本文選題：腦卒中 + 高危人群��； 參考：《福建中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：通過對(duì)腦卒中高危人群進(jìn)行中醫(yī)體質(zhì)判定及分析,探討腦卒中高危人群中醫(yī)體質(zhì)分布規(guī)律,為中醫(yī)藥干預(yù)腦卒中高危人群提供依據(jù)。方法：根據(jù)衛(wèi)生部《2014年度腦卒中高危人群篩查和干預(yù)項(xiàng)目工作手冊(cè)》,對(duì)福建中醫(yī)藥大學(xué)附屬第二人民醫(yī)院健康管理中心體檢人群中符合入選標(biāo)準(zhǔn)者進(jìn)行腦卒中危險(xiǎn)因素的調(diào)查,進(jìn)而篩選出腦卒中高危人群；根據(jù)《中醫(yī)體質(zhì)分類與判定量表》對(duì)篩選出的腦卒中高危人群進(jìn)行中醫(yī)體質(zhì)判定,分析腦卒中高危人群中醫(yī)體質(zhì)分布規(guī)律。結(jié)果：1.本課題剔除資料不完善者412例,共收集12749例研究對(duì)象。其中男性占總?cè)藬?shù)50.83%,女性占總?cè)藬?shù)49.17%。在年齡分布上,40～50歲年齡段占總?cè)藬?shù)34.21%,51～60歲年齡段占總?cè)藬?shù)33.00%,61～70歲年齡段占總?cè)藬?shù)32.79%。經(jīng)檢驗(yàn),性別、年齡均無統(tǒng)計(jì)學(xué)差異。地區(qū)分布五區(qū)八縣均有涵蓋,職業(yè)分布以機(jī)關(guān)、企事業(yè)單位為主體人群,各職業(yè)分布存在較大差異。12749例研究對(duì)象篩選出腦卒中高危人群1132例,其中男性占總?cè)藬?shù)82.60%,女性占總?cè)藬?shù)17.40%,男性顯著多于女性。在年齡分布上,以40～50歲年齡段居多。年齡最小40歲,最大70歲,平均年齡(50.36±7.99)歲。2.腦卒中高危人群危險(xiǎn)因素總體分布為：血脂異常很少進(jìn)行體育運(yùn)動(dòng)吸煙明顯超重或肥胖高血壓病史糖尿病腦卒中家族史房顫或明顯的脈搏不齊。在性別分布上,男性與總體分布類似,女性在高血壓危險(xiǎn)因素上明顯增加。在年齡分布上,40～50歲年齡段與總體分布類似,51～60歲年齡段除吸煙有所下降外,余分布特點(diǎn)與總體分布相似,61～70歲年齡段高血壓病史已排名首位危險(xiǎn)因素,房顫也略有所升。3.腦卒中高危人群中醫(yī)體質(zhì)類型總體分布為：平和質(zhì)氣虛質(zhì)痰濕質(zhì)濕熱質(zhì)陽虛質(zhì)氣郁質(zhì)陰虛質(zhì)瘀血質(zhì)特稟質(zhì)。在性別分布上,男性與總體分布類似,女性在氣郁質(zhì)和陰虛質(zhì)上有所增加。在年齡上,40～50歲年齡段與總體分布類似,51～60歲年齡段陽虛體質(zhì)有所增加,61～70歲年齡段陽虛、陰虛體質(zhì)有所增加。氣虛質(zhì)、陽虛質(zhì)在三個(gè)年齡段呈逐漸上升的趨勢(shì),氣郁質(zhì)則逐漸下降。4.腦卒中高危人群各中醫(yī)體質(zhì)在危險(xiǎn)因素的分布上,除特稟體質(zhì)外,其余八種體質(zhì)大致均以血脂異常、很少進(jìn)行體育運(yùn)動(dòng)、吸煙和明顯超重或肥胖這四種危險(xiǎn)因素排名前位,危險(xiǎn)因素的分布并無太大差異。5.腦卒中高危人群濕熱質(zhì)年齡小于平和質(zhì)、氣虛質(zhì)和陽虛質(zhì),陽虛質(zhì)年齡大于痰濕質(zhì)、濕熱質(zhì)和氣郁質(zhì)。結(jié)論：1.腦卒中高危人群男性顯著多于女性,以40～50歲年齡段居多�？傮w危險(xiǎn)因素分布以血脂異常、很少進(jìn)行體育運(yùn)動(dòng)、吸煙和明顯超重或肥胖為主,應(yīng)加強(qiáng)在飲食、運(yùn)動(dòng)等生活習(xí)慣的健康管理以控制危險(xiǎn)因素的發(fā)展；女性在血壓方面需加以重視；年齡大者需特別注意心臟問題。2.腦卒中高危人群總體中醫(yī)體質(zhì)類型分布除平和質(zhì)外,偏頗體質(zhì)以氣虛質(zhì)、痰濕質(zhì)、濕熱質(zhì)和陽虛質(zhì)為主；女性在氣郁質(zhì)和陰虛質(zhì)上有所增加；年齡大者在氣虛質(zhì)、陽虛質(zhì)和陰虛質(zhì)上有所增加。
[Abstract]:Objective: To investigate the constitution of TCM Constitution and analyze the constitution of Chinese Medicine Constitution for high risk population of stroke, and to provide the basis for Chinese medicine to interfere with the high risk population of stroke. Method: according to the work manual of screening and intervention items for the high-risk population of stroke in <2014 of the Ministry of health, affiliated to Fujian University of traditional Chinese medicine (TCM) In Second People's Hospital Health Management Center, the risk factors of stroke were investigated and the risk factors for stroke were investigated, and then the high