本文選題：子宮內(nèi)膜息肉 + 中醫(yī)證候��； 參考：《成都中醫(yī)藥大學》2016年碩士論文

【摘要】：研究目的：通過對子宮內(nèi)膜息肉患者的一般資料、中醫(yī)證候、體質(zhì)分布規(guī)律進行調(diào)查研究,并對影響中醫(yī)證候分布的相關(guān)因素進行分析,從而提出客觀的、相對規(guī)范的中醫(yī)證候分型標準,為中醫(yī)防治子宮內(nèi)膜息肉提供理論依據(jù)。研究方法：通過對2014年12月-2016年02月在四川省中醫(yī)院婦科門診及住院部就診且確診為子宮內(nèi)膜息肉的125例患者進行面對面問卷調(diào)查。采集患者年齡、職業(yè)、文化程度等一般資料、中醫(yī)四診資料及體質(zhì)調(diào)查狀況。運用Excel軟件建立信息數(shù)據(jù)庫,使用SPSS21.0軟件包對數(shù)據(jù)進行分析,患者的一般資料采用頻數(shù)分布的方式進行描述；中醫(yī)四診資料用聚類分析,相關(guān)因素用Fisher確切概率法進行統(tǒng)計分析,P0.05認為差異有統(tǒng)計學意義。總結(jié)并研究本病中醫(yī)證候、體質(zhì)分布規(guī)律及證候分布與年齡、文化程度、職業(yè)、BMI指數(shù)、飲食偏嗜、宮腔手術(shù)操作次數(shù)、體質(zhì)等的相關(guān)性。研究結(jié)果：1、125例子宮內(nèi)膜息肉患者的中醫(yī)證候共聚為四類,以濕熱瘀結(jié)證44例(占總數(shù)35.2%)最多,其后依次為氣滯血瘀證36例(占總數(shù)28.8%)、痰濕瘀結(jié)證28例(占總數(shù)22.4%)、腎虛血瘀證17例(占總數(shù)13.6%)。2、 125例子宮內(nèi)膜息肉患者體質(zhì)分布中,以濕熱質(zhì)29例(占總數(shù)23.2%)最多,其次是氣郁質(zhì)25例(占總數(shù)20.0%),痰濕質(zhì)21例(占總數(shù)16.8%),血瘀質(zhì)17例(占總數(shù)13.6%),平和質(zhì)11例(占總數(shù)8.8%),氣虛質(zhì)8例(占總數(shù)6.4%),陽虛質(zhì)7例(占總數(shù)5.6%),陰虛質(zhì)5例(占總數(shù)4.0%),特稟質(zhì)2例(占總數(shù)1.6%)。3、子宮內(nèi)膜息肉患者各中醫(yī)證候分布與年齡、BMI指數(shù)、飲食偏嗜、體質(zhì)均有統(tǒng)計學意義(P0.05)。4、子宮內(nèi)膜息肉患者各中醫(yī)證候分布與職業(yè)、文化程度、宮腔手術(shù)操作次數(shù)均無統(tǒng)計學意義(P0.05)。研究結(jié)論：1、子宮內(nèi)膜息肉患者的中醫(yī)證候以濕熱瘀結(jié)證最多見,其后依次為氣滯血瘀證、痰濕瘀結(jié)證、腎虛血瘀證。2、子宮內(nèi)膜息肉患者的體質(zhì)以濕熱質(zhì)最多見,其次是氣郁質(zhì)、痰濕質(zhì)、血瘀質(zhì)、平和質(zhì)、氣虛質(zhì)、陽虛質(zhì)、陰虛質(zhì)、特稟質(zhì)。3、子宮內(nèi)膜息肉患者各中醫(yī)證候分布與年齡、BMI指數(shù)、飲食偏嗜、體質(zhì)均有相關(guān)性；與職業(yè)、文化程度、宮腔手術(shù)操作次數(shù)均無相關(guān)性。
[Abstract]:Objective: to investigate and study the general data of patients with endometrial polyps, TCM syndromes and physical distribution, and to analyze the related factors affecting the distribution of TCM syndromes. The relative standard of TCM syndromes classification provides theoretical basis for the prevention and treatment of endometrial polyps. Methods: a face-to-face questionnaire survey was conducted on 125 patients who were diagnosed as endometrial polyps in gynecological outpatient and inpatient department of Sichuan traditional Chinese Medicine Hospital from December 2014 to February 2016. Collect general data of patient's age, occupation, education, etc. Excel software was used to establish information database, SPSS21.0 software package was used to analyze the data, the general data of patients were described by frequency distribution, and the data of four diagnoses of TCM were analyzed by cluster analysis. Correlation factors were statistically analyzed by Fisher exact probability method (P0.05) and the difference was statistically significant. To summarize and study the correlation between TCM syndromes, physique distribution, and age, education, occupation BMI index, diet preference, times of operation in uterine cavity, physique and so on. Results among 1125 cases of endometrial polyps, the syndromes of TCM syndromes were divided into four categories, 44 cases of damp-heat stasis syndrome (35. 2% of the total). Then 36 cases of Qi stagnation and blood stasis syndrome (28. 8% of the total), 28 cases of phlegm dampness and blood stasis syndrome (22. 4%), 17 cases of kidney deficiency and blood stasis syndrome (13. 6%) and 2. 125 cases of endometrial polyps, 29 cases of dampness and heat (23. 2% of the total) were the most. The second was qi stagnation in 25 cases (20.0%), phlegm dampness in 21 cases (16.8% in total), blood stasis in 17 cases (13.6% in total), calmness in 11 cases (8.8% in total), deficiency of qi in 8 cases (6.4% in total), yang deficiency in 7 cases (5.6%), yin deficiency in 5 cases (5 cases). The total number of patients with endometrial polyps was 4.0%, and 2 cases (1.6% of the total) were found. The distribution of TCM syndromes and BMI index in patients with endometrial polyps, There was no significant difference in the distribution and occupation of TCM syndromes, education level and times of operation in uterine cavity in patients with endometrial polyps. Conclusion the TCM syndromes of endometrial polyps are damp-heat stasis syndrome, followed by Qi stagnation and blood stasis syndrome, phlegm dampness and blood stasis syndrome, kidney deficiency and blood stasis syndrome. Phlegm dampness, blood stasis, calmness, qi deficiency, yang deficiency, yin deficiency, intrinsic nature. 3. The distribution of TCM syndromes in patients with endometrial polyps is correlated with BMI index, diet preference, constitution, occupation and education level. There was no correlation in the number of times of intrauterine surgery.
【學位授予單位】：成都中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R271.9

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