本文選題：胃息　切入點(diǎn)：中醫(yī)證素　出處：《南京中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：通過對(duì)胃息肉患者臨床調(diào)查,分析歸納其證素分布規(guī)律及相關(guān)因素,完善胃息肉的臨床診療辨證體系,為臨床治療及預(yù)防提供依據(jù)。方法：收集符合診斷標(biāo)準(zhǔn)的胃息肉患者257例,詳細(xì)記錄四診信息及年齡、性別等基本信息。參考朱文峰主編的《證素辨證學(xué)》中的“證候辨證量表”提取相關(guān)證素,建立數(shù)據(jù)庫(kù),運(yùn)用SPSS17.0軟件統(tǒng)計(jì)分析,歸納胃息肉的證素分布規(guī)律及相關(guān)因素。結(jié)果：1.共收集胃息肉患者257例,男性100例,女性157例,男女比例1：1.57,最小年齡14歲,最大年齡85歲。2.胃息肉單發(fā)者77.04%,多發(fā)者22.96%,比值為：3.36：1。息肉生長(zhǎng)以單部位為主,占89%,其次是雙部位(10%),三個(gè)部位(1%)。胃體109例(42.41%),胃竇81例(31.52%),賁門47例(18.29%),胃底41例(15.95%),胃角9例(3.5%)。男女間的各部位分布有統(tǒng)計(jì)學(xué)差異(P=0.000)。男性以胃體和胃竇為主,女性以胃體為主。Hp陽(yáng)性者占12.84%。病理結(jié)果示炎性息肉最多(65.76%),其次為胃底腺息肉(22.96%)、增生性息肉(11.67%)、腺瘤性息肉(2.33%)。3.257例胃息肉患者可提取出證素者204例。排除頻數(shù)分布比例2%的證素,發(fā)現(xiàn)主要的病位證素有胃(90.20%)、脾(60.78%)、肝(19.61%)、膽(2.94%)。證素組合以雙病位為主,占69.61%,單病位有27.45%,三病位及以上較少見,僅2.94%。病位在脾胃最多,其次是胃、肝胃。主要的病性要素有氣虛(33.33%)、熱(29.41)、氣滯(28.92%)、濕(27.45%)、陽(yáng)虛(26.47%),其次還有寒(15.20%)、血瘀(15.20%)、痰(5.39%)、陰虛(3.92%)。雙病性組合較多,其次為單病性,三病性及以上組合較少見。實(shí)證96例(47.06%),虛證58例(28.43%),虛實(shí)夾雜證50例(24.51%),三組數(shù)據(jù)比較,有統(tǒng)計(jì)學(xué)差異。4.胃息肉證素分布與性別、年齡、Hp感染、息肉的數(shù)目、表面形態(tài)、病理組織無相關(guān)性(P0.05)。結(jié)論：胃息肉好發(fā)于41-70歲,女性多于男性。息肉以單發(fā)多見,單部位生長(zhǎng)為主,以胃體、胃竇多見。Hp陽(yáng)性率為12.84%。病理以炎性息肉為主,其次為胃底腺息肉。胃息肉病位證素主要有胃、脾、肝、膽；以雙病位為主,病位在脾胃最多。病性證素以氣虛、熱、氣滯、濕、陽(yáng)虛為主,以雙病性組合為主,實(shí)證多于虛證或虛實(shí)夾雜。胃息肉的證素分布與性別、年齡、Hp感染、息肉的數(shù)目、表面形態(tài)及病理組織均無相關(guān)性。
[Abstract]:Objective: to improve the clinical diagnosis and treatment system of gastric polyps by analyzing the distribution of syndromes and related factors in patients with gastric polyps. Methods: 257 patients with gastric polyps who met the diagnostic criteria were collected, and the four diagnosis information and age were recorded in detail. Referring to the "Syndrome differentiation scale" in Zhu Wenfeng's Dialectics of Syndromes, the relevant factors were extracted, the database was established, and the statistical analysis was made by using SPSS17.0 software. Results: 1. A total of 257 cases of gastric polyps, 100 males and 157 females, were collected. The ratio of male to female was 1: 1.57, the youngest was 14 years old. The maximum age was 85 years old. 77.04 cases had single gastric polyps, 22.96% had multiple polyps, the ratio was: 3.36% 1.The polyps grew mainly in one part. The second was the double part of the stomach: 100.109 cases had 42.41C, 81 cases had antrum 31.52C, 47 cases had cardia 18.29m, 41 cases had fundus 15. 95A, 9 cases had stomach horn, and there was statistical difference between men and women in the distribution of different parts of stomach, mainly gastric body and antrum, male was mainly gastric body and antrum, and there was no significant difference between male and female in the distribution of stomach body and gastric antrum, and there was a statistical difference between male and female in the distribution of stomach body and antrum, and there was a statistical difference between male and female in the distribution of stomach body and antrum. The pathological results showed that the inflammatory polyps were 65.76, followed by the fundus polyps 22.96, proliferative polyps 11.67 and adenomatous polyps 2.3333. 3.257 patients with gastric polyps could extract the syndromes. The rate of eliminating the evidence of the frequency distribution ratio of 2% was 2%, and the pathological results showed that the majority of the polyps were inflammatory polyps (65.76%), followed by the gastric fundus polyps (22.96%), the proliferative polyps (11.67%) and the adenomatous polyps (2.33%). It was found that the main syndromes of the disease were stomach (90.20), spleen (60.78), liver (19.61) and gallbladder (2.94). The combination of syndromes and syndromes consisted mainly of double diseases (69.61), single disease was 27.45m, three or more were rare, only 2.945.The most of the diseases were in the spleen and stomach, followed by the stomach. The main pathogenic factors of liver and stomach are Qi deficiency, Qi deficiency, Qi deficiency, Heat, Qi stagnation, Qi stagnation, Qi stagnation, Qi stagnation, Qi stagnation, Qi stagnation, 28.92U, dampness, 27.45m, Yang deficiency, 26.47m, Cold, 15.20g, Blood stasis, 15.20, sputum, Yin deficiency, 3.922B.The combination of double diseases is more, followed by single disease, followed by cold, blood stasis, blood stasis, blood stasis, phlegm, yin deficiency and 3.922.The combination of two diseases is more, followed by the single disease, the second is the single disease, the second is the single disease. The combination of three diseases and above is rare. There are 96 cases with syndrome of deficiency, 58 cases with deficiency syndrome, 58 cases with deficiency syndrome, and 50 cases with syndrome of deficiency and solid inclusion. There is a statistical difference between the three groups. The distribution and sex of gastric polyp syndromes, age and HP infection, the number of polyps, the appearance of polyps, Conclusion: gastric polyps are more common in 41-70 years old than in males. The polyps are mostly single polyps, mainly in the body of stomach and antrum. The positive rate of HP is 12.84% in gastric body and antrum. The main syndromes of gastric polyps were stomach, spleen, liver, and gallbladder. The most common syndromes were in the spleen and stomach. The syndrome was characterized by deficiency of qi, heat, stagnation of qi, dampness, deficiency of yang, and combination of two diseases. The distribution of syndromes in gastric polyps was not correlated with sex, age and HP infection, the number of polyps, surface morphology and pathological tissue.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R259

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