87+例活动期溃疡性结肠炎肠镜及病理表现与中医证型相关性研究.pdfVIP

组织学研究，结果表明存在着一定的相关性，镜下表现及病理组织学的变化可在某种程度 反映病机变化及病情进展，上述指标的应用可把溃疡性结肠炎中医整体辨证与局部辨证有 机的结合起来，应用于临床诊疗。 关键词：活动期溃疡性结肠炎，中医证型，肠镜及病理表现 Study on the Correlation between Colonoscopy Features, Pathology and TCM Syndrome Types of 87 Cases Active Ulcerative Colitis Abstract Objective ：To research the relationship between TCM syndrome and age, disease duration, clinical symptoms, extent of disease, endoscopic features and pathological histology of active ulcerative colitis .In order to provide basis for the standardization of TCM syndrom differentiation. Materials and methods ：87 patients diagnosed as active ulcerative colitis by Fiberoptic Colonoscopy and biopsy from February 2011 to February 2012 were collected Fujian Pronincia l , Hospital and the Second People s Hospital of Fujian Pronince.Register the data of Age, gender, disease duration, clinical type, severity of disease, clinical manifestations , syndromes distribution, anatomical site, endoscopic features，the pathological manifestations and so on. Analyze of the relationship between TCM syndrome and the data above . Result ：1.The ratio of male to female was 1.29:1,The incidence was higher in Young people ,The average age was 44.84 years old.Distribution of Syndrome type ：Large intestine damp-heat syndrome of 29 cases, 20 cases of spleen-stomach qi deficiency,spleen-kidney yang deficiency syndrome of 14 cases, Intestinal stasis network syndrome 12 cases，liver stagnation and spleen deficiency of 10 cases, 2 cases of yin-blood deficiency. Chronic- relapsing forms was the most common clinical types, which has a number of 60 cases, early onset 16 cases ,chronic persistent 9 cases, acute fulminant 2 cases . Duration of 0-5 years make the largest proportion( 60 cases). The Severity of desease was mainly