本文選題：突聾 + 體質(zhì)��； 參考：《云南中醫(yī)學(xué)院》2017年碩士論文

【摘要】：目的:本課題從中醫(yī)體質(zhì)理論的角度出發(fā),首先,通過對突聾患者進(jìn)行問卷調(diào)查,采集原始數(shù)據(jù),根據(jù)量表評分來判定突聾患者的體質(zhì)類別;其次,通過統(tǒng)計(jì)學(xué)分析,總結(jié)易感人群體質(zhì)及相關(guān)因素特點(diǎn);最后,討論與之相關(guān)的臨床表現(xiàn)、防治辦法等,為突發(fā)性耳聾的臨床防治及后期進(jìn)一步深入研究提供參考。方法:本課題以中醫(yī)基礎(chǔ)理論為指導(dǎo),從中醫(yī)體質(zhì)理論的角度出發(fā),采納指南和專家意見后,以王琦教授“中醫(yī)體質(zhì)九分法”中的《中醫(yī)體質(zhì)分類與判定表》[1.2]為基礎(chǔ)進(jìn)行修改。對2015年12月01日至2016年12月01日期間,在云南省中醫(yī)醫(yī)院耳鼻喉科就診的門診和住院部病人中,符合納入標(biāo)準(zhǔn)者進(jìn)行問卷調(diào)查,共計(jì)112例。被調(diào)查者回答《中醫(yī)體質(zhì)分類與判定表》(詳見附表)中的全部問題,每一問題按5級評分,計(jì)算原始分及轉(zhuǎn)化分,依據(jù)評分標(biāo)準(zhǔn)判定體質(zhì)類型。平和質(zhì)為正常體質(zhì),其他8種體質(zhì)為偏頗體質(zhì)。統(tǒng)計(jì)與問卷調(diào)查相關(guān)數(shù)據(jù)進(jìn)行分析,運(yùn)用SPSS22.0軟件進(jìn)行描述性分析中的“頻數(shù)分析”來表達(dá)體質(zhì)證型的分布情況,并對體質(zhì)與致病因素之間的關(guān)系進(jìn)行探索性分析討論,觀察體質(zhì)與致病因素之間的分布情況。結(jié)果:1.選取的112例患者中,男性61例(54%),女性51例(46%)。2.選取的112例患者中,左耳59例(53%),右耳51例(45%),雙耳2例(2%)。3.輕度聾患者41例(53%),中度聾患者56例(50%),中重度聾患者15例(13%)。4.平和質(zhì)2例(5%),氣虛質(zhì)5例(5%),陽虛質(zhì)4例(4%),陰虛質(zhì)14例(13%),痰濕質(zhì)30例(27%),濕熱質(zhì)9例(8%),血瘀質(zhì)5例(5%),氣郁質(zhì)42例(38%),特稟質(zhì)1例(1%)。5.輕度聾中的體質(zhì)類型:平和質(zhì)2例(5%),氣虛質(zhì)3例(7%),陽虛質(zhì)2例(5%),陰虛質(zhì)9例(22%),痰濕質(zhì)8例(20%),濕熱質(zhì)3例(7%),血瘀質(zhì)2例(5%),氣郁質(zhì)11例(27%),特稟質(zhì)1例(2%)。6.中度聾中的體質(zhì)類型:平和質(zhì)0例,氣虛質(zhì)2例(4%),陽虛質(zhì)2例(4%),陰虛質(zhì)5例(9%),痰濕質(zhì)20例(36%),濕熱質(zhì)6例(11%),血瘀質(zhì)3例(5%),氣郁質(zhì)18例(32%),特稟質(zhì)0例。7.中重度聾中的體質(zhì)類型:平和質(zhì)0例,氣虛質(zhì)0例,陽虛質(zhì)0例,陰虛質(zhì)0例,痰濕質(zhì)2例(13%),濕熱質(zhì)0例,血瘀質(zhì)0例,氣郁質(zhì)13例(87%),特稟質(zhì)0例。8.選取的112例患者中,痊愈9人(8%),顯效83人(74%),有效20人(18%),無效0人。9.突聾發(fā)病人數(shù)與氣郁質(zhì)存在相關(guān)性,P=0.039(P0.05),具有統(tǒng)計(jì)學(xué)意義;突聾發(fā)病人數(shù)與陰虛質(zhì)存在相關(guān)性,P=0.046(P0.05),具有統(tǒng)計(jì)學(xué)意義。10.聽力曲線類型在調(diào)查中的分布:低頻下降型共計(jì)42人;高頻下降型共計(jì)34人;平坦下降型共計(jì)36人;全聾型0人。結(jié)論:在本次對突聾患者的調(diào)查結(jié)果中,偏頗質(zhì)人數(shù)居多,平和質(zhì)人數(shù)少,在偏頗體質(zhì)中,以氣郁質(zhì)人數(shù)最多,其次是陰虛質(zhì),氣郁質(zhì)、陰虛質(zhì)和突聾發(fā)病率存在相關(guān)性(P0.05)。男性患病比例略高于女性。單耳發(fā)病人數(shù)居多,左耳發(fā)病人數(shù)略高于右耳。突聾發(fā)病與體質(zhì)、性別、患耳、聽力曲線類型等因素存在相關(guān)性趨勢。
[Abstract]:Objective: from the point of view of TCM constitution theory, first of all, through the questionnaire survey to the patients with sudden deafness, collect the original data, according to the scale score to determine the physical class of sudden deafness patients, secondly, through statistical analysis,The characteristics of constitution and related factors of susceptible population were summarized. Finally, the related clinical manifestations, prevention and treatment methods were discussed to provide a reference for the clinical prevention and treatment of sudden deafness and further research in the later stage.Methods: under the guidance of the basic theory of traditional Chinese medicine (TCM), from the angle of TCM constitution theory, the subject was revised on the basis of "Classification and judgment Table of TCM Constitution" (1.2) in Professor Wang Qi's "Nine points of Constitution of traditional Chinese Medicine" after adopting the guidelines and expert opinions.From December 01, 2015 to December 01, 2016, 112 outpatients in the department of otolaryngology and otolaryngology of Yunnan traditional Chinese Medicine Hospital were investigated by questionnaire.The respondents answered all the questions in the Classification and judgment Table of TCM Constitution (see the attached table for details). Each question was graded according to grade 5, the original score and transformation score were calculated, and the type of constitution was judged according to the scoring standard.Peaceful quality is normal constitution, the other 8 kinds of constitution are partial constitution.Statistics and questionnaire survey related data were analyzed, "frequency analysis" in descriptive analysis was carried out by SPSS22.0 software to express the distribution of physique syndrome type, and the relationship between physique and pathogenic factors was analyzed and discussed.The distribution of physique and pathogenic factors was observed.The result is 1: 1.Of the 112 selected patients, 61 were male and 51 were female.Of the 112 patients, 59 were in the left ear, 51 in the right ear and 2 in the bilateral ear.There were 41 cases of mild deafness, 56 cases of moderate deafness and 15 cases of moderate and severe deafness.Of 112 selected patients, 9 were cured and 8 were cured, 83 were effective and 74 were effective, 20 were effective and 18 were effective, none was effective.There was a correlation between the incidence of sudden deafness and qi stagnation, which had statistical significance, and the incidence of sudden deafness was correlated with yin deficiency (P = 0.046, P 0.05), which had statistical significance.The distribution of hearing curve types in the investigation was as follows: low frequency type (42 cases), high frequency type (34 cases), flat type (36 cases) and total deafness (0 cases).Conclusion: in the investigation of patients with sudden deafness, the number of people with partial deafness is more than that of calmness. In the partial constitution, the number of qi stagnation is the most, followed by yin deficiency, qi stagnation, yin deficiency and sudden deafness. There is a correlation between the incidence of yin deficiency and sudden deafness.The proportion of males is slightly higher than that of females.The number of monaural diseases was higher in the left ear than in the right ear.The incidence of sudden deafness is related to physical constitution, sex, ear, hearing curve type and so on.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R276.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 周潔;何源萍;李澤文;潘芳名;楊國強(qiáng);陳應(yīng)超;;難治性突發(fā)性耳聾的相關(guān)因素分析及中西醫(yī)結(jié)合治療[J];醫(yī)學(xué)綜述;2013年24期

