董月秋++李垚++郑玉++姜莉云

[KG（0.15mm]摘要：目的探讨不同病理类型大肠息肉患者的中医体质分布特点。方法根据2009年颁布的《中医体质分类与判定标准》，对云南省第一人民医院消化科及内镜室200例大肠息肉患者进行中医体质调查，并统计被调查者大肠息肉的病理类型，分析不同病理类型大肠息肉患者的体质分布特点。结果腺瘤性息肉患者偏颇质中，阳虚体质为易患体质类型，其次为痰湿质、气虚质及湿热质；而非腺瘤性息肉患者则以平和质为主。含绒毛成分组以阳虚质、气虚质为主；不含绒毛成分组以阳虚质为主。结论大肠息肉病理类型与中医体质相关，腺瘤性息肉以阳虚体质为主。[KG）]

关键词：大肠息肉；病理类型；中医体质

中图分类号：R26文献标志码：A文章编号：1007-2349（2017）05-0041-02

[WT5HZ][JZ]Study on the Relationship between Pathologic Types and Traditional Chinese[JZ]Medicine Constitution of 200 Colorectal Polyps Patients

[WT5BZ][JZ]DONG Yue-qiu， LI Yao， ZHENG Yu， JIANG Li-yun

[WT5"BX][JZ]（Department of Spleen and Stomach Diseases， Traditional Chinese Medicine Hospital of Kunming City， Kunming 650500， Yunnan）

[WTHZ]【Abstract】[WTBZ]Objective： To explore the distribution characteristics of TCM constitution of colorectal polyps patients with different pathological types. Methods： According to the Classification and Criteria for TCM Constitution promulgated in 2009， 200 patients treated in Department of Gastroenterology and Gastroscope of The First Peoples Hospital of Yunnan Province were surveyed and the pathological types of colorectal polyps patients were counted to analyze the physical distribution of colorectal polyps patients with different pathological types. Results： Adenomatous polyps patients were partial to be moderate， yang deficiency patients to be subject to be sick constitution， followed by the patients with phlegm-damp， qideficiency and damp heat types. But non-adenomatous polyps patients were peaceful constitution. The villi-containing group was to be Yang deficiency and qi deficiency types while non-villi-containing group to be yang deficiency. Conclusion： The pathological type of colorectal polyps patients is related to the constitution of traditional Chinese medicine， and adenomatous polyps are mainly subject to yang deficiency constitution.

[WTHZ]【Key words】[WTBZ]colorectal polyps， pathologic type， traditional Chinese medicine constitution

大腸息肉系指生长自结肠及直肠黏膜而隆起于黏膜表面的病变，从病理类型分为腺瘤性息肉和非腺瘤性息肉两大类，前者包括管状腺瘤、管状绒毛状腺瘤和绒毛状腺瘤3类，后者包括炎性息肉、增生性息肉和错构瘤性息肉。腺瘤性息肉发病率高，占70%左右，据估计50%～70%的大肠癌由腺瘤演变而来，含绒毛成分的腺瘤癌变率更高，如何减缓或预防癌变发生，已成为目前研究热点，这与中医学注重“个体化治疗”及“防微杜渐”、“既病防变”理论相吻合。而中医体质学[1]是以中医理论为指导，研究人类体质特征、体质类型的生理、病理特点，分析疾病的反应状态、病变的性质及发展趋向，指导疾病防治及养生康复的一门学科。……