本文選題：慢性胃炎 + 中醫(yī)證型�。� 參考：《廣西中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本課題通過流行病學(xué)調(diào)查的方式對慢性胃炎中的胃痛患者臨床資料進行收集,借助統(tǒng)計學(xué)方法,總結(jié)出慢性胃炎中胃痛的常見證型,及慢性胃炎性別、年齡、職業(yè)、分布、誘發(fā)因素的關(guān)系,試找出慢性胃炎中慢性胃炎證型的分布規(guī)律,為慢性胃炎的中醫(yī)證治提供幫助。方法:收集廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院消化門診和消化內(nèi)科病房住院確診為慢性胃炎的600例患者進行問卷調(diào)查,按照統(tǒng)一的標準,將收集的臨床信息填入《慢性胃炎證候分布規(guī)律調(diào)查表》。運用頻數(shù)分析、聚類分析等統(tǒng)計學(xué)方法對資料進行分析,總結(jié)出慢性胃炎中胃痛的常見證型分布規(guī)律及相關(guān)因素的影響。結(jié)果:經(jīng)統(tǒng)計分析,600例慢性胃炎胃痛患者聚為四類,第一類為:肝胃不和、脾虛氣滯、肝郁脾虛、肝胃郁熱、濕郁脾胃、胃絡(luò)瘀阻型,第二類為:脾胃虛弱型,第三類為:脾胃濕熱、寒熱錯雜、飲食停滯型,第四類為:胃陰不足型�；颊吲远嘤谀行�。年齡段以中年最多,其次為老年、青年。職業(yè)分布中最多的為農(nóng)民,其次為經(jīng)商,再次為工人。發(fā)病誘因主要以七情內(nèi)傷和飲食不節(jié)為明顯誘因。結(jié)論:經(jīng)聚類分析四種證候類型主要辨證癥狀分別為:聚一類:胃脘及脅肋脹滿疼痛,反酸,噯氣,納差,煩躁抑郁,便秘,舌苔薄白,舌質(zhì)淡紅,脈弦。聚二類:胃脘脹滿隱痛,乏力,面色蒼白,胃部喜暖喜按,噯氣,納差,口淡,便溏,舌苔白,舌質(zhì)淡紅,脈細。聚三類:胃脘脹滿灼痛或脹痛,反酸,納差,口干,口苦,排便不爽,小便黃,舌苔黃厚或黃膩,舌質(zhì)紅,脈弦。聚四類:胃脘脹滿、灼痛、失眠、饑不思食、口干、便秘、舌質(zhì)紅、脈細。
[Abstract]:Objective: to collect the clinical data of the patients with gastric pain in chronic gastritis by epidemiological investigation, and to summarize the common syndrome types of gastric pain in chronic gastritis with the help of statistical methods, and the relationship between the sex, age, occupation, distribution and inducing factors of chronic gastritis, and try to find out the distribution law of the syndrome type of chronic gastritis in chronic gastritis. Methods: 600 patients with chronic gastritis diagnosed as chronic gastritis were collected from the digestive and digestive department of Guangxi University of traditional Chinese medicine. Analysis, cluster analysis and other statistical methods to analyze the data, summarize the common pattern of gastric pain in chronic gastritis and the influence of related factors. Results: through statistical analysis, 600 patients with chronic gastritis and stomach pain are divided into four categories, the first category is liver stomach disharmony, spleen qi stagnation, liver depression and spleen deficiency, liver and stomach depression, wet and spleen stomach, stomach collaterals stasis type, The second categories were: spleen and stomach weak, third types: spleen and stomach damp heat, cold and heat mixed, diet stagnation type, and fourth types of stomach yin deficiency type. Women more than men. Age group is most in middle age, second is old age, young. The most of the occupational distribution is farmer, second is business, again for workers. The main cause of disease is seven emotional internal injuries and diet. Conclusion: the main syndromes of the four types of syndromes are: gag and flank distention and pain of stomach and flank, antiacid, belching, dysphagia, irritability, depression, constipation, thin tongue, pale tongue, pale red tongue, pulse chord. The two types of stomach are distended, weak, pale, warm and happy in the stomach, belching, difference, palate, loose stool, loose stool, and tongue White tongue, pale red tongue and fine vein. Three types: stomach distended and swell or distended pain, acid, dysphasia, mouth dry, pain, defecation, yellow, yellow and yellow tongue, tongue red, pulse chord. Poly four types: stomach fullness, burning pain, insomnia, hunger and unthinkable food, dry mouth, constipation, dry mouth, constipation, lingual, and fine veins.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R256.3

【參考文獻】

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本文編號：1915618