| Objective:Colorectal polyps is a general term of all protruded into the lumen of vegetations,and it is the common disease of digestive tract,adenomatous polyp is regarded as precancerous lesions of colorectal cancer canceration rate is 1.7%-20.8%,this paper aims to study the reasons and features of Colorectal polyps by clinical data of detailed data collection and statistical analysis of colorectal polyps in the Guangxi Zhuang Autonomous Region,some related risk factors,clinical characteristics,and TCM syndrome type distribution of in order to have a preliminary understanding to the clinical features of the disease,and to provide reference for the prevention and treatment of the disease.Methods:Collection of Guangxi Traditional Chinese medicine university affiliated Ruikang Hospital of March 2014 to 2015 December inpatients,colonoscopy,and pathological diagnosis for patients with colorectal polyps,collected with general information,clinical manifestations and TCM diagnostic data,besides,choosing 150 cases with complete data by using Microsoft Office Excel software to establish a database,using SPSS statistical analysissoftware for processing data,of colorectal polyps many influence factors and associated factors analysis,to find the risk factors of disease and pathogenesis and TCM syndromes distribution characteristics,in order to provide reference for clinical.Results:1 More men than women as patients with colorectal polyps,there are102 cases of male,female 48 cases in 150 cases,and the ratio of male to female was 2.1:1,age from 16 to 89 years old ranging,average(55.95 +14.967)years,the peak incidence of age is 40 to 60 years old.2 Among the Colorectal polyps pathologic types in adenomatous,polyps was highest in tubular adenoma incidence rate highest,63 cases,accounted for 42%,the rest of the from high to low as follows: inflammation polyp,tubular villous adenoma,villous adenoma,and hyperplastic polyps,hamartomatous polyps,young polyps occurred rate of at least,different pathological types of polyps in patients with TCM syndrome type distribution difference is significant,the inflammatory polyp multiple people in mid-aged man,hamartomatous polyps multiple in youth.3 Colorectal polyps is given priority to with multiple in 107 cases,accounted for 78%,among 107 cases multiple single ratio was2.57:1,the polyp size is divided into a < 0.5 cm;0.5≦b<2.0cm;c≧2.0cm。.Among them with the number of patients with colorectal polyps in b group is the most,94 cases,(62.67%;followed by a < 0.5 cm group;c is equal to or largerthan 2.0cm group patients at least in only two patients.The lesion on the sigmoid colon was the most widely distributed,a total of 63 patients,accounting for 42% of all patients.Followed by the rectum,transverse colon,descending colon,ascending colon,cecum and ileocecal.Drinking is one of the high risk factors for the incidence of colorectal polyps.4 TCM syndrome types of colorectal polyps can be divided into wet depression bowel syndrome,stagnation of damp heat syndrome,qi stagnation and blood stasis syndrome,spleen and stomach deficiency syndrome,yin deficiency of liver and kidney syndrome,the distribution of TCM Syndrome Type: wet depression bowel syndrome(77.33%)> stagnation of damp heat syndrome(11.33%)> weakness of the spleen and stomach syndrome(5.33%)> qi stagnation and blood stasis syndrome(4%)> liver kidney yin deficiency syndrome(2%),according to the statistical analysis that five different TCM syndrome type patients with colorectal polyps in male and female patients distribution close,there was no significant difference in the TCM syndrome type and polyps site distribution.Different TCM syndromes in the age distribution of the difference was significant.The liver and kidney yin deficiency syndrome is more common in elderly patients,blood stasis syndrome more common in middle-aged patients.TCM Syndrome Types and pathological types of statistical correlation.Conclusion:Colorectal polyps in middle-aged male patients with onset of most in thesigmoid colon and rectum,wet depression bowel syndrome distribution most widely,accounted for 78.7%,far more than the other syndromes distribution,prompt damp pathogen in patients with colorectal polyps occupies an important position。... |
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