本文關(guān)鍵詞：成都中醫(yī)藥大學(xué)附屬醫(yī)院肥胖患者中醫(yī)體質(zhì)分析　出處：《成都中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 肥胖 中醫(yī)體質(zhì) 痰濕質(zhì) 濕熱質(zhì)

【摘要】：目的通過對(duì)肥胖患者的臨床流行病學(xué)調(diào)查,研究和探討成都中醫(yī)藥大學(xué)附屬醫(yī)院門診肥胖患者的中醫(yī)體質(zhì)分布,中醫(yī)證候類型,肥胖的并發(fā)癥以及運(yùn)動(dòng)、生活習(xí)慣對(duì)肥胖發(fā)生的影響,完善中國(guó)和外國(guó)肥胖的中醫(yī)辯證論治,更好地發(fā)揮中醫(yī)藥的優(yōu)勢(shì),提高中醫(yī)藥防治肥胖的療效。方法調(diào)查2014年1月至2016年1月成都中醫(yī)藥大學(xué)附屬醫(yī)院(門診部、住院部)符合本研究納入標(biāo)準(zhǔn)的肥胖患者。調(diào)查內(nèi)容為肥胖患者的年齡、性別、身高、體重、腰圍、BMI、血壓、飲食習(xí)慣、運(yùn)動(dòng)量、并發(fā)癥、家族病史、精神狀態(tài)、吸煙史、飲酒史、月經(jīng)情況(女性),FPG、TG、TC、HDL-C、ALT、 AST、尿酸,面色、舌色、舌形、苔質(zhì)、苔色、脈象等中醫(yī)四診信息及中醫(yī)體質(zhì)信息。最終納入了412例患者。采用SPSS 23.0統(tǒng)計(jì)軟件來進(jìn)行統(tǒng)計(jì)分析。結(jié)果(1) 肥胖人群412名,其中男性172例,占41.75%,女性240例,占58.25%,男女比例為1：1.4。(2)412例肥胖調(diào)查患者中,單純體質(zhì)324例,兩種以上體質(zhì)相兼者88例,各自所占比例分別為79%和21%。(3) 324例單純體質(zhì)患者中,平和質(zhì)有65例(占20.06%)；氣虛質(zhì)50例(占15.43%);陽虛質(zhì)10例(占3.09%)：陰虛質(zhì)48例(占14.81%)；痰濕質(zhì)76例(占23.46%)；濕熱質(zhì)58例(占17.90%)；血瘀質(zhì)10例(占3.09%)；氣郁質(zhì)6例(占1.85%)；特稟質(zhì)1例(占0.31%)。各種體質(zhì)由多到少：痰濕質(zhì)平和質(zhì)濕熱質(zhì)氣虛質(zhì)陰虛質(zhì)陽虛、血瘀質(zhì)氣郁特稟質(zhì)。(4) 在青年人階段(30歲),總體為114例,男性29例,女性85例。在中年階段(30-59歲),總體為158例,男性89例,女性54例。在老年階段(≥60歲),總體為85例,男性54例,女性58例。(5) 在412名肥胖病例中,45.87%的患者有糖尿病并發(fā)癥,26.21%的患者有高血壓并發(fā)癥,16.50%的患者有脂肪肝病史并發(fā)癥,其他肥胖并發(fā)癥少于15%。結(jié)論本研究納入的病例,多發(fā)于中年人,女性多于男性。中醫(yī)體質(zhì)方面,單純體質(zhì)324例,兩種以上體質(zhì)相兼88例。單純體質(zhì)的肥胖患者以痰濕質(zhì)、平和質(zhì)、濕熱質(zhì)為主。肥胖患者多與糖尿病、高血壓病、脂肪肝合并。
[Abstract]:Objective: through the clinical epidemiological survey of obese patients, and study the distribution of TCM Constitution in obese patients in Affiliated Hospital of Chengdu University of Traditional Chinese Medicine clinic, TCM syndrome type, the complications of obesity and exercise and lifestyle effects on obesity and obesity, improve the China foreign Chinese dialectical theory of governance, better play the advantages of Chinese medicine to improve the curative effect. Chinese traditional medicine for the treatment of obesity. Methods to investigate the obesity patients in the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine (outpatient department and inpatient department) in accordance with the standard of the study from January 2014 to January 2016. The investigation content for obese patients' age and sex, height, weight, waist circumference, BMI, blood pressure, diet, exercise, complications, family history, mental status, smoking history, drinking history, menstruation (female), FPG, TG, TC, HDL-C, ALT, AST, uric acid, complexion, tongue color tongue, moss, moss, color, pulse and other four diagnostic information of TCM and TCM physical information. In the end, 412 patients were included. Statistical analysis was carried out by using SPSS 23 statistical software. Results (1) there were 412 obese people, of which 172 were male, 41.75% were male, 240 women, 58.25%, and the ratio of men and women was 1:1.4. (2) among the 412 cases of obesity, there were 324 cases of simple constitution and 88 cases of more than two kinds of physical concurrently. The proportion of each group was 79% and 21% respectively. (3) 324 cases of patients with simple constitution, normal constitution 65 cases (20.06%); 50 cases of qi deficiency (15.43%); 10 cases of Yang deficiency (3.09%): Yin deficiency in 48 cases (14.81%); phlegm dampness in 76 cases (23.46%); 58 cases (accounting for damp heat 17.90%); 10 cases of blood stasis (3.09%); 6 cases of Qi Stagnation (1.85%); 1 cases of special constitution (0.31%). A variety of physique from more to less: phlegm wet, wet and heat, Qi deficiency and Qi deficiency, yin deficiency and deficiency of Yang, blood stasis and qi stagnation quality. (4) at the stage of young people (30 years old), there were 114 cases, 29 men and 85 women. In the middle age (30-59 years old), the total was 158 cases, male 89 cases, and female 54 cases. In the old age (over 60 years), total 85 cases, male 54 cases, female 58 cases. (5) of the 412 obese cases, 45.87% had diabetes complications, 26.21% had hypertension complications, 16.50% had fatty liver history, and other obesity complications were less than 15%. Conclusion the cases included in this study are mostly in middle-aged people and more women than men. In the physique of traditional Chinese medicine, there were 324 cases of simple constitution, more than two kinds of physique and 88 cases. The obese patients with simple constitution were mainly phlegm, flat and qualitative, and humid heat. Obesity patients are mostly associated with diabetes, hypertension and fatty liver.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R259

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