本文選題：滑胎史患者　切入點：中醫(yī)證型分布　出處：《成都中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：[研究目的]本文通過對113例滑胎史患者進行“滑胎史患者中醫(yī)證型分布及相關(guān)因素”調(diào)查,將所收集的數(shù)據(jù)資料進行整理、統(tǒng)計分析,探討滑胎史患者的中醫(yī)證型分布情況、臨床常見癥狀分布規(guī)律及其相關(guān)影響因素,為論治該病提供數(shù)據(jù)支持,并為科學(xué)研究提供有關(guān)流行病學(xué)的依據(jù)。[研究方法]在前期調(diào)查的基礎(chǔ)上,綜合各方專家意見完善優(yōu)化調(diào)查表,采用臨床流行病學(xué)的調(diào)查研究方法,收集2014年2月～2016年2月前來四川省中醫(yī)院婦科就診的滑胎史患者的中醫(yī)四診資料,共113例,建立資料庫,采用SPSS17.0統(tǒng)計軟件,運用頻數(shù)分析、聚類分析,研究滑胎史患者的中醫(yī)證型、臨床表現(xiàn)分布規(guī)律；采用等級相關(guān)分析研究腎虛證與年齡的相關(guān)性,自然流產(chǎn)次數(shù)與年齡、初潮年齡、人流次數(shù)、藥流次數(shù)的相關(guān)性；采用χ2檢驗分析職業(yè)、ABO血型對滑胎史患者的影響。[研究結(jié)果]1.113例滑胎史患者的平均年齡為33.52±4.99歲,最小為23歲,最大為45歲。2.113例滑胎史患者主要為非體力勞動者,共72例(占63.7%),其次為待業(yè)者,共31例(占27.4%),體力勞動者比例最少,共10例(占8.8%)。3.113例滑胎史患者ABO血型分布從多到少依次為：A型43例(占38.1%),B型35例(占31.0%),0型27例(占23.9%),AB型8例(占7.1%)。4.113例滑胎史患者中,甲狀腺功能異常者共17例,占15.0%,以甲減為主。5.113例滑胎史患者的丈夫精液常規(guī)檢查,異常者共39例,占34.5%,以畸形精子癥為主。6.113例滑胎史患者的主要中醫(yī)證型為：腎虛肝郁血瘀證型59例(占52.2%),腎虛肝郁證型30例(占26.5%),出現(xiàn)腎虛證的患者共107例(占94.7%),以腎陽虛(占34.6%)和腎陰陽兩虛占(30.8%)為主。7.113例滑胎史患者按證候虛實分類,主要為虛實夾雜證,共105例(占92.9%)。8.滑胎史患者主要中醫(yī)證型的癥狀聚類分析結(jié)果為：腎虛肝郁血瘀型中醫(yī)辨證的主要癥狀為：腰膝酸軟、脫發(fā)、善忘、屢孕屢墮、易怒、情志抑郁、經(jīng)前乳脹、經(jīng)血夾塊、經(jīng)色黯紅；腎虛肝郁證型中醫(yī)辨證的主要癥狀為：腰膝酸軟、畏寒肢冷、善忘、脫發(fā)、屢孕屢墮、易怒、經(jīng)前乳脹。9.相關(guān)性分析初步結(jié)果為：腎虛證與年齡呈正向相關(guān)(P0.05)；自然流產(chǎn)次數(shù)與年齡及腎虛的類型有關(guān)(P0.05),而與初潮年齡、體重指數(shù)、職業(yè)、ABO血型、人流次數(shù)、藥物流產(chǎn)次數(shù)無關(guān)(P0.05)。[研究結(jié)論]本研究初步顯示：滑胎史患者的中醫(yī)常見證型依次為腎虛肝郁血瘀證、腎虛肝郁證,腎虛證以腎陽虛和腎陰陽兩虛主；腎虛和年齡呈正向相關(guān)；自然流產(chǎn)的次數(shù)與年齡及腎虛的類型有關(guān),而與初潮年齡、體重指數(shù)、職業(yè)、ABO血型、人流次數(shù)、藥物流產(chǎn)次數(shù)無關(guān)。
[Abstract]:[objective] to investigate the distribution of TCM syndromes and related factors in 113 patients with glide history, and to analyze the data collected in order to explore the distribution of TCM syndromes in patients with glide history. The distribution of common clinical symptoms and its related influencing factors provide data support for the treatment of the disease, and provide the basis of epidemiology for scientific research. [research methods] on the basis of previous investigation, According to the expert opinions of all sides, the questionnaire was optimized, and the clinical epidemiology investigation method was used to collect the data of the fourth diagnosis of the history of slippery fetus in gynecological department of Sichuan traditional Chinese Medicine Hospital from February 2014 to February 2016, a total of 113 cases. Establish database, use SPSS17.0 statistical software, use frequency analysis, cluster analysis, study the TCM syndrome type and clinical manifestation distribution rule of the patients with history of slide fetus, use rank correlation analysis to study the correlation between kidney deficiency syndrome and age. The correlation between spontaneous abortion frequency and age, menarche age, abortion frequency and drug flow frequency was analyzed by 蠂 2 