本文選題：高血壓　切入點(diǎn)：頸動(dòng)脈粥樣硬化　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:基于前期制作的高血壓合并頸動(dòng)脈粥樣硬化(CAS)證素診斷量表探索高血壓CAS患者人群中證候分布規(guī)律,并以此指導(dǎo)臨床治療策略的制定。方法:通過已臨床試用的高血壓CAS證素診斷量表采集評(píng)估患者基本信息、危險(xiǎn)因素、臨床癥狀、證素成立情況等資料,運(yùn)用多元統(tǒng)計(jì)學(xué)方法進(jìn)一步驗(yàn)證量表的信度及效度、分析證候的分布規(guī)律。結(jié)果:量表的總信度為0.844,各個(gè)維度的Cronbachα系數(shù)均在0.6-0.85之間;結(jié)構(gòu)效度上各個(gè)因子所含變量大致集中在除脾、血瘀之外的各個(gè)維度之中,測(cè)量結(jié)果基本符合量表最初的設(shè)計(jì)構(gòu)想。高血壓CAS多發(fā)生于老年人,男性發(fā)病年齡早于女性。男女證素成立最多見的均為痰證,男性其次為火熱、血瘀、陽(yáng)亢、陰虛、肝、腎、脾;女性其次為肝、陰虛、血瘀、火熱、腎、陽(yáng)亢、脾。吸煙對(duì)火熱、痰、血瘀證素的成立影響較大;痰、血瘀、火熱、肝證素的成立對(duì)斑塊面積有影響。證候成立情況中以三證素組合最多見,其次為四證素、二證素、五證素、一證素的組合形式。病性證素比病位證素更多見。結(jié)論:量表的信度及效度均較滿意,滿足統(tǒng)計(jì)學(xué)要求,可以臨床推廣使用。痰+火熱、血瘀+火熱、火熱+陰虛、痰+血瘀、血瘀+陰虛是證素組合的五種基本結(jié)構(gòu),痰熱、瘀熱、火熱傷陰、痰瘀互結(jié)、陰虛血瘀是高血壓CAS患者常見基本證候。
[Abstract]:Objective: to explore the distribution of syndromes in hypertensive patients with CAS based on the diagnostic scale of syndromes of hypertension combined with carotid atherosclerosis (CAS), and to guide the formulation of clinical treatment strategies.Methods: the data of basic information, risk factors, clinical symptoms and the establishment of syndromes were collected and evaluated by the CAS Diagnostic scale of Hypertension, and the reliability and validity of the scale were further verified by multivariate statistical method.Analyze the distribution of syndromes.Results: the total reliability of the scale was 0.844, and the Cronbach 偽 coefficient of each dimension was between 0.6-0.85. The variables contained in each factor in the structural validity were concentrated in the dimensions except spleen and blood stasis. The measurement results were basically in accordance with the original design of the scale.Hypertension CAS occurs mostly in the elderly, and the onset age of males is earlier than that of females.The most common syndromes of male and female syndromes were phlegm syndrome, male was followed by fire heat, blood stasis, yang hyperactivity, yin deficiency, liver, kidney, spleen, and female was liver, yin deficiency, blood stasis, fire heat, kidney, yang hyperactivity, spleen.Smoking had a great effect on the establishment of heat, phlegm and blood stasis syndrome factors, and phlegm, blood stasis, fire heat and liver syndrome factors had influence on plaque area.The combination of three syndromes is the most common, followed by four syndromes, two syndromes, five syndromes and one syndromes.The factors of disease syndrome were more common than those of disease position syndrome.Conclusion: the reliability and validity of the scale are satisfactory and can be popularized in clinic.Phlegm heat, blood stasis and heat, fire heat yin deficiency, phlegm and blood stasis, blood stasis yin deficiency are the five basic structures of syndrome element combination, phlegm heat, blood stasis heat, fire heat injury yin, phlegm and blood stasis mutual knot, yin deficiency and blood stasis are the common basic syndromes of CAS patients with hypertension.
【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

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 楊陽(yáng);張?jiān)蕩X;張志辰;高芳;趙暉;張巖;盛雪;鄭宏;陳寶鑫;謝玉晗;李濤;王建偉;;伴有頸動(dòng)脈粥樣硬化的3716例腦卒中高危人群證候要素分析[J];中華中醫(yī)藥雜志;2015年08期

2 丁元慶;;有關(guān)血脈理論幾個(gè)問題的探討[J];山東中醫(yī)雜志;2015年04期

3 王秋風(fēng);王洋;劉坤;潘立敏;徐貴成;;117例頸動(dòng)脈粥樣硬化患者中醫(yī)證候特點(diǎn)研究[J];中西醫(yī)結(jié)合心腦血管病雜志;2015年03期

4 施林楓;;頸動(dòng)脈粥樣硬化超聲分級(jí)與中醫(yī)證候相關(guān)性研究[J];新中醫(yī);2015年03期

5 劉晶;郭蓉娟;陳志剛;王紅梅;陳寶鑫;鄭宏;王超;朱津浦;張志辰;高芳;張巖;盛雪;張?jiān)蕩X;;代謝綜合征合并頸動(dòng)脈粥樣硬化的證候要素研究[J];北京中醫(yī)藥;2015年02期

6 薛巧云;殷春萍;;頸動(dòng)脈粥樣硬化易損斑塊的中醫(yī)證型分布規(guī)律探討[J];中國(guó)醫(yī)藥指南;2015年05期

7 姜成;張丹;劉立志;;老年高血壓患者的動(dòng)態(tài)脈壓與冠心病并發(fā)癥及頸動(dòng)脈粥樣硬化的相關(guān)性[J];中國(guó)慢性病預(yù)防與控制;2015年01期

8 屈金香;郭舜奇;;絕經(jīng)后女性代謝綜合征的研究進(jìn)展[J];廣東醫(yī)學(xué);2014年21期

9 杜文婷;顧耘;徐輝;陳明荃;杜文嬌;;基于多元統(tǒng)計(jì)學(xué)方法對(duì)頸動(dòng)脈粥樣硬化中醫(yī)證候的初步研究[J];遼寧中醫(yī)雜志;2014年09期

10 耿連歧;張靜莎;;中藥干預(yù)頸動(dòng)脈粥樣硬化及其斑塊的研究現(xiàn)狀[J];國(guó)醫(yī)論壇;2014年04期

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本文編號(hào)：1701627