| Objective:To explore the distribution of colon polyps,TCM syndrome types,pathological types and their correlations,providing clinical ideas for the comprehensive intervention programs of traditional Chinese medicine in the prevention,treatment and life care of colon polyps.Methods: For patients with colon polyps who meet the inclusion criteria,a questionnaire method is used to calculate the general information and pathological types of the patients,and the TCM constitution classification and judgment self-test table and the TCM syndrome type scale are used to determine the patient’s TCM constitution and syndrome type.Analyze the collected clinical data through statistical software,and preliminarily explore the distribution and correlation of the TCM constitution,TCM syndrome type,and pathological type of patients with colon polyps.Results: 1.The distribution of general information:(1)The male to female ratio in this study is 1.73:1,the average age of males is 58.70,and the average age of females is 60.94.There is no correlation between gender and age(P>0.05).(2)Colonic polyps are located in the sigmoid colon the most(37.35%),followed by transverse colon(22.89%),ascending colon(22.29%),descending colon(17.47%);single polyps are the most common(48.89%),followed by 2(31.11 %),3 or more occurrences(20.00%).2.Distribution of TCM constitution:(1)Phlegm and dampness accounted for the highest proportion(25.56%),followed by Qi stagnation(17.78%),damp heat(16.67%),Yang deficiency(15.55%),blood stasis(10.00%),Qi deficiency quality(8.89%),Yin deficiency quality(3.33%),peace quality(2.22%),no special qualities.(2)Gender and TCM physique are obviously correlated(P<0.01),Males have the most phlegm-dampness(36.84%),and women have the most Qi-stagnation(45.46%).(3)Age and TCM physique are obviously correlated(P<0.01),Young patients have the most dampness and heat(50.00%),middle-aged patients have the most phlegm-dampness(33.33%),and elderly patients have the most yang deficiency(31.71%).3.Distribution of TCM syndrome types:(1)damp-heat accumulation syndrome accounts for the highest proportion(45.55%),followed by spleen and stomach weakness syndrome(25.56%),liver qi stagnation syndrome(16.67%),blood stasis syndrome(12.22%).(2)Gender and TCM syndrome types are significantly correlated(P<0.01).Men have the most syndromes of accumulation of damp-heat(68.42%),and women have the most syndromes of liver stagnation and qi stagnation(45.46%).(3)Age and TCM syndrome types are significantly correlated(P<0.01).Young patients had the most damp-heat accumulation syndrome(75.00%),middle-aged patients had the most damp-heat accumulation syndrome(57.78%),and elderly patients had the most syndrome of spleen and stomach weakness(53.66%).4.Distribution of pathological types:(1)The pathological type distribution of 180 patients: 78 cases(43.34%)of non-adenomatous polyps,68 cases(37.77%)of adenomatous polyps,and 34 cases(18.89%)of mixed non-adenomatous and adenomatous polyps.(2)The pathological distribution of 332 polyps: 184(43.34%)non-adenomatous polyps and 148(37.77%)adenomatous polyps.5.Correlation between TCM constitution and TCM syndrome type: there is a significant correlation between the two(P<0.01).Phlegm-damp physique is the most common syndrome of accumulation of damp-heat(53.66%);the syndrome of spleen and stomach weakness has the most constitution of yang deficiency(56.52%);the constitution of stagnation of Qi in the liver-stagnation and qi stagnation is the most(86.66%);blood stasis block syndrome has the most blood stasis constitution(81.82%).6.Correlation between TCM constitution and pathological type: there is a significant correlation between the two(P<0.01).Adenomatous polyps are mainly composed of phlegm and wetness(35.29%);Non-adenomatous polyps are mainly composed of qi-stagnation(20.51%)and damp heat(20.51%);mixed polyps are mainly composed of phlegm and dampness(41.17%).7.Correlation between TCM syndrome type and pathological type: There was no correlation between the two(P>0.05).For non-adenomatous,adenomatous and mixed polyps,damp-heat accumulation syndrome was the most common,followed by spleen and stomach weakness syndrome,liver stagnation and qi stagnation syndrome,and blood stasis syndrome.8.Multivariate Logistic Regression Analysis of Adenomatous Polyps: Single polyps are statistically significant(P<0.05),Phlegm-dampness constitution is statistically significant(P<0.01).The independent effect on adenomatous polyps is phlegm damp physique> Single polyp.Conclusion: The majority of patients with colon polyps have a biased physique,there is a significant correlation between TCM constitution and TCM syndrome type,TCM constitution and pathology type.Clinically,it can be combined with dialectical,disease-differentiation and body-differentiation,and focus on improving lifestyle,formulating individualized comprehensive prevention and treatment plans. |