2 馬勝民;劉福官;;《內(nèi)經(jīng)》升清開竅法治療暴聾[J];中華中醫(yī)藥學(xué)刊;2013年02期

3 劉鐵陵;王宏;;中西藥合用治療突發(fā)性聾49例療效分析[J];實(shí)用中醫(yī)藥雜志;2012年04期

4 司曉文;李永存;;聰耳通竅湯治療暴聾的臨床研究[J];中醫(yī)臨床研究;2012年06期

5 范新華;丁亞南;常向輝;歐陽喻璐;謝強(qiáng);;針灸與藥物治療突發(fā)性耳聾療效對比觀察[J];中國針灸;2010年08期

6 陳國郝;張琳娟;張榕;;降纖治療全頻型突發(fā)性聾的療效觀察[J];聽力學(xué)及言語疾病雜志;2010年04期

7 李俊;包永欣;葛書翰;;中西醫(yī)結(jié)合針法治療突發(fā)性耳聾療效評價[J];中國中醫(yī)急癥;2010年06期

8 趙曉紅;;39例突發(fā)性耳聾臨床治療體會[J];中國現(xiàn)代藥物應(yīng)用;2010年08期

9 郜富春;趙宇昊;劉翔;方芳;;電針與現(xiàn)代醫(yī)學(xué)結(jié)合治療突發(fā)性耳聾63例[J];針灸臨床雜志;2009年07期

10 喬占清;馬賽;司遠(yuǎn)征;;中西醫(yī)結(jié)合治療突發(fā)性耳聾72例分析[J];中國實(shí)用神經(jīng)疾病雜志;2009年01期

，

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