本文關(guān)鍵詞：胃息肉臨床特點(diǎn)及中醫(yī)證型分布規(guī)律的研究　出處：《廣州中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的：研究胃息肉患者的臨床、病理特點(diǎn)及與幽門螺旋桿菌(Hp)感染的關(guān)系,以及對其中醫(yī)證型分布規(guī)律進(jìn)行分析與探討,以期提高本病的認(rèn)識及診治水平,為診斷和治療本病提供更多的臨床思路,為本病證治規(guī)律統(tǒng)一標(biāo)準(zhǔn)的形成提供理論依據(jù)。方法：收集2015年7月1日至2016年1月31日在廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院脾胃病科住院治療診斷為胃息肉的患者。通過前瞻性研究,收集患者的一般臨床資料、Hp感染結(jié)果、胃鏡資料及病理結(jié)果,并制定中醫(yī)證型分布規(guī)律調(diào)查表,收集患者的四診資料,對其進(jìn)行中醫(yī)辨證分型并分析。將所收集的全部數(shù)據(jù)使用Microsoft Excel工作表建立數(shù)據(jù)庫,采用SPSS17.0軟件進(jìn)行統(tǒng)計(jì)分析,計(jì)數(shù)資料采用卡方檢驗(yàn),以P0.05認(rèn)為有統(tǒng)計(jì)學(xué)意義。結(jié)果：1.150例胃息肉患者,男性40例,女性110例,男女比例1：2.75。發(fā)病年齡主要集中在40歲～70歲,共130例,占86.67%。單發(fā)68例,多發(fā)82例,分別占45.33%、54.67%。生長部位以胃體最多見,胃體65例,達(dá)43.34%：直徑0.5cm以內(nèi)的胃息肉有99例,占66.00%,大于1.Ocm以上的息肉比較少見。胃痛、胃脹在臨床表現(xiàn)中出現(xiàn)的頻率最高。2.150例胃息肉中,炎性息肉72例(48.00%)；增生性息肉63例(42.00%)；胃底腺息肉12例(8.00%)；腺瘤性息肉3例(2.00%)。病理類型分布與男女性別、息肉大小、單發(fā)及多發(fā)無關(guān),但與息肉的生長位置有關(guān)系,各部位均以炎性息肉比較常見,增生性息主要生長在胃體和胃底,胃底腺息肉則主要生在胃體。3.150例胃息肉患者,64例Hp感染陽性,感染率42.67%。胃息肉病理類型分布與Hp感染有關(guān),其中炎性息肉患者與Hp感染的相關(guān)性同胃底腺息肉及增生性息肉相比,P0.05。4.本研究顯示肝胃不和型48例(32.00%)；脾胃濕熱型39例(26.00%)；脾虛濕熱型26例(17.33%)：脾胃虛寒型17(11.33%)；胃氣壅滯型9例(6.00%)；痰瘀互結(jié)11例(7.33%),肝胃不和型患者最多,其次為脾胃濕熱型。5.胃息肉患者的中醫(yī)證型分布與Hp感染和性別有關(guān)系,與病理類型無關(guān)。其中脾胃濕熱型胃息肉患者與Hp感染的相關(guān)性同其他中醫(yī)證型相比較,P0.05；且脾胃濕熱型以男性常見。結(jié)論：1.胃息肉發(fā)病年齡多在40歲以上,女性發(fā)病率高于男性,生長部位以胃體多見,多發(fā)多于單發(fā),直徑大小多在0.5cm以下,臨床表現(xiàn)以胃痛、胃脹常見。2.病理類型以炎性息肉最多見,其次為增生性息肉；炎性息肉的生成與Hp感染陽性有關(guān)。3.胃息肉中醫(yī)證型分布以肝胃不和型最常見,其次為脾胃濕熱型,分布規(guī)律為：肝胃不和型脾胃濕熱型脾虛濕熱型脾胃虛寒型痰瘀互結(jié)型胃氣壅滯型。4.胃息肉中醫(yī)證型分布與Hp感染及性別有相關(guān)性,脾胃濕熱型以男性常見,且Hp感染多為陽性。
[Abstract]:Objective: To study the clinical pathological characteristics of gastric polyps, and Bacillus and Helicobacter pylori (Hp) infection, and the distribution of TCM syndromes were analyzed and discussed, in order to improve the diagnosis and treatment of this disease, to provide clinical diagnosis and treatment of the disease more ideas, provide a theoretical basis for the formation of governance unified standard for the disease law syndrome. Methods: from July 1, 2015 to January 31, 2016 in the diagnosis and treatment for gastric polyps in patients with stomach diseases. The First Affiliated Hospital of Guangzhou University of Chinese Medicine were collected by prospective study, the general clinical data, Hp infection results, gastroscope data and pathological results, and make a questionnaire law of TCM syndrome distribution, collection patients with four diagnostic information of TCM syndrome differentiation and analysis. All data will be collected using the Microsoft Excel table to establish a database, using SPSS17. 