發(fā)布時(shí)間：2018-01-03 13:43

  本文關(guān)鍵詞：功能性便秘患者中醫(yī)體質(zhì)類型分布的初步研究　出處：《南京中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 功能性便秘 中醫(yī)體質(zhì) 中醫(yī)證型

【摘要】：目的:通過對(duì)功能性便秘患者病例的收集與觀察,初步探討功能性便秘患者的中醫(yī)體質(zhì)類型分布。旨在通過對(duì)功能性便秘人群中醫(yī)體質(zhì)的臨床觀察研究,探討其體質(zhì)類型分布,為中醫(yī)藥防治功能性便秘提供可以借鑒的依據(jù)。方法:通過臨床問卷調(diào)查研究,收集功能性便秘患者184例,按照《中醫(yī)體質(zhì)分類與判定表》對(duì)其進(jìn)行體質(zhì)分型,并參照《慢性便秘中醫(yī)診療共識(shí)意見》辨證標(biāo)準(zhǔn)進(jìn)行證型分型。使用Microsoft Excel建立數(shù)據(jù)庫并錄入數(shù)據(jù),運(yùn)用SPSS20.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果:功能性便秘患者的中醫(yī)體質(zhì)類型分布有顯著差異,出現(xiàn)的頻率依次為陰虛質(zhì)(30.43%)濕熱質(zhì)(16.3%)痰濕質(zhì)(13.04%)陽虛質(zhì)(9.79%)=氣虛質(zhì)(9.79%)平和質(zhì)(8.7%)氣郁質(zhì)(6.52%)血瘀質(zhì)(3.26%)特稟質(zhì)(2.17%)。青年組、中年組、老年組的主要體質(zhì)均為陰虛質(zhì)、濕熱質(zhì)、痰濕質(zhì)。功能性便秘患者在性別分布上,女性患者偏多。體重過低組主要為陰虛質(zhì)、濕熱質(zhì)、氣虛質(zhì)、氣郁質(zhì);體重正常組主要為陰虛質(zhì)、濕熱質(zhì)、痰濕質(zhì);超重組主要為陰虛質(zhì)、濕熱質(zhì)、平和質(zhì);肥胖組主要為痰濕質(zhì)、陽虛質(zhì)、氣虛質(zhì)。184例功能性便秘患者中有57例有便秘家族史,表明便秘家族史在一定程度上影響功能性便秘的形成。功能性便秘患者的中醫(yī)證型分布有顯著差異,其具體證型頻數(shù)順序?yàn)?津虧血少證(26.63%)腸道實(shí)熱證(21.74%)脾腎陽虛證(19.02%)肺脾氣虛證(17.39%)腸道氣滯證(15.22%)。結(jié)論:功能性便秘患者的中醫(yī)體質(zhì)類型主要為陰虛質(zhì)、濕熱質(zhì)、痰濕質(zhì)。功能性便秘患者的中醫(yī)證型主要為津虧血少證、腸道實(shí)熱證、脾腎陽虛證。本研究初步探討了功能性便秘患者的中醫(yī)體質(zhì)類型分布及中醫(yī)證型分布,啟示我們?cè)谂R床上防治功能性便秘應(yīng)辨病辨證結(jié)合辨體,通過調(diào)整患者的體質(zhì),以提高中醫(yī)藥療效。
[Abstract]:Objective: to investigate the distribution of TCM constitution of functional constipation patients by collecting and observing the patients with functional constipation. To explore the distribution of its physical type, to provide a reference for TCM in the prevention and treatment of functional constipation. Methods: 184 patients with functional constipation were collected by clinical questionnaire investigation. According to the TCM constitution classification and judgment table, the constitution classification was carried out. According to the standard of TCM diagnosis and treatment of chronic constipation, the syndrome types were classified. Microsoft Excel was used to establish the database and input the data. Results: there were significant differences in the distribution of TCM physique types in functional constipation patients with functional constipation. The frequency of phlegm dampness and dampness is 13.04) Yang deficiency is 9.79 + + = deficiency of qi is 9.79)) peaceful substance is 8.7m). (the frequency of occurrence is: Yin deficiency: 30.43) dampness and heat (16. 3) phlegm and dampness are 13.04) Yang deficiency is 9.79 + + = qi deficiency is 9.79). Gas stagnation 6.52) blood stasis 3.26) the special nature of 2.17. Young group. In the middle age group, the main physical constitution of the old group were yin deficiency, dampness and heat, phlegm and dampness. The gender distribution of functional constipation patients was more than that of female patients, while that of low body weight group was mainly yin deficiency, dampness and heat, and deficiency of qi. Gas stagnation; The body weight of normal group was mainly yin deficiency, dampness and heat, phlegm and dampness. The superrecombination was mainly yin deficiency, dampness and heat, and calmness. In the obesity group, there were 57 cases with family history of constipation, including phlegm dampness, yang deficiency and qi deficiency. It shows that the family history of constipation affects the formation of functional constipation to some extent. The distribution of TCM syndromes in patients with functional constipation is significantly different. The frequency order of specific syndromes is as follows: Jin deficiency and blood deficiency syndrome is 26.63) intestinal heat syndrome is 21.74) spleen and kidney yang deficiency syndrome is 19.02) lung and spleen qi deficiency syndrome is 17.39) intestinal qi stagnation syndrome (. Conclusion: the type of TCM constitution of patients with functional constipation is mainly yin deficiency. The TCM syndromes of functional constipation patients are mainly the syndrome of deficiency of blood and deficiency of blood, and the syndrome of solid heat in intestine. This study preliminarily discussed the distribution of TCM constitution type and TCM syndrome type distribution in functional constipation patients, which enlightens us in clinical prevention and treatment of functional constipation should be combined with syndrome differentiation and body differentiation. By adjusting the physique of patients, to improve the efficacy of traditional Chinese medicine.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R256.35

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