test. [results] the average age of 1.113 patients with history of slippery fetus was 33.52 鹵4.99 years old, and the youngest was 23 years old. The largest was 45 years old, 2.113 cases were mainly non-manual workers, there were 72 cases (63.7%), followed by unemployed people, 31 cases (27.4%), the proportion of manual workers was the least. The distribution of ABO blood group in 10 cases (8.80.3.113 cases) with history of slippery tire was 43 cases of type A (38.1%) (35 cases of type B) (27 cases of type 30. 0) (8 cases of type AB (8 cases of type AB) (7.11%), 17 cases of abnormal thyroid function. There were 39 cases of abnormal semen examination in the husband of 5.113 cases with history of skid fetus, accounting for 15.0% of the total. The main TCM syndromes of 6.113 patients with history of slippery fetus were kidney deficiency and liver depression and blood stasis syndrome 59 cases (52.2%), kidney deficiency and liver stagnation type 30 cases (26.5%), kidney deficiency syndrome 107 cases (94.7%) and kidney yang deficiency type (94.7%). (34.6B) and the deficiency of kidney, yin and yang (30.8%). 7.113 cases of history of skidding fetus were classified according to the syndrome of deficiency and reality. The main symptoms of TCM syndrome were as follows: kidney deficiency, liver depression and blood stasis. The main symptoms of TCM syndrome differentiation were as follows: waist and knee weakness, hair loss, good memory, repeated pregnancy, frequent fall, irritability, and so on, the main symptoms of TCM syndrome differentiation were: kidney deficiency, liver depression, blood stasis, weakness of waist and knee, loss of hair, good forgetfulness, frequent pregnancy and falling, irritability. The main symptoms of TCM syndrome differentiation of kidney deficiency and liver-depression syndrome are: weak waist and knee, cold cold limbs, good forgetfulness, hair loss, frequent pregnancy and falling, irritability, etc. The preliminary results of correlation analysis were as follows: kidney deficiency syndrome was positively correlated with age (P 0.05), spontaneous abortion frequency was related to age and type of kidney deficiency (P 0.05), but it was related to menarche age, body mass index, occupational ABO blood group and number of abortion. [conclusion] this study showed that the common syndromes of TCM in patients with history of slippery fetus were kidney deficiency and liver stagnation, kidney deficiency and liver stagnation, kidney deficiency and deficiency of kidney yang and deficiency of kidney yin and yang, and the relationship between kidney deficiency and age was positive. The frequency of spontaneous abortion was related to age and type of kidney deficiency, but not to age of menarche, body mass index, ABO blood group, number of abortion and times of drug abortion.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R271.9

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