本文選題：咽喉反流 + 一般資料�。� 參考：《北京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:研究咽喉反流的發(fā)病與中醫(yī)體質(zhì)類型之間的相關(guān)性,探討咽喉反流與發(fā)病年齡、性別分布、體重指數(shù)、職業(yè)分布及中醫(yī)體質(zhì)之間的關(guān)系,利用中醫(yī)理論對(duì)咽喉反流患者的體質(zhì)及證型進(jìn)行分類,了解該病的人群體質(zhì)類型及特點(diǎn),進(jìn)行針對(duì)性中醫(yī)調(diào)理及預(yù)防,為從中醫(yī)體質(zhì)角度防治本病提供科學(xué)依據(jù)。方法:對(duì)北京中醫(yī)藥大學(xué)附屬東直門醫(yī)院耳鼻喉科咽喉反流患者進(jìn)行中醫(yī)體質(zhì)調(diào)查,制定納入及排除標(biāo)準(zhǔn)進(jìn)行臨床病例采集,根據(jù)患者體征應(yīng)用RFS及RSI進(jìn)行篩選和排除病例,對(duì)符合納入標(biāo)準(zhǔn)的患者分別對(duì)其性別、年齡、職業(yè)、體重指數(shù)(BMI)進(jìn)行統(tǒng)計(jì),并經(jīng)過患者同意后讓其填寫統(tǒng)一的中醫(yī)體質(zhì)分類與判定自測(cè)表(中華中醫(yī)藥學(xué)會(huì)標(biāo)準(zhǔn)),其中包括九種體質(zhì)類型(平和質(zhì)、氣虛質(zhì)、陽(yáng)虛質(zhì)、陰虛質(zhì)、痰濕質(zhì)、濕熱質(zhì)、血瘀質(zhì)、氣郁質(zhì)、特稟質(zhì)),劃分9種體質(zhì)類型,觀察咽喉反流患者與體質(zhì)類型的分布規(guī)律,觀察年齡、體重指數(shù)(BMI)及職業(yè)與體質(zhì)類型的分布規(guī)律。建立數(shù)據(jù)庫(kù),采用SPSS 17統(tǒng)計(jì)軟件對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,計(jì)數(shù)資料運(yùn)用X2(卡方)檢驗(yàn),根據(jù)中醫(yī)辨證理論,查閱咽喉反流病相關(guān)文獻(xiàn)研究,結(jié)合統(tǒng)計(jì)學(xué)方法得出結(jié)論。結(jié)果:本研究最終納入符合條件的咽喉反流患者共120例,其中,男性43例,女性77例,在年齡分布上,年齡分布范圍為10-80歲,各年齡段均有發(fā)病,其中最小年齡為19歲,最大年齡為79歲,平均年齡為46歲,其中31-40、51-60歲的發(fā)病率較高;在體重指數(shù)上,體重偏低者13人,正常者33人,超重者54人,肥胖者16人,重度肥胖者4人,其中,非正常體重患者共87人;職業(yè)分布方面,工人占55%,知識(shí)分子占45%,其中企業(yè)、事業(yè)單位占比25%,服務(wù)業(yè)占比21.67%,無(wú)業(yè)及其他職業(yè)占比18.33%,軍人占比0.83%�；颊唧w質(zhì)分布特點(diǎn)為:以混合體質(zhì)為主,有89人為混合體質(zhì),其中同時(shí)具有氣虛質(zhì)+痰濕質(zhì)+陰虛質(zhì)的患者占大多數(shù),其次為氣虛質(zhì)+痰濕質(zhì)+陰虛質(zhì)+氣郁質(zhì),而單一體質(zhì)僅有31人,其中痰濕質(zhì)6人,氣虛質(zhì)4人,陰虛質(zhì)4人�？傮w頻次分布特點(diǎn)為:氣虛質(zhì)(63.33%)痰濕質(zhì)(60%)陰虛質(zhì)(40%)陽(yáng)虛質(zhì)(39.17%)氣郁質(zhì)(34.17%)濕熱質(zhì)(28.33%)特稟質(zhì)(13.33%)血瘀質(zhì)(11.67%)平和質(zhì)(8.33%),經(jīng)卡方檢驗(yàn),X2=93.023,P0.01,具有明顯統(tǒng)計(jì)學(xué)意義。患者證型分布特點(diǎn)依次為:氣滯痰凝證(45例)脾胃氣虛(36例)肝郁脾虛(23例)肺胃濕熱(12例)=胃陰虧虛證(12例)瘀血阻絡(luò)證(5例)。結(jié)論:咽喉反流女性發(fā)病率高于男性,在各年齡段均有發(fā)病,但以31-40、51-60歲的發(fā)病率較高;發(fā)病職業(yè)以企業(yè)、事業(yè)單位職員為主。咽喉反流的發(fā)病與中醫(yī)體質(zhì)具有相關(guān)性,以氣虛質(zhì)、痰濕質(zhì)、陰虛質(zhì)及陽(yáng)虛質(zhì)這四種體質(zhì)為主,平和質(zhì)占比最少;證型以氣滯痰凝證、脾胃氣虛證、肝郁脾虛證較為多見。
[Abstract]:Objective: to study the correlation between the onset of pharyngopharynx reflux and the physique type of TCM, and to explore the relationship between larynx reflux and age, sex distribution, body mass index, occupation distribution and TCM constitution.Using the theory of TCM to classify the physique and syndrome type of patients with pharynx and larynx reflux, to understand the physique types and characteristics of the disease, and to provide scientific basis for the prevention and treatment of this disease from the perspective of TCM constitution.Methods: the physique of the patients with otolaryngology, otolaryngology and throat reflux in Dongzhimen Hospital affiliated to Beijing University of traditional Chinese Medicine were investigated, and the clinical cases were collected according to the criteria of inclusion and exclusion. According to the signs of the patients, RFS and RSI were used to screen and exclude the cases.Patients who met the inclusion criteria were analyzed for their sex, age, occupation, body mass index (BMI).With the consent of the patient, the patient was asked to fill in a unified TCM constitution classification and