| Objective:To summarize the distribution regularity of syndrome elements and its relative factors of gastric polyps through the analysis of the clinical investigation in patients with gastric polyps, to improve the differentiation system and provide guidance for clinical treatment and prevention.Methods:Collecting 257 cases of patient with gastric polyps in accordance with diagnostic criteria and detailed recording the basic information such as the four diagnostic information, age and gender. On the basis of syndrome differentiation scale in Syndrome Factor Differentiation by Zhu Wenfeng, establishing a database to summarize the distribution regularity of syndrome’s elements and its relative factors of gastric polyps by using the SPSS 17.0 statistical software for statistical analysis.Results:LA total of 257 patients were collected, there are 100 cases of male patients and 157 cases of female, among them the male to female ratio is 1:1.57,the youngest patient is 14 years old and the oldest patient is 85 years old.2. In these patients with gastric polyps,77.04% of the patients had one polyp and 22.96% of the patients had more than one polyps, ratio is 3.36:1.Most of gastric polyps (89%) were located in one place,10% of patients were located in two places, only 1% of patients were located in three places.109 patients were located in the body(42.41%),81 patients in the antrum(31.52%),47 patients in the cardia (18.29%),41 patients in the fundus (15.95%),9 patients in the angle (3.5%).There were significant differences between the male and female in the different locations(P=0.000).Most polyps of the male were located in the body and the antrum, but most polyps of female were located in the body. The positive rate of Hp infection is 12.84%.Pathological results in inflammatory polyp the most(65.76%), fundic gland polyp(22.96%), hyperplastic polyp(11.67%), adenomatous polyp(2.33%).3.204 cases of patients had syndrome elements from 257 patients. The main syndrome elements of disease location had stomach(90.20%), spleen (60.78%),liver(19.61%), gallbladder(2.94%), ruling out less than 2%. Two syndrome’s elements of disease location in the combination of syndrome’s elements is major(69.61%),single is 27.45%,three syndrome’s elements of disease location is seldom(2.94%). Disease location was the most in spleen-stomach, followed by stomach and liver-stomach. The mayor elements of nature disease had Qi-deficiency(33.33%), heat(29.41%),stagnation(28.92%),dampness(27.45%),yang-deficiency(26.47%),cold(15.20%), blood stasis(15.20%),phlegm(5.39%),yin-deficiency(3.92%).Two syndrome’s elements of disease nature in the combination is the most, followed by single element of disease nature, three and more is seldom. Positive syndrome in 96 cases,58 cases deficiency positive,50 cases of actual situation permits inclusion,there were statistically different between these three groups.4.There was no correlation between the syndrome element distribution of gastric polyps and sex,age,Hp infection,the number of polyps,the morphology of the surface and pathological tissue.(P<0.05).Conclusion:From 41 to 70 years old people tend to get gastric polyps, more female than male. One polyp and one location was more seen in patients with gastric polyps, the body and gastric antrum more often. The positive rate of Hp infection is 12.84%. Pathological results in inflammatory polyp the most, fundic gland polyp followed. The main syndrome elements of, disease location had stomach, spleen, liver, gallbladder. Two syndrome’s elements of disease location in the combination of syndrome’s elements is major, spleen-stomach more ofen. The syndrome elements of disease nature were Qi-deficiency,heat,stagnation,dampness,yang-defici ency as the corpus. More seen were two disease nature combination. Positive syndrome were more than deficiency positive and actual situation permits inclusion. It had certain correlation between active inflammation, Fundic gland polyp, dysplasia and the distribution regularity of syndrome elements. There was no correlation between the syndrome element distribution of gastric polyps and sex, age, Hp infection, the number of polyps, the morphology of the surface and pathological tissue. |
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