基于四象學(xué)說探討結(jié)腸腺瘤性息肉與體質(zhì)的關(guān)系
發(fā)布時間：2018-08-09 09:52
【摘要】：研究目的探討結(jié)腸腺瘤性息肉與四象體質(zhì)之間、結(jié)腸腺瘤性息肉與中醫(yī)體質(zhì)之間的相關(guān)關(guān)系,以期發(fā)現(xiàn)結(jié)腸腺瘤性息肉在四象體質(zhì)中的發(fā)病傾向體質(zhì),探索四象醫(yī)學(xué)與中醫(yī)體質(zhì)之間的相關(guān)關(guān)系,為本病的預(yù)防及治療上提供有價值的參考。研究方法收集2015年4月至2017年3月在北京中醫(yī)藥大學(xué)第三附屬醫(yī)院脾胃科就診的193例內(nèi)鏡及病理診斷為結(jié)腸腺瘤性息肉的患者,收集其結(jié)腸組織病理診斷結(jié)果,通過對其體型體態(tài)、心理狀態(tài)、攝生嗜好等一系列方面進行資料收集,填寫《四象體質(zhì)辨識量表(QSCCII)》及《中醫(yī)體質(zhì)辨識計算表》,根據(jù)收集的資料進行四象體質(zhì)、中醫(yī)體質(zhì)歸類,對收集的數(shù)據(jù)運用SPSS21.0進行統(tǒng)計學(xué)分析,P0.05時有統(tǒng)計學(xué)意義。研究結(jié)果1.本次研究的193例結(jié)腸腺瘤性息肉患者中,男性109例,女性84例,男女比率為1.3:1,發(fā)病的性別與疾病存在相關(guān)性,男性發(fā)病多于女性。結(jié)腸腺瘤性息肉患者檢出的平均年齡在59.81 ±1.47歲,最小28歲,最大的83歲。檢出發(fā)病年齡高峰段在51-60歲,其次在61-70歲,41-80歲年齡段檢出發(fā)病人群占納入總?cè)藬?shù)的94.8%,男女在腺瘤性息肉檢出發(fā)病年齡上無明顯差異,年齡與疾病發(fā)病存在相關(guān)性。2.結(jié)直腸腺瘤性息肉患者中,患者性別與年齡沒有顯著相關(guān)性。3.結(jié)直腸腺瘤性息肉大小與性別之間存在相關(guān)性。直徑在0.5-0.9cm的息肉更容易出現(xiàn)在男性患者,而直徑在1.0cm及以上的息肉,更多出現(xiàn)在女性患者身上。4.結(jié)直腸腺瘤性息肉的好發(fā)部位依次為左半結(jié)腸右半結(jié)腸全結(jié)腸,以左半結(jié)腸為主。5.四象體質(zhì)辨識方面,研究中各體質(zhì)類型所占比例由大到小依次為太陰人少陰人少陽人太陽人,以太陰人為主。6.結(jié)直腸腺瘤性息肉的病理分型與四象體質(zhì)存在相關(guān)關(guān)系,混合型腺瘤多發(fā)于太陰人,四種體質(zhì)均以管狀腺瘤發(fā)生率較高。7.中醫(yī)體質(zhì)辨識方面,研究中各體質(zhì)類型所占比例由大到小依次為陽虛質(zhì)痰濕質(zhì)氣虛質(zhì)血瘀質(zhì)濕熱質(zhì)氣郁質(zhì)陰虛質(zhì)平和質(zhì)特稟質(zhì),以陽虛質(zhì)為主,其次為痰濕質(zhì)。8.四象體質(zhì)中太陰人與中醫(yī)體質(zhì)辨識中陽虛質(zhì)、痰濕質(zhì)存在一定相關(guān)關(guān)系;四象體質(zhì)中少陰人與中醫(yī)體質(zhì)辨識中陽虛質(zhì)以及氣虛質(zhì)存在一定相關(guān)關(guān)系。結(jié)論結(jié)腸腺瘤性息肉好發(fā)于男性,年齡集中在40歲以后多發(fā),好發(fā)部位為左半結(jié)腸。結(jié)腸腺瘤性息肉多見于太陰人中,混合型腺瘤多發(fā)于太陰人,考慮不除外太陰人在人群中所占比例較高有關(guān)。中醫(yī)體質(zhì)中,腺瘤性息肉多見于陽虛質(zhì)、痰濕質(zhì)人群,考慮與他們的飲食及生活方式有很大相關(guān)性。四象體質(zhì)中太陰人與中醫(yī)體質(zhì)辨識中陽虛質(zhì)、痰濕質(zhì)存在一定相關(guān)關(guān)系,而少陰人與氣虛質(zhì)、陽虛質(zhì)可能存在一定相關(guān)性。
[Abstract]:Objective to investigate the relationship between colon adenomatous polyps and four-image constitution, and between colon adenomatous polyps and TCM constitution, in order to find out the incidence tendency of colon adenomatous polyps in four-image constitution. In order to provide valuable reference for the prevention and treatment of the disease, the relationship between the four signs medicine and the constitution of traditional Chinese medicine is explored. Methods 193 patients with colonic adenomatous polyps diagnosed by endoscopy and pathology were collected from April 2015 to March 2017 in the Department of spleen and stomach, third affiliated Hospital of Beijing University of traditional Chinese Medicine, and the results of pathological diagnosis of colonic tissue were collected. A series of data were collected on their physique, mental state and habit of taking birth, filling out (QSCCII) and calculating form of physique identification of traditional Chinese medicine, and classifying the constitution of traditional Chinese medicine according to the data collected. The data collected were statistically analyzed by SPSS21.0 (P0.05). Results 1. In 193 patients with adenomatous polyps of colon, there were 109 males and 84 females, the ratio of males to females was 1.3: 1. The incidence of colonic adenomatous polyps was correlated with the incidence of adenomatous polyps in males than in females. The average age of colonic adenomatous polyps was 59.81 鹵1.47 years old, the youngest was 28 years, and the oldest was 83 years old. The peak age of onset was 51-60 years old, and the next was 41-80 years old. There was no significant difference between male and female in detecting adenomatous polyps, and there was a correlation between age and disease. There was no significant correlation between sex and age in patients with colorectal adenomatous polyps. There was a correlation between the size of colorectal adenomatous polyps and sex. Polyps with diameters of 0.5-0.9cm were more likely to appear in male patients, while polyps with diameters of 1.0cm and above were more common in female patients. The most common sites of colorectal adenomatous polyps were left hemicolon, right hemicolon, and left hemicolon. In the aspect of physique identification, the proportion of different constitution types in the study is Taiyin people, Taiyin people and Taiyin people. The pathological classification of colorectal adenomatous polyps was correlated with the four-image constitution. The mixed adenoma was mostly in Taiyin people. The incidence of the four types of adenoma was higher than that of the tubular adenoma. In the aspect of physique identification of traditional Chinese medicine, the proportion of constitution types in the study was from large to small in the order of Yang deficiency, phlegm, dampness, qi, blood stasis, dampness, heat, stagnation, yin deficiency and nature, Yang