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1、溃疡性结肠炎中医证型与其结肠镜下表现的相关性研究提要目的：探讨溃疡性结肠炎中医证型与其结肠镜像的相关性，为其辨证的客观化研究提供科学依据。方法：入选病例分为大肠湿热证、肝郁脾虚证、血瘀肠络证、脾胃气虚证、脾肾阳虚证和阴血亏虚证6组。行结肠镜及病理学检查，分析并探索6种中医证型与其结肠镜象的关系。结果：1.本试验显示溃疡性结肠炎中医证型以大肠湿热证最多见，阴血亏虚证最少见。2.多发于女性，好发年龄为31-50岁。3.结肠镜下可表现为黏膜糜烂、溃疡、水肿、接触性出血、溃疡表面覆苔、肠腔变窄、息肉、黏膜
2、桥及袋囊消失等。4.中医证型与黏膜糜烂/溃疡、接触性出血、表面白苔或黄苔、息肉/黏膜桥、內镜指数及组织学严重程度分级具有相关性。结论：结肠镜下某些表现可作为中医辨证的客观化指标，指导治疗。关键词溃疡性结肠炎中医证型结肠镜像AstudyofTCMsyndromeofulcerativecolitisanditsperformanceincolonoscopyAuthor:QiYongqinSpecialty:TCMinternalMedicineGraduateCollege：ShandongUni
3、versityoftraditionalChinesemedicineTutor:Deputydirectorofphysicians，OuYangJianDongAbstractObjective:ToinvestigatethecorrelationofulcerativecolitisTCMsyndromesandtheircolonmirror,itsdialecticalobjectivetoprovideascientificbasis.Method:selectedcaseswere
4、dividedintosixgroupsoflargeintestinedamp-heatsyndrome,liverstagnationandspleendeficiencysyndrome,bloodstasisandintestinalnetworkcard,thespleenandstomachqideficiency,spleendeficiencysyndromeandYinandbloodvacuity.Takecolonoscopyandhistopathology,analyze
5、andexploretherelationshipofsixkindsofsyndrometypeanditscolonMirror.Result:ThisexperimentshowTCMsyndromeofulcerativecolitiscolondamp-heatsyndromeisthemostcommoncardandYinandbloodvacuityisthemostrare.Multipleinthefemale,attheageof31-50yearsold.Colonosco
6、pycanbeexpressedasmucosalerosions,ulcers,edema,contactbleeding,ulcersurfacecoveredwithmoss,andnarrowingoftheintestine,polyps,mucosalbridge,thecapsulebaddisappear.Cardtypeandmucosalerosion/ulceration,edema,contactbleeding,thesurfaceofwhitefuroryellowmo
7、sspolyps/mucosalbridge,endoscopicindex,histologicalgradingcorrelation.Conclusions:ColonoscopysomeperformancecanbeusedasobjectiveindicatorsoftheChinesedialectic,andtoguidetreatment.Keywordsulcerativecolitis,TCMsyndrome,colonmirror目录引言..................
8、........................................................................................................1资料与方法......................................................................................................................3一、研究对象........
