Correlation Analysis Of TCM Syndrome Type Distribution And Influencing Factors Of Gastric Polyps

Objective: To explore the distribution characteristics of TCM syndromes of gastric polyps(GP)and the correlation between the distribution of TCM syndromes of GP and the influencing factors,so as to provide a dialectical basis for TCM disease differentiation of gastric polyps in the future.Methods:In this study,a retrospective questionnaire survey method was used to collect 117 cases of GPP confirmed by gastroscopy or pathological results in the outpatient or inpatient department of spleen,stomach,liver and gallbladder of the Affiliated Hospital of Jiangxi University of traditional Chinese medicine from January 2020 to December 2020.The general information(gender,age),HP infection,gastroscopy and pathological examination results,and influencing factors(smoking and drinking,staying up late or not,diet)of the patients were collected According to the internal medicine of traditional Chinese medicine and the guiding principles for clinical research of new drugs of traditional Chinese medicine(Trial),the TCM syndrome types of gastric polyps were identified as disharmony between liver and stomach,blood stasis of stomach collaterals,damp heat of spleen and stomach,phlegm dampness obstruction and weakness of spleen and stomach More than two attending physicians determine the syndrome type according to the reference syndrome classification standard.Excel was used to input and summarize the data,spss22.0 software was used for statistical analysis,and univariate analysis was used to calculate the constituent ratio.Chi square test or Fisher exact probability method was used to compare the differences between groups,and P < 0.05 was taken as the difference with statistical significance.Results:1.A total of 117 GP patients were collected in this study.Most of them were females with a male to female ratio of 1:1.85,and their age ranged from 40 to 60 years old,with an average age of 50.62±12.21.2.The positive and negative ratios of HP were 59.8% and 40.2%,respectively,showing no statistical significance with the distribution of TCM syndromes(P=0.101,P > 0.05).3.There was no significant difference between the distribution of TCM syndromes and the distribution of TCM syndromes(P > 0.05),but there was significant difference between the distribution of TCM syndromes and the condition of staying up late(P=0.009).4.Chronic non-atrophic gastritis with erosion in 74 cases,bile reflux in 55 cases,hypertension in 34 cases,diabetes in 22 cases,fatty liver in 18 cases;5.There were 78 cases of GP single disease(66.7%)and 39 cases of GP multiple disease(33.3%).The site of growth: gastric body(51 cases,43.6%)> fundus(24 cases,20.5%)>stric antral(21 cases,17.9%)>cardia(6 cases,5.1%),and the diameter of polyps was It was common in 0.3-0.6cm,with 100 cases(mean 0.42±0.21).6.Pathological types: proliferative polyps(46)> inflammatory polyps(38)> fundus gland polyps(23)> adenomatous polyps(8)> antral polyps(2);7.TCM syndrome types: spleen stomach damp heat syndrome(25.6%)>liver stomach disharmony syndrome(21.4%)> spleen stomach weakness syndrome(19.7%)> phlegm dampness syndrome(17.9%)> stomach collaterals blood stasis syndrome(15.4%).Conclusion:1.Gastric polyposis is more common in middle-aged and elderly people over 50 years old,and more common in women than men.2.In this study,most of the polyps were single polyps,most of the growth sites were gastric body and fundus,most of the polyps were between0.3cm-0.6cm in diameter,and the positive rate of HP was 59.8%.The pathological type was hyperplastic polyps(46),followed by inflammatory polyps(38),and the difference between the pathological type and HP infection was statistically significant(P = 0.028,P < 0.05);3.There was no significant difference between TCM syndrome types of gastric polyps and smoking,drinking,diet preference,hypertension,diabetes,fatty liver,chronic non atrophic erosion and bile reflux,but there was significant correlation between TCM syndrome types of gastric polyps and staying up late(P = 0.009,P < 0.05);4.TCM syndrome distribution law: spleen and stomach dampness and heat syndrome > liver and stomach disharmony syndrome > spleen and stomach weakness syndrome > phlegm dampness obstruction syndrome > stomach collaterals stasis syndrome,spleen and stomach dampness and heat syndrome is more common,liver and stomach disharmony syndrome is the second.