Study on Correlation Between Traditional Chinese Medicine Syndrome Type,Pathological Types and Helicobacter Pylori Infection of Gastric Polyps
Objective:To investigate the correlation between the traditional Chinese medicine(TCM)syndrome and pathological types of gastric polyps and Helicobacter pylori(Hp)infection.Methods:A total of 500 patients with gastric polyps were selected as the research subjects,the TCM syndrome and pathological diagnosis results of the patients were collected,and the TCM syndrome types,clinicopathological types and Hp infection results of the patients were statistically analyzed,the relationship between TCM syndrome types and pathological types and Hp infection was studied,and the correlation between Hp infection and the two was explored.Results:The ratio of male to female in 500 patients with gastric polyps was 1∶1.6,and the high incidence age was 50~<60 years old.The detection rate of Hp was 16.4%.The most common patho-logical types were gastric fundus gland polyps(43.6%)and inflammatory polyp(40.6%),which were followed by hyperplastic polyp(15.0%)and adenomatous polyp(0.8%).The positive rate of Hp was highest in inflam-matory polyp(57.3%),and the positive rate was statistically significant compared with other pathological types(P<0.001).Spleen and stomach weakness syndrome(47.6%)was the most common type of TCM syndrome,which was followed by spleen and stomach dampness-heat syndrome(24.6%),liver and stomach disharmony syndrome(13.4%),stomach stasis syndrome(7.4%)and phlegm-dampness-obstruction syndrome(7.0%).The positive rate of Hp was highest in spleen and stomach weakness syndrome(51.2%).There was statistically significant difference between the positive rate and other TCM syndrome types(P<0.001).Spleen and stom-ach weakness was the most common syndrome in patients with different pathological types of gastric polyps,and the difference between hyperplastic polyps,fundus glandular polyps,inflammatory polyps and other syn-dromes was statistically significant(P<0.001).Conclusions:Gastric fundus glandular polyp and inflammatory polyp are common pathological types of gastric polyp,and spleen and stomach weakness syndrome is the most common type of TCM syndrome.Gastric polyps complicated with Hp infection are mostly inflammatory polyps,which are mostly the syndrome of spleen and stomach weakness,suggesting that spleen and stomach weakness is the main pathogenesis of gastric polyps,and is closely related to Hp infection.
gastric polyptraditional Chinese medicine syndrome typepathological typeHelicobacter pyloriweakness of the spleen and stomachinflammatory polypsfundus glandular polyp