deficiency, and phlegm dampness, followed by phlegm dampness. There is a certain correlation between Taiyin people and TCM physique identification of deficiency of Yang and phlegm dampness. Conclusion Adenomatous polyps of colon are more common in males than 40 years old, and the most common sites are left hemicolon. Adenomatous polyps of colon are more common in Taiyin people, and mixed adenomas are more common in Taiyin people. In traditional Chinese medicine, adenomatous polyps are more common in Yang deficiency and phlegm dampness groups, which are closely related to their diet and lifestyle. There is a certain correlation between Taiyin people and TCM physique identification of deficiency of Yang, phlegm and dampness, while that of less yin and deficiency of qi and yang may be related.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R273
本文編號：2173702
[Abstract]:Objective to investigate the relationship between colon adenomatous polyps and four-image constitution, and between colon adenomatous polyps and TCM constitution, in order to find out the incidence tendency of colon adenomatous polyps in four-image constitution. In order to provide valuable reference for the prevention and treatment of the disease, the relationship between the four signs medicine and the constitution of traditional Chinese medicine is explored. Methods 193 patients with colonic adenomatous polyps diagnosed by endoscopy and pathology were collected from April 2015 to March 2017 in the Department of spleen and stomach, third affiliated Hospital of Beijing University of traditional Chinese Medicine, and the results of pathological diagnosis of colonic tissue were collected. A series of data were collected on their physique, mental state and habit of taking birth, filling out (QSCCII) and calculating form of physique identification of traditional Chinese medicine, and classifying the constitution of traditional Chinese medicine according to the data collected. The data collected were statistically analyzed by SPSS21.0 (P0.05). Results 1. In 193 patients with adenomatous polyps of colon, there were 109 males and 84 females, the ratio of males to females was 1.3: 1. The incidence of colonic adenomatous polyps was correlated with the incidence of adenomatous polyps in males than in females. The average age of colonic adenomatous polyps was 59.81 鹵1.47 years old, the youngest was 28 years, and the oldest was 83 years old. The peak age of onset was 51-60 years old, and the next was 41-80 years old. There was no significant difference between male and female in detecting adenomatous polyps, and there was a correlation between age and disease. There was no significant correlation between sex and age in patients with colorectal adenomatous polyps. There was a correlation between the size of colorectal adenomatous polyps and sex. Polyps with diameters of 0.5-0.9cm were more likely to appear in male patients, while polyps with diameters of 1.0cm and above were more common in female patients. The most common sites of colorectal adenomatous polyps were left hemicolon, right hemicolon, and left hemicolon. In the aspect of physique identification, the proportion of different constitution types in the study is Taiyin people, Taiyin people and Taiyin people. The pathological classification of colorectal adenomatous polyps was correlated with the four-image constitution. The mixed adenoma was mostly in Taiyin people. The incidence of the four types of adenoma was higher than that of the tubular adenoma. In the aspect of physique identification of traditional Chinese medicine, the proportion of constitution types in the study was from large to small in the order of Yang deficiency, phlegm, dampness, qi, blood stasis, dampness, heat, stagnation, yin deficiency and nature, Yang deficiency, and phlegm dampness, followed by phlegm dampness. There is a certain correlation between Taiyin people and TCM physique identification of deficiency of Yang and phlegm dampness. Conclusion Adenomatous polyps of colon are more common in males than 40 years old, and the most common sites are left hemicolon. Adenomatous polyps of colon are more common in Taiyin people, and mixed adenomas are more common in Taiyin people. In traditional Chinese medicine, adenomatous polyps are more common in Yang deficiency and phlegm dampness groups, which are closely related to their diet and lifestyle. There is a certain correlation between Taiyin people and TCM physique identification of deficiency of Yang, phlegm and dampness, while that of less yin and deficiency of qi and yang may be related.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R273
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