本文選題：潰瘍性結(jié)腸炎 + 西北燥證�。� 參考：《新疆醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:通過觀察烏魯木齊市多中心攜證型(西北燥證)UC患者生存質(zhì)量及心理表現(xiàn),探討新疆地域性UC患者的生存質(zhì)量、心理狀況、腸病輕重程度的分布及其與西北燥證主證及兼證的內(nèi)在關(guān)系。方法:收集2016年1月~2016年12月在新疆維吾爾自治區(qū)中醫(yī)醫(yī)院、新疆烏魯木齊市中醫(yī)院、新疆醫(yī)科大學(xué)第一附屬醫(yī)院、新疆維吾爾自治區(qū)人民醫(yī)院消化科住院及門診UC患者100例進(jìn)行研究。采用西北燥證計量診斷與主兼證辨證量表進(jìn)行西北燥證診斷及兼證辯證分型;用炎癥性腸病問卷中文版評估其生存質(zhì)量;用焦慮自評量表,抑郁自評量表評估其心理狀態(tài),分析西北燥證罹患與否與UC患者生存質(zhì)量、心理狀態(tài)及腸病輕重程度的相關(guān)性。結(jié)果:(1)100例UC患者中攜證型(西北燥證)28例,非攜證型72例,攜證型與非攜證型組間性別構(gòu)成有差異(P0.05);(2)64.28%的攜證型UC的西北燥證兼證為脾胃蘊濕證;(3)UC患者生存質(zhì)量總分為130.68±35.362,輕、中、重度腸病患者的生存質(zhì)量和焦慮抑郁程度存在差異(P0.05);(4)UC患者焦慮抑郁程度與腸病輕重程度呈正相關(guān)(P0.001);(5)攜證型UC患者的生存質(zhì)量較非攜證型UC患者生存質(zhì)量差(P0.05)、焦慮及抑郁程度重(P0.05)。結(jié)論:(1)UC患者的生存質(zhì)量與腸病程度及焦慮抑郁程度相關(guān);(2)攜證型UC的兼證以脾胃蘊濕證為主;相較于非攜證型UC患者,攜證型UC患者其生存質(zhì)量降低、焦慮抑郁狀態(tài)加重,且以男性患者居多;(3)西北燥證作為方域性疾病的共同病理本質(zhì),與UC病證相關(guān),故可從西北燥證證治策略出發(fā)防治新疆地區(qū)的UC。
[Abstract]:Objective: to investigate the quality of life and psychological status of Xinjiang regional UC patients by observing the quality of life and psychological manifestation of multi-center syndrome carrying type (northwest dryness syndrome of UC) in Urumqi. The distribution of the severity of intestinal disease and its internal relationship with the main and concurrent syndromes of northwest dryness syndrome. Methods: collected from January 2016 to December 2016 in the Xinjiang Uygur Autonomous region Hospital of traditional Chinese Medicine, Xinjiang Urumqi City Hospital of Chinese Medicine, Xinjiang Medical University, the first affiliated hospital, A study of 100 UC patients in the Department of Digestive Diseases of Xinjiang Uygur Autonomous region people's Hospital was carried out. The quantitative diagnosis of northwest dryness syndrome and the syndrome differentiation scale were used to diagnose and classify the syndrome of northwest dryness, the quality of life was evaluated by the Chinese version of inflammatory bowel disease questionnaire, and the psychological status was assessed by self-rating anxiety scale and self-rating depression scale. To analyze the relationship between northwest dryness syndrome and UC patients' quality of life, psychological status and severity of intestinal disease. Results among 100 cases of UC, there were 28 cases of northwest dryness syndrome and 72 cases of non-carrying syndrome. There was a difference in sex composition between the group of carrying syndrome and that of non-carrying type. There was a difference in sex composition between the two groups. The total score of quality of life of the patients with the northwestern dryness syndrome and the syndrome of spleen and stomach dampness was 130.68 鹵35.362, which was mild, moderate, and the difference was significant between the two groups (P < 0.05). There was a positive correlation between the degree of anxiety and depression in patients with severe bowel disease and the degree of anxiety and depression. Conclusion the quality of life (QOL) is related to the degree of bowel disease and anxiety and depression in the patients with UC) the main syndromes of UC are spleen and stomach dampness syndrome, compared with those of the patients without UC, the quality of life of UC patients with syndrome is lower, and the anxiety and depression state is more serious. As the common pathological essence of regional diseases, it is related to UC disease. Therefore, the strategy of treating northwest dryness syndrome can be used to prevent and cure UCs in Xinjiang.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R259

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