本文關(guān)鍵詞： 糖尿病心肌病 中醫(yī)證型分布　出處：《大連醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:本研究通過臨床回顧性調(diào)查分析的方式,利用M i c r o s o f t E x c e l和統(tǒng)計(jì)學(xué)方法,探討糖尿病心肌病的中醫(yī)證型分布的規(guī)律及特點(diǎn),為糖尿病心肌病的診療提供客觀科學(xué)的依據(jù),以便于更好地服務(wù)于臨床。方法:1.采集從2 0 1 5年1月至2 0 1 6年1 2月到大連醫(yī)科大學(xué)附屬第二醫(yī)院中醫(yī)科及內(nèi)分泌科門診就診及病房住院的患者,按照相關(guān)的診斷標(biāo)準(zhǔn)、排除標(biāo)準(zhǔn)、納入標(biāo)準(zhǔn),采用調(diào)查及問卷的方式,采集糖尿病心肌病患者1 1 9例。2.應(yīng)用M i c r o s o f t E x c e l表格的形式記錄患者相關(guān)信息。3.分析、歸納糖尿病心肌病各中醫(yī)證型的分布情況。4.利用S P S S 2 2.0統(tǒng)計(jì)分析各中醫(yī)證型間的差異性。結(jié)果:對(duì)采集的1 1 9例糖尿病心肌病患者數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,得到如下結(jié)論:1.中醫(yī)證型分布情況,按發(fā)生率多少依次排序?yàn)?氣陰兩虛證、痰瘀互結(jié)證、陰陽兩虛證、心腎陽虛證。2.糖尿病心肌病患者的平均總膽固醇5 m m o l/L,接近正常上限水平,各證型間無統(tǒng)計(jì)學(xué)差異(P0.0 5)。3.糖尿病心肌病患者的平均甘油三脂2.1 m m o l/L,高于正常值,其中痰瘀互結(jié)證與陰陽兩虛證之間有顯著性差異(P0.0 5)。結(jié)論:1.糖尿病心肌病各中醫(yī)證型按依次遞減順序排列為:氣陰兩虛證、痰瘀互結(jié)證、陰陽兩虛證、心腎陽虛證。2.糖尿病心肌病各證型間平均總膽固醇含量無統(tǒng)計(jì)學(xué)差異,不能作為區(qū)分證型的標(biāo)準(zhǔn)。3.痰瘀互結(jié)證與陰陽兩虛證間平均甘油三脂含量有統(tǒng)計(jì)學(xué)差異,可以作為辨證分型的參考。
[Abstract]:Objective: to investigate the distribution of TCM syndromes of diabetic cardiomyopathy (DM) by means of clinical retrospective investigation and statistical analysis, using Mi c r o s o f t E x c El and statistical methods. To provide objective scientific basis for the diagnosis and treatment of diabetic cardiomyopathy. Methods: from January to December, we collected the patients from the Department of traditional Chinese Medicine and the Endocrinology Department of the second affiliated Hospital of Dalian Medical University. According to the relevant diagnostic criteria, exclusion criteria, inclusion criteria, the use of surveys and questionnaires, Data of 119 patients with diabetic cardiomyopathy were collected. The relevant information was recorded by Mi c r r o s o f t E x c El tables. The distribution of TCM syndromes of diabetic cardiomyopathy was summarized. (4) the differences of TCM syndromes were analyzed by using S P S 2 2.0. Results: the data of 119 cases of diabetic cardiomyopathy were statistically analyzed. The results are as follows: 1. The distribution of TCM syndromes in order of incidence is: Qi and Yin deficiency Syndrome, phlegm and Blood stasis Syndrome, Yin and Yang deficiency Syndrome, The average total cholesterol of patients with diabetic cardiomyopathy was close to the normal upper limit level, and there was no statistical difference among the different syndrome types (P 0.05). The average triglyceride 2.1 mol / L was higher than the normal value in patients with diabetic cardiomyopathy. There was significant difference between phlegm and blood stasis syndrome and yin and yang deficiency syndrome (P 0.05). Conclusion 1. The TCM syndromes of diabetic cardiomyopathy are listed in descending order: Qi and yin deficiency syndrome, phlegm and blood stasis syndromes, yin and yang deficiency syndrome. Syndrome of deficiency of heart and kidney yang. 2. There was no statistical difference in the average total cholesterol content among the syndrome types of diabetic cardiomyopathy, which could not be used as the standard of differentiating the syndromes. 3. The average triglyceride content was significantly different between the syndrome of phlegm and blood stasis and the syndrome of deficiency of yin and yang. It can be used as a reference for syndrome differentiation and classification.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R259

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