本文關(guān)鍵詞：陳紀(jì)藩教授“筋傷骨損”觀點(diǎn)與中醫(yī)體質(zhì)相關(guān)性研究　出處：《廣州中醫(yī)藥大學(xué)》2016年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 類(lèi)風(fēng)濕關(guān)節(jié)炎 筋傷骨損 中醫(yī)體質(zhì)

【摘要】：目的廣東省名中醫(yī)陳紀(jì)藩教授結(jié)合數(shù)十年臨床經(jīng)驗(yàn),提出類(lèi)風(fēng)濕關(guān)節(jié)炎筋傷骨損的觀點(diǎn),并明確其與體質(zhì)有密切相關(guān)性,現(xiàn)以中醫(yī)體質(zhì)學(xué)作為理論指導(dǎo),通過(guò)應(yīng)用王琦教授《中醫(yī)體質(zhì)分類(lèi)與判定》量表問(wèn)卷調(diào)查的方法,初步研究類(lèi)風(fēng)濕關(guān)節(jié)炎筋傷骨損的發(fā)生與中醫(yī)體質(zhì)分布特點(diǎn),探討中醫(yī)體質(zhì)與類(lèi)風(fēng)濕關(guān)節(jié)炎筋傷骨損的相關(guān)性,從而可從中醫(yī)體質(zhì)入手前瞻性的評(píng)估潛在發(fā)病患者,及早干預(yù),發(fā)揮祖國(guó)醫(yī)學(xué)的優(yōu)勢(shì)。方法在中醫(yī)體質(zhì)理論的指導(dǎo)下,運(yùn)用《中醫(yī)體質(zhì)分類(lèi)與判定》標(biāo)準(zhǔn),根據(jù)2010ACR/EULAR類(lèi)風(fēng)濕關(guān)節(jié)炎分類(lèi)標(biāo)準(zhǔn),對(duì)廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院住院部及門(mén)診121例發(fā)病5年以內(nèi)類(lèi)風(fēng)濕關(guān)節(jié)炎患者,分為筋傷骨損組和非筋傷骨損組,從性別、年齡、體質(zhì)類(lèi)型等方面采用問(wèn)卷調(diào)查的方式進(jìn)行調(diào)查。并對(duì)其結(jié)果進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果1.RA患者一般情況搜集到的病例中男性43例(35.5%),女性78例(64.5%),平均年齡54.38±10.01歲。平均病程3.27±1.04年。其中筋傷骨損患者89例(74%),非筋傷骨損患者(26%)。2.患者中醫(yī)體質(zhì)分布情況本研究中的22例(18.2%)患者為單一體質(zhì)類(lèi)型,其余相兼體質(zhì)(兩種及以上體質(zhì))類(lèi)型99例占81.8%。所有患者中平和質(zhì)4例(3.3%)和偏頗質(zhì)117例(96.7%)。所有RA患者中9種體質(zhì)出現(xiàn)次數(shù)最多的依次為：陽(yáng)虛質(zhì)52次,陰虛質(zhì)51次,血瘀43次,濕熱質(zhì)30次。陰虛質(zhì)、瘀血質(zhì)在非筋傷骨損的患者中出現(xiàn)頻率較高(34.375%),其次為濕熱質(zhì)(21.875%)；而筋傷骨損患者中出現(xiàn)頻率最高的是陽(yáng)虛質(zhì)(49.44%)、然后是陰虛質(zhì)(44.94%)、瘀血質(zhì)(35.96%)。3.各種體質(zhì)在兩組RA患者的分布相關(guān)性分析研究結(jié)果提示,僅平和質(zhì)、陽(yáng)虛質(zhì)在兩組患者中數(shù)據(jù)分別經(jīng)卡方檢驗(yàn),有相關(guān)性(P0.05),其余體質(zhì)在兩組患者的數(shù)據(jù)分布經(jīng)卡方檢驗(yàn)無(wú)相關(guān)性。結(jié)論1.121例RA患者體質(zhì)中,以陰虛、陽(yáng)虛、血瘀質(zhì)為主,多以兼夾體質(zhì)出現(xiàn),單純體質(zhì)較少。2.未發(fā)生筋傷骨損的患者中以陰虛血瘀為主要表現(xiàn)體質(zhì),筋傷骨損的患者中,陰陽(yáng)并虛兼夾瘀血體質(zhì)更為多見(jiàn)。發(fā)生筋傷骨損后,患者體質(zhì)類(lèi)型趨于復(fù)雜,2種體質(zhì)占49.4%,3種體質(zhì)類(lèi)型占34.8%。3.RA患者體質(zhì)逐漸出現(xiàn)陽(yáng)虛后,更容易發(fā)生筋傷骨損。4.陽(yáng)氣在維持RA患者自身平衡及延緩該疾病進(jìn)展有重要作用。
[Abstract]:Guangdong Province Traditional Chinese medicine Professor Chen Jifan combined with decades of clinical experience, the injury of the bone tendon damage in rheumatoid arthritis, and clearly had a close relationship with the constitution, the constitution of TCM theory as guidance, through the application of Professor Wang Qi "Chinese constitution classification and decision on the scale of the questionnaire survey, preliminary study and traditional Chinese medicine the physical distribution characteristics of injured bone tendon damage in rheumatoid arthritis, to explore the correlation between TCM Constitution and rheumatoid arthritis tendon injury and bone damage, which can be from the Chinese Medical Constitution prospective assessment of potential patients, early intervention, to play the advantages of Chinese medicine. Methods in TCM constitution theory, and determine the use standard >" Chinese constitution classification, according to the 2010ACR/EULAR classification of rheumatoid arthritis, the First Affiliated Hospital of Guangzhou University of Chinese Medicine inpatient and outpatient 121 cases of rheumatoid disease within 5 years 鍏寵妭鐐庢?zhèn)ｈ�，

本文編號(hào)：1376123