本文選題：復(fù)發(fā)性口腔潰瘍　切入點(diǎn)：中醫(yī)證型　出處：《成都中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：研究目的：研究復(fù)發(fā)性口腔潰瘍(recurrent oral ulcer, ROU)中醫(yī)證型分布特點(diǎn)規(guī)律及其與不同因素的相關(guān)性,為中醫(yī)臨床辨證診療及預(yù)防提供參考和依據(jù)。研究方法：查閱相關(guān)資料,參考專家意見,制定統(tǒng)一的復(fù)發(fā)性口腔潰瘍辨證分型調(diào)查表,對(duì)就診于成都中醫(yī)藥大學(xué)附屬醫(yī)院老年病科門診及華西口腔醫(yī)院中醫(yī)科門診符合納入標(biāo)準(zhǔn)的ROU患者進(jìn)行問卷調(diào)查,收集基本信息及四診資料,確定證型；整理資料進(jìn)行數(shù)據(jù)統(tǒng)計(jì),分析復(fù)發(fā)性口腔潰瘍中醫(yī)證型分布規(guī)律及其與相關(guān)因素的關(guān)系。研究結(jié)果：(1)ROU中醫(yī)證型中脾氣虛弱證最多(占39.2%),脾氣虛弱證與其他6種證型之間比較差異均有統(tǒng)計(jì)學(xué)意義(P0.05)(2)ROU不同證型性別分布的差異有統(tǒng)計(jì)學(xué)意義,氣血虧虛證患者全部為女性,氣血虧虛證分別與脾氣虛弱、脾腎陽(yáng)虛證相比,性別分布差異有統(tǒng)計(jì)學(xué)意義。(3)ROU各證型年齡分布差異無(wú)統(tǒng)計(jì)學(xué)意義,各證型飲食偏嗜情況差異無(wú)統(tǒng)計(jì)學(xué)意義,ROU各證型誘因分布情況差異無(wú)統(tǒng)計(jì)學(xué)意義；ROU各證型情志異常分布情況的差異無(wú)統(tǒng)計(jì)學(xué)意義。(4)120例ROU患者中女性占總病例數(shù)的59.2%,患者在30-59歲年齡段者居多；患者中以無(wú)明顯誘因發(fā)病者為多,占63.3%；患者中無(wú)飲食偏嗜者占71.7%,比例最高。(5)120例ROU患者中,輕型ROU患者占96.7%,重型、皰疹型分別占2.5%、0.8%。結(jié)論：1、ROU患者中醫(yī)辨證分型以脾氣虛弱證最為多見,胃火熾盛證相對(duì)于脾氣虛弱證、寒熱錯(cuò)雜證、脾腎陽(yáng)虛證較為少見。2、ROU中醫(yī)證型中,氣血虧虛證與脾氣虛弱、脾腎陽(yáng)虛證相比,以女性更為多見；年齡、飲食偏嗜、發(fā)病誘因與ROU中醫(yī)證型之間無(wú)相關(guān)性；情志異常在各中醫(yī)證型中普遍存在。3、ROU的女性發(fā)病率高于男性,各年齡段均可發(fā)病,發(fā)病年齡以青年、中年為主。4、多數(shù)ROU患者發(fā)病無(wú)明顯誘因,無(wú)明顯飲食偏嗜。5、ROU分型情況以輕型為最常見,重型及皰疹型少見。
[Abstract]:Objective: to study the distribution characteristics of TCM syndromes of recurrent oral ulceration (rou) and its correlation with different factors so as to provide reference and basis for the diagnosis and treatment of TCM clinical syndrome differentiation and prevention.Methods: referring to relevant materials and expert opinions, a unified questionnaire for the differentiation of symptoms and signs of recurrent oral ulcer was made.A questionnaire survey was conducted on ROU patients who met the inclusion criteria in the geriatric outpatient clinic of Chengdu University of traditional Chinese Medicine and the Department of traditional Chinese Medicine of West China Stomatology Hospital. The basic information and four diagnostic data were collected to determine the type of syndrome.To analyze the distribution of TCM syndromes of recurrent oral ulcer and its relationship with related factors.The results showed that among the TCM syndromes, the deficiency of temper syndrome was the most (39.2%), and the difference between the deficiency of temper syndrome and the other six syndrome types was statistically significant. There were significant differences in the sex distribution of the different syndrome types of P0.05P0. 05, and all the patients with deficiency of qi and blood were women, and all of the patients with deficiency of qi and blood were women, and all the patients with deficiency of qi and blood were all women.The age distribution of Qi and blood deficiency syndrome was not significantly different from that of spleen deficiency syndrome and spleen kidney yang deficiency syndrome.There was no statistical significance in the distribution of inducement in each syndrome type of ROU. There was no significant difference in the distribution of abnormal mood in each syndrome type of ROU. There was no significant difference in the distribution of abnormal mood of each syndrome type of ROU. Women accounted for the total number of cases in 120 patients with ROU.59.2% of the patients were in the 30-59 age group.Conclusion the syndrome differentiation of qi and deficiency of qi and deficiency of spleen and kidney is the most common in the syndrome differentiation of syndrome of deficiency of qi and deficiency of qi and deficiency of qi and deficiency of spleen and kidney in the syndrome of deficiency of spleen and kidney yang and deficiency of spleen and kidney, compared with the syndrome of deficiency of temper and deficiency of yang of spleen and kidney, the syndrome of deficiency of qi and blood and deficiency of spleen and kidney are rare in the syndrome of deficiency of spleen and kidney.There was no correlation between age, diet, inducement and TCM syndrome type of ROU. The prevalence of abnormal emotion in female was higher than that in male, and the age of onset was youth.The majority of ROU patients had no obvious inducement, and the mild type was the most common, and the severe type and herpes type were rare.
【學(xué)位授予單位】：成都中醫(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)】：R276.8

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