pathological types and risk factors of hospitalized patients with colon polyps diagnosed in the Department of Spleen and Stomach Diseases,Tai'an Hospital of Traditional Chinese Medicine,Shandong Province from March to October 2022.The statistical software SPSS 24.0 was used to analyze the distribution of TCM constitution,TCM syndrome types,pathological types and risk factors of colon polyps in Tai'an area.Results The patients with colonic polyps in Tai'an area are mostly male,smoking,drinking,high cholesterol,high triglycerides,and people with high body mass index.The age range of the patients is 50~59 years old.The TCM syndrome types are mainly liver qi stagnation,large intestine damp heat,spleen stomach qi deficiency,and the TCM constitution is mainly phlegm dampness,qi stagnation,and qi deficiency.The multiple Logistic regression analysis of myocardial infarction showed that triglyceride was correlated with liver qi stagnation syndrome(OZ?=0.47&95%CI:0.238~0.959),and triglyceride was correlated with liver qi stagnation syndrome(O7?=0.139,95%CI:0.050~0.388).Conclusion The occurrence and development of colonic polyps in TaTan area is closely related to gender,age,smoking,drinking,high cholesterol,high triglyceride,body mass index,TCM syndrome type,and TCM constitution.To do the colonoscopy timely is helpful to reduce the incidence and mortality of colonic polyps and colon cancer for those people who combined with the above risk factors.