本文關(guān)鍵詞：鼻炎、哮喘、鼻炎—哮喘綜合征證候分布規(guī)律及關(guān)系探討　出處：《廣州中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

  更多相關(guān)文章： 變應性鼻炎 哮喘 變應性鼻炎-哮喘綜合征 中醫(yī) 證候研究

【摘要】：目的:分析變應性鼻炎、支氣管哮喘(簡稱哮喘)、變應性鼻炎-哮喘綜合征中醫(yī)證候的分布規(guī)律,總結(jié)變應性鼻炎-哮喘綜合征的中醫(yī)證候特征,并探討變應性鼻炎、哮喘、變應性鼻炎-哮喘綜合征三種疾病中醫(yī)證候的關(guān)系,為中醫(yī)藥辨證論治提供臨床依據(jù)。方法:采用文獻調(diào)研法對大學教材、專著、國家行業(yè)標準、中醫(yī)證候研究等相關(guān)文獻中關(guān)于變應性鼻炎、哮喘和變應性鼻炎-哮喘綜合征的證候信息進行采集和整理,并通過專家論證和預調(diào)研,形成正式的證候調(diào)查表。再選擇在廣東省中醫(yī)院耳鼻喉科及呼吸科就診并診斷為變應性鼻炎、哮喘或變應性鼻炎-哮喘綜合征的患者開展臨床調(diào)研。數(shù)據(jù)統(tǒng)計分析在SPSS17.0統(tǒng)計軟件中進行,運用描述性統(tǒng)計、樣品聚類分析、對應分析等數(shù)據(jù)統(tǒng)計方法,分析變應性鼻炎、哮喘和變應性鼻炎-哮喘綜合征的中醫(yī)證候分布規(guī)律,并探討三種疾病的中醫(yī)證候關(guān)系。結(jié)果:1.本研究一共調(diào)查了 416例患者的中醫(yī)證候,其中變應性鼻炎患者123例,哮喘患者157例,變應性鼻炎-哮喘綜合征患者136例。2.變應性鼻炎患者以青年、高學歷人群為主;哮喘患者以老年、中等學歷人群為主;變應性鼻炎-哮喘綜合征患者則以中青年、中等學歷人群為主,且三種疾病的女性患者居多。本研究發(fā)現(xiàn)變應性鼻炎-哮喘綜合征患者大多以變應性鼻炎癥狀為首發(fā),而且發(fā)病年齡較哮喘提前,提示變應性鼻炎應積極治療,若控制不佳,病情遷延,部分病人可能發(fā)展至變應性鼻炎-哮喘綜合征。3.三種疾病的中醫(yī)證候分布規(guī)律三種疾病的中醫(yī)證候分布規(guī)律體現(xiàn)了本虛為主,或有標實的主證。其中,變應性鼻炎中醫(yī)證候分型為風寒襲肺、風熱犯肺、脾虛痰濕、肺氣虛、肺脾氣虛五型,體現(xiàn)"風盛正虛"的病機;哮喘的中醫(yī)證候分型為痰濁阻肺,痰熱壅肺,肺脾氣虛、痰濁阻肺,脾腎陽虛、寒飲停肺,肺脾氣虛五型,體現(xiàn)"夙痰為根"的病機,變應性鼻炎-哮喘綜合征的中醫(yī)證候分型為肺腎氣虛、風寒襲肺,肺脾氣虛、風痰犯肺,肺脾腎虛、痰濁內(nèi)阻,脾腎氣虛、風痰犯肺,肺腎氣虛、痰濕內(nèi)阻五型,體現(xiàn)"正虛為本"、"風痰作祟"的病機。4.三種疾病中醫(yī)證候關(guān)系的探討本研究三種疾病的證候中皆有本虛、標實之分,變應性鼻炎的本虛與肺、脾相關(guān);哮喘與變應性鼻炎-哮喘綜合征的本虛與肺、脾、腎相關(guān);變應性鼻炎的標實以風邪為主,哮喘的標實以痰邪為主,而變應性鼻炎-哮喘綜合征則表現(xiàn)為風、痰之邪夾雜而作。三種疾病中,變應性鼻炎多為素體本虛或肺、脾兩臟受損,風邪侵襲而發(fā)病;哮喘為素體本虛,久病損及肺、脾、腎等臟腑,外邪引動宿痰為病;變應性鼻炎-哮喘綜合征則素體本虛,肺、脾、腎三臟俱損,夾雜風、痰之邪而作,在以上兩種疾病的基礎(chǔ)上發(fā)病�？梢娙N疾病均以本虛為主,均累及肺、脾或腎等臟腑,并夾雜風痰之邪而為病,具有相似性。結(jié)論:1.變應性鼻炎患者以青年、高學歷人群為主,哮喘患者以老年、中等學歷人群為主,而變應性鼻炎-哮喘綜合征患者則以中青年、中等學歷人群為主。2.本研究雖樣本量偏少,但結(jié)合相關(guān)文獻,仍可提示變應性鼻炎在變應性鼻炎-哮喘綜合征疾病進程中的重要性,臨床應重視變應性鼻炎的及時治療。3.三種疾病的中醫(yī)證候分布規(guī)律體現(xiàn)了本虛為主,或有標實的主證,本虛為肺、脾或腎虛,標實以風、痰為主。變應性鼻炎"風盛正虛",哮喘"夙痰為根",變應性鼻炎-哮喘綜合征"正虛為本"、"風痰作祟"為其主要病機,臨證時應注意審證求機。4.三種疾病的本虛均與肺、脾、腎虛有關(guān),并夾雜風痰之邪而為病,具有相似性。
[Abstract]:Objective: to analyze the allergic rhinitis, bronchial asthma (asthma), distribution of allergic rhinitis and asthma syndrome of TCM syndrome, summarize the characteristics of TCM Syndromes of asthma syndrome, allergic rhinitis, and to explore the relationship between allergic rhinitis, asthma, allergic rhinitis and asthma syndrome three disease syndromes the traditional Chinese medicine syndrome differentiation and treatment to provide clinical basis. Methods: using the literature research method of university textbooks, monographs, the national industry standard, on allergic rhinitis TCM syndrome research literature, syndrome information of asthma and allergic rhinitis and asthma syndrome were collected, and by experts and the pre survey, the formation of the syndrome questionnaire. The formal selection in the Department of ENT of Guangdong Province Traditional Chinese Medical Hospital and Department of respiration treatment and diagnosis of allergic rhinitis, a clinical research of asthma or allergic rhinitis and asthma syndrome patient data. Statistical analyses were performed using the SPSS17.0 statistical software, using descriptive statistics, sample clustering analysis, statistical correspondence analysis method, analysis of allergic rhinitis, asthma and allergic rhinitis and asthma syndrome distribution of TCM syndrome, and to explore the relationship between TCM Syndromes of three diseases. Results: This study investigated a total of 1. TCM Syndromes of 416 patients, including 123 cases of patients with allergic rhinitis and 157 cases of patients with asthma, allergic rhinitis and asthma syndrome, 136 patients with.2. in patients with allergic rhinitis in young, highly educated population; asthma patients in old people, secondary education; patients with allergic rhinitis and asthma syndrome to the young people, secondary education, and women with three kinds of diseases. This study found that the majority of patients with allergic rhinitis and asthma syndrome mostly with allergic rhinitis symptoms as the first, and the onset age of asthma 鎻愬墠,鎻愮ず鍙樺簲鎬ч薊鐐庡簲縐瀬娌葷枟,鑻ユ帶鍒朵笉浣，

本文編號：1373995