0 software for statistical analysis, count data using chi square test, P0.05 was considered statistically significant. Results: 1.150 cases of patients with gastric polyps, 40 cases were male, 110 were female, male to female ratio of 1:2.75. mainly concentrated in the age of 40 years old to 70 years old, a total of 130 cases, accounting for 86.67%. single in 68 cases and multiple in 82 cases respectively, accounting for 45.33%, 54.67%. is the most common growth areas in gastric body and gastric body in 65 cases, up to 43.34% 0.5cm or less: the diameter of gastric polyps in 99 cases, accounting for 66%, more than 1.Ocm of the polyps are relatively rare. The clinical manifestation of stomach pain, bloating in the highest frequency of.2.150 cases of gastric polyps, inflammatory polyps in 72 (48% cases); hyperplastic polyps in 63 cases (42%); fundic gland polyps in 12 cases (8%); 3 cases of adenomatous polyps (2%). The pathological types and gender, polyp size, single and multiple independent, but with the growth of the position of Department of polyps, all parts in order to compare inflammation polyp Common information grows mainly in hyperplasia of gastric body and gastric fundus, fundic gland polyps mainly in gastric.3.150 cases of gastric polyps, 64 cases of Hp infection, 42.67%. infection rate of gastric polyps pathological type distribution associated with Hp infection, compared the correlation between inflammatory polyps in patients with Hp infection with fundic gland polyps P0.05.4. and hyperplastic polyps, this study shows that the incoordination between the liver and stomach in 48 cases (32%); 39 cases of spleen type (26%); the spleen deficiency in 26 cases (17.33%): 17 (11.33%) of spleen deficiency type; 9 cases (6%); Qi stagnation of phlegm and blood stasis in 11 cases (7.33%). Incoordination between the liver and stomach were the most, followed by a relationship between the distribution of TCM Syndromes of spleen stomach damp heat type.5. of gastric polyps in patients with Hp infection and gender, not related to pathological types. The correlation between patients with Hp infection of gastric polyps spleen type with other TCM syndromes compared to P0.05; and spleen type in male Conclusion: 1.. Common gastric polyps age more than 40 years, the incidence of women than men, the growth was in the stomach body, multiple than single, multi diameter below 0.5cm, the most common clinical manifestations of stomach pain, bloating the common pathological type in.2. inflammatory polyps, which include hyperplastic polyps the positive; TCM syndrome type distribution of gastric polyps.3. to liver stomach disharmony, the most common inflammatory polyp generation with Hp infection, followed by spleen type, the distribution of each node: incoordination between liver and spleen stomach damp heat syndrome of spleen deficiency of spleen deficiency type stomach qi stagnation of phlegm and blood stasis type.4. gastric polyp syndromes there is correlation with Hp infection and gender, spleen type and Hp infection is common in men, mostly positive.

【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259

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