| Objective: Gastric polyps are uplifted benign neoplasm in the gastric mucosa.Previous studies were focused on gastric polyp risk factors with few studies of TCM syndrome types and distribution.It is lack of Chinese medicine treatment and the prevention gastric polyps.Our research aims to find the distribution of TCM Syndrome Types in patients with gastric polyps and clinical factors based on the differentiation of TCM ideology which will provide a theoretical basis of treating gastric polyps by traditional Chinese medicine and health conditioning.Methods: Hospitalized patients' clinical data was collected according to the inclusion criteria,exclusion criteria and diagnostic criteria.Clinical data mainly included general information,gastroscope,pathological diagnosis and TCM diagnostic data.The accuracy and completeness of data was ensured by the establishment of database,data entry,proofreading and correction.Frequency method was used in general data.Chi-square test was used in count data,which aims to study TCM syndrome type distribution of gastric polyps patients.(If the theoretical frequency was greater than 5,then Pearson chi-square test was used.If the T which less than 5 was greater than the 1/5 of all the theoretical value,then the Fisher exact test was used.)In the study,the correlation between gastric polyps and risk factors was analyzed by non-conditional multivariate Logistic regression analysis,and the odds ratios(ratio OR,Odds)and 95% CI were calculated.All the results were statistically significant with P<0.05.Results: 1.Patients with gastric polyps which collected for the study was 112.Male were 40,female were 72.The youngest one was 24 years old,the oldest was 68 years.And the average age was 49.48±10.23 years.2.Patients with solitary polyps was 65 cases,and patients with multiple polyps was 47 cases.The average diameter of polyp size was 0.8±0.3cm.The morphology of most gastric polyps were Yamada type I and Yamada type III.Gastric polyps were mainly distributed in the gastric fundus,gastric body and gastric antrum.The most common pathological types of gastric polyp was inflammatory polyp,then followed by fundic gland polyps,hyperplastic polyps and adenomatous polyps.The Hp infection rate was 30.36%.3.Most patients who addicted to alcohol and tobacco were male.Patients who like to eat greasy food was accounting for a large percentage.The patients with nervous mood or overwork-pressure was 53 cases.The multi-factor non-conditional logistic regression analysis was used to explore the relationship between the gastric polyp and danger factors,such as Smoking,drinking,diet and social factors.Wald forward method was used to fit the variable ones.The results showed that the P value was greater than 0.05 among smoking,drinking and social factors.There was no significant difference.Dietary factors results show that the P value was less than 0.05.The difference was statistically significant.4.The main TCM syndrome type in gastric polyps patients was deficiency-cold of spleen and stomach.The left TCM syndrome according to the frequency was stagnation of QI causing phlegm retention,stagnation of phlegm-heat and stagnation of blood stasis.Different sex of TCM syndrome type distribution in gastric polyps patients has significant difference.Female patients is given priority to the deficiency-cold of spleen and stomach,or QI causing phlegm retention.Male patients is given priority to the stagnation of phlegm-heat and stagnation of blood stasis.Different age segments of TCM syndrome type distribution in gastric polyps patients have significant difference.Gastric polyp patients over 60 years old were deficiency-cold of spleen and stomach.Patients among 40-59 years old were QI causing phlegm retention.Patients under the age of 39 patients were stagnation of phlegm-heat.Different Helicobacter pylori infection of TCM syndrome type distribution in gastric polyps patients has significant difference.Gastric polyp patients with Hp infection(+)mainly were distributed stagnation of phlegm-heat.Different pathological types of TCM syndrome type distribution in gastric polyps patients have significant difference.Fundic gland polyps with stagnation of phlegm-heat syndrome was common.Hyperplastic polyps with QI causing phlegm retention was common.Inflammatory polyp with deficiency-cold of spleen and stomach was common.Adenoma polyp with stagnation of blood stasis was common.The distribution of TCM syndromes was no significant difference of the distribution and morphology of gastric polyps.Conclusion: 1.The incidence of women with gastric polyps were hihger than men.The age over 50 years old were very often suffer to gastric polyps.2.The single gastric polyps were often than the multiple ones.The most of gastric polyps were distributed in the gastric body,gastric fundus,gastric antrum.The average size was 0.8±0.3cm.The most common morphology of gastric polyps were Yamada type ?,then followed by Yamada type ?,Yamada ?and Yamada ?.The most common pathological types of gastric polyps was inflammatory polyps,then followed by fundic gland polyps,hyperplastic polyps and adenomatous polyp.The Hp infection rate was30.36%.3.The most common TCM syndrome type in gastric polyps patients was deficiency-cold of spleen and stomach,then followed by stagnation of QI causing phlegm retention,stagnation of phlegm-heat and stagnation of blood stasis.4.TCM syndrome type distribution was related to different sex in gastric polyps patients.Female patients is given priority to the deficiency-cold of spleen and stomach,or QI causing phlegm retention.Male patients is given priority to the stagnation of phlegm-heat and stagnation of blood stasis.TCM syndrome type distribution was related to different age segments in gastric polyps patients.Gastric polyp patients over 60 years old were deficiency-cold of spleen and stomach.Patients among 40-59 years old were QI causing phlegm retention.Patients under the age of 39 patients were stagnation of phlegm-heat.TCM syndrome type distribution was related to different Helicobacter pylori infection in gastric polyps patients.Gastric polyp patients with Hp infection(+)mainly were distributed stagnation of phlegm-heat.TCM syndrome type distribution was related to different pathological types in gastric polyps patients.Fundic gland polyps with stagnation of phlegm-heat syndrome was common.Hyperplastic polyps with QI causing phlegm retention was common.Inflammatory polyp with deficiency-cold of spleen and stomach was common.Adenoma polyp with stagnation of blood stasis was common.5.Dietary factors was related to the incidence of gastric polyps. |
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