self-test form (Chinese Academy of Chinese Medicine) standard, which includes nine types of constitution (peaceful, qi deficiency, yang deficiency, yin deficiency, phlegm and dampness, dampness and heat, blood stasis, etc.)The distribution of body mass, age, body mass index (BMI), occupation and physique type were observed in patients with pharynx and larynx reflux.The database was set up, the data was analyzed by SPSS 17 software, the count data was analyzed by X2 (chi-square) test, according to the theory of TCM syndrome differentiation, the related literature research of pharynx and larynx reflux disease was consulted, and the statistical method was used to draw the conclusion.Results: a total of 120 patients with throat reflux were included in this study, including 43 males and 77 females. The age distribution ranged from 10 to 80 years old, with the youngest age being 19 years old.The maximum age was 79 years, with an average age of 46 years, with a high incidence of 31-40,51-60 years of age. In BMI, 13 people were underweight, 33 were normal, 54 were overweight, 16 were obese, and 4 were severely obese.There were 87 patients with abnormal body weight. In terms of occupational distribution, the proportion of workers and intellectuals was 5555 and 4545, including 25 in enterprises and institutions, 21.67 in service industry, 18.33 in unemployed and other occupations, and 0.83 in military personnel.The distribution characteristics of patients' physique are as follows: mixed constitution is the main one, 89 people are mixed constitution, most of them have deficiency of qi, phlegm and dampness of Yin, followed by deficiency of phlegm and dampness of Yin, and then of deficiency of phlegm and dampness of Yin.But the single constitution only 31 people, including phlegm dampness 6 people, Qi deficiency 4 people, yin deficiency 4 people.The distribution characteristics of the total frequency are as follows: Qi deficiency (63.33) phlegm and dampness (60)) Yin deficiency and dampness (40) Yang deficiency (39.17)) Qi stagnation (34.17)) dampness and heat (28.3333))) blood stasis (11.33)) calming 8.3333) by chi-square test (X293.023) P0.01, which has significant statistical significance.The distribution of syndrome types was as follows: Qi stagnation and phlegm coagulation syndrome (45 cases) spleen and stomach Qi deficiency syndrome (36 cases) liver stagnation and spleen deficiency syndrome (23 cases)) lung and stomach dampness and heat (n = 12 cases) Qi Yin deficiency syndrome (n = 12 cases) blood stasis blocking collaterals syndrome (n = 5 cases).Conclusion: the incidence of throat reflux in women is higher than that in men, and it has been found in all ages, but the incidence rate is higher in 31-40 or 51-60 years old.The incidence of pharynx and larynx reflux has correlation with TCM constitution. The four types of constitution are qi deficiency, phlegm and dampness, yin deficiency and yang deficiency, and the proportion of peaceful quality is the least, and the syndrome type is qi stagnation and phlegm coagulation, spleen and stomach qi deficiency, and liver stagnation and spleen deficiency.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R276.1

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