本文選題：腦梗死恢復期 + 血瘀質��； 參考：《山東中醫(yī)藥大學》2016年碩士論文

【摘要】：目的:本研究從中醫(yī)體質相關理論著手,運用流行病學調查方法,調查分析腦梗死恢復期血瘀質患者的危險因素,結合中醫(yī)“治未病”思想,重在預防,為腦梗死恢復期血瘀質患者的癥狀改善和二級預防提供依據。方法:對2014年3月份到2015年12月份曾在山東省中醫(yī)院、煙臺市中醫(yī)醫(yī)院、蓬萊市中醫(yī)醫(yī)院等3家中醫(yī)院住院的腦梗死患者進行臨床調查,根據納入標準、排除標準、剔除標準篩選出腦梗死恢復期患者,并依據2009年中華中醫(yī)藥學會頒布的《中醫(yī)體質分類與判定表(ZYYXH/T157-2009)》標準,判定中醫(yī)體質類型,共選出血瘀質患者403例,平和質100例,并填寫腦梗死恢復期危險因素的臨床調查表,調查內容包括性別、年齡、民族、工作狀況、是否中心性肥胖、睡眠情況、熬夜情況、是否鍛煉身體、是否有吸煙、飲酒、飲食偏嗜的生活嗜好等一般資料和高血壓病史、糖尿病史、心臟病史、血脂異常病史、中風病史等一些病史資料。最后統一運用SPSS17.0統計學軟件進行統計分析比較,血瘀質與危險因素的相關性經卡方檢驗,并進行多因素Logistic回歸分析。結果:1.經卡方檢驗,相對于平和質,血瘀質腦梗死恢復期患者的工作強度、睡眠、熬夜、鍛煉身體、心臟病史、總膽固醇(TC)偏高、低密度脂蛋白(LDL-c)偏高、吸煙、飲食偏嗜味咸厚重這些因素的分布具有統計學意義(P0.05或P0.01)。2.經多因素Logistic回歸分析,與平和質比較,血瘀質腦梗死恢復期患者的工作緊張、睡眠質量差、缺乏體育鍛煉、心臟病史、飲食偏嗜味咸厚重等因素有統計學意義(P0.05或P0.01),根據危險因素比數比(OR)值大小排序依次為:心臟病史、缺乏體育鍛煉、睡眠質量差、工作緊張、飲食偏嗜味咸厚重。結論:相對于平和質,腦梗死恢復期的血瘀質患者的主要危險因素是心臟病史、缺乏體育鍛煉、睡眠質量差、工作緊張、飲食偏嗜味咸厚重,對這些危險因素進行針對性地干預,并運用中醫(yī)理論對其體質進行適當地調理是腦梗死恢復期血瘀質患者癥狀改善和二級預防的有效途徑。
[Abstract]:Objective: To investigate and analyze the risk factors of blood stasis in patients with cerebral infarction in the convalescent period of cerebral infarction with the method of epidemiological investigation, and to provide the basis for the improvement of symptoms and two level prevention in patients with blood stasis in the recovery period of cerebral infarction. Methods: from March to 2015 in 2014. In December, 3 patients of cerebral infarction hospitalized in Shandong Provincial Traditional Chinese Medical Hospital, Yantai city traditional Chinese medicine hospital, Penglai traditional Chinese medicine hospital and other 3 Chinese medicine hospitals were investigated. According to the standards, exclusion criteria and elimination standard, the patients with cerebral infarction recovery period were selected, and according to the Chinese Medical Association of China in 2009 (ZYYXH /T157-2009) > standard, determine the type of TCM Constitution, select 403 cases of blood stasis and blood stasis, 100 cases of horizontal and qualitative, and fill in the clinical questionnaire of the risk factors of the recovery period of cerebral infarction. The contents include sex, age, nationality, work condition, whether central obesity, sleep condition, stay up night, whether exercise body, smoking, drinking, diet Some general data and history of hypertension, diabetes history, history of heart disease, history of heart disease, blood lipid abnormality, history of apoplexy, and other medical history data. The correlation of blood stasis and risk factors was tested by chi square test and multiple factor Logistic regression analysis. Results: 1 After the chi square test, the distribution of the factors such as the intensity of work, sleep, stay up, heart disease, total cholesterol (TC), low density lipoprotein (LDL-c), smoking, and eating and salty weight were statistically significant (P0.05 or P0.01).2. through multiple factor Logistic regression. Analysis, compared with the level and the quality, the patients with cerebral infarction in the recovery phase of blood stasis are tense, poor quality of sleep, lack of physical exercise, heart disease history, and diet bias and salty heavy weight and other factors have statistical significance (P0.05 or P0.01), according to the ratio of risk factors ratio (OR), the order of order is: the history of heart disease, lack of physical exercise, poor quality of sleep, and poor quality of sleep. Conclusion: the main risk factors of blood stasis in the recovery period of cerebral infarction are the history of heart disease, lack of physical exercise, poor quality of sleep, stress, eating and salty weight, intervention on these risk factors, and applying the theory of traditional Chinese medicine to their physique. Local conditioning is an effective way to improve symptoms and prevent grade two of patients with blood stasis during cerebral infarction.

【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R277.7

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本文編號：1780159