本文選題：大腸息肉　切入點(diǎn)：體質(zhì)　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:本研究的目的是探討大腸息肉中醫(yī)證型與體質(zhì)的關(guān)系,為大腸息肉的防治提供客觀依據(jù)。方法:1.根據(jù)流行病學(xué)方法,收集符合納入研究標(biāo)準(zhǔn)的大腸息肉100例,并結(jié)合文獻(xiàn)資料制訂了患者臨床資料登記表,收集患者臨床信息。2.對(duì)收集到的100例病歷資料,進(jìn)行總結(jié)規(guī)律,并與傳統(tǒng)的中醫(yī)望聞問(wèn)切結(jié)合,錄入數(shù)據(jù)。3.采用SPSS18.0統(tǒng)計(jì)軟件進(jìn)行數(shù)據(jù)分析,分析中醫(yī)證型與體質(zhì)關(guān)系。結(jié)果:在100例患者中,肝郁氣滯證18例,腸道濕熱證23例,脾虛濕困證35例,瘀血阻滯證16例,血虛腸燥證8例。在體質(zhì)分類占比方面,氣虛質(zhì)及氣虛傾向)陽(yáng)虛質(zhì)及陽(yáng)哰傾向〉痰濕質(zhì)及痰濕傾向〉濕熱質(zhì)及濕熱傾向〉氣郁質(zhì)及氣郁傾向〉陰虛質(zhì)及陰虛傾向〉血瘀質(zhì)及血瘀傾向〉平和質(zhì)及基本平和質(zhì)〉特凜質(zhì)及特凜質(zhì)傾向。本次研究顯示,中醫(yī)證型與體質(zhì)有一定的關(guān)聯(lián),本次研究中,腸道濕熱證與痰濕質(zhì)及濕熱質(zhì)密切相關(guān),脾虛濕困證與陽(yáng)虛質(zhì)、氣虛質(zhì)密切相關(guān),肝郁氣滯證與氣郁質(zhì)密切相關(guān),瘀血阻滯證與血瘀質(zhì)密切相關(guān),血虛腸燥證與陰虛質(zhì)密切相關(guān)。逡逡結(jié)論:結(jié)合研究結(jié)果,并以本病病因病機(jī)為基礎(chǔ),大腸息肉的中醫(yī)證型可分為肝郁氣滯證、腸道濕熱證、脾虛濕困證、瘀血阻滯證、血虛腸燥證。不同中醫(yī)體質(zhì)分類在該疾病的分布存在差異。其中氣虛質(zhì)、陽(yáng)虛質(zhì)、痰濕質(zhì)及濕熱質(zhì)是導(dǎo)致本病發(fā)生的重要因素。進(jìn)一步分析中醫(yī)證型與中醫(yī)體質(zhì)兩者間的關(guān)系,發(fā)現(xiàn)腸道濕熱證與痰濕質(zhì)及濕熱質(zhì)密切相關(guān),脾虛濕困證與陽(yáng)虛質(zhì)、氣虛質(zhì)密切相關(guān),肝郁氣滯證與氣郁質(zhì)密切相關(guān),瘀血阻滯證與血瘀質(zhì)密切相關(guān),血虛腸燥證與陰虛質(zhì)密切相關(guān)。
[Abstract]:Objective: the purpose of this study was to explore the relationship between TCM syndromes and physique of colorectal polyps, and to provide an objective basis for the prevention and treatment of colorectal polyps. Methods: 1. According to the epidemiological method, 100 cases of colorectal polyps that met the criteria of inclusion in the study were collected. The clinical information of 100 cases was summarized and combined with the traditional Chinese medicine, and it was combined with the traditional Chinese medicine to look at and hear the clinical information of the patients, and to collect the clinical information of the patients with the registration form of the clinical data of the patients, and collect the clinical information of the patients. 2. Input data .3.Using SPSS18.0 statistical software to analyze the relationship between TCM syndrome types and physique. Results: among the 100 patients, 18 cases were liver stagnation, 23 cases were intestinal dampness and heat, 35 cases were spleen deficiency and dampness, 16 cases were blood stasis. Eight cases of blood deficiency and intestinal dryness syndrome. Deficiency of qi and tendency of deficiency of qi) deficiency of yang and tendency of phlegm dampness and phlegm dampness > tendency of damp-heat and damp-heat > tendency of qi stagnation and stagnation of qi > tendency of deficiency of yin and deficiency of yin > tendency of blood stasis and blood stasis > gentle nature and basic level. And the quality > the quality and the tendency. This study shows that, There is a certain correlation between TCM syndrome type and physical constitution. In this study, intestinal damp-heat syndrome is closely related to phlegm and dampness, spleen deficiency to dampness is closely related to Yang deficiency, qi deficiency is closely related to qi stagnation, liver stagnation of qi is closely related to qi stagnation. Blood stasis is closely related to blood stasis, blood deficiency and intestinal dryness are closely related to yin deficiency. Conclusion: combined with the results of the study and based on the etiology and pathogenesis of this disease, the TCM syndromes of large intestine polyps can be divided into liver stagnation syndrome and intestinal damp-heat syndrome. Spleen deficiency dampness syndrome, blood stasis block syndrome, blood deficiency intestinal dryness syndrome. There are differences in the distribution of different TCM constitution classification in this disease. Phlegm dampness and dampness heat are important factors leading to this disease. Further analysis of the relationship between TCM syndrome type and TCM constitution shows that intestinal damp-heat syndrome is closely related to phlegm dampness and dampness heat, spleen deficiency dampness is trapped and yang deficiency. Qi deficiency is closely related to qi deficiency, stagnation of liver qi is closely related to qi stagnation, blood stasis is closely related to blood stasis, and blood deficiency to intestinal dryness is closely related to yin deficiency.
【學(xué)位授予單位】：山東中醫(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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