risk population of stroke was screened. According to the Constitution and decision scale of Chinese medicine, the constitution of Chinese medical constitution was determined and the constitution of TCM Constitution of the high risk population of stroke was analyzed. Results: 1. the total number of 12749 subjects was collected in 412 cases. The total number of men accounted for 50.83%, women accounted for the total number of 49.17%. in the age distribution, 40~50 years old age accounted for 34.21%, 51~60 age group accounted for 33%, 61~70 years old age group accounted for the total number of 32.79%. through test, sex, age There were no statistical differences. The distribution of regional distribution in five districts and eight counties was covered. The distribution of occupations was mainly by organs, enterprises and institutions as the main group. There were significant differences in the distribution of occupational groups. 1132 cases of high risk of stroke were screened by.12749 cases. The total number of men accounted for 82.60%, women accounted for 17.40%, and male was significantly more than women. On the cloth, the majority of the age group of 40~50 years old, the age of 40 years, the maximum 70 years old, the average age (50.36 + 7.99) years (50.36 + 7.99), the overall distribution of risk factors in the high risk population of.2. stroke. At the age distribution, the 40~50 year old age segment was similar to the overall distribution, and the 51~60 year old age segment was similar to the overall distribution except smoking. The history of high blood pressure in the age of 61~70 was the first risk factor, and the atrial fibrillation was also slightly higher. The general distribution of TCM Constitution Types in high risk population of.3. stroke was as follows: flat, Qi deficiency, damp heat, damp heat, damp heat, Yang deficiency, Qi and qi stagnation, yin deficiency, yin deficiency and blood stasis. In sex distribution, male and overall distribution were similar, women increased in Qi depression and yin deficiency. At age, the age of 40~50 was similar to the overall distribution, 51~60 The physique of Yang deficiency in the age group increased, the age of 61~70 years was Yang deficiency and the deficiency of yin deficiency was increased. Qi deficiency and yang deficiency were gradually rising in the three ages. Qi depression gradually decreased the distribution of the risk factors of the TCM Constitution of.4. stroke high-risk groups. Except for the special constitution, the other eight kinds of physique were generally different from blood lipid. Often, few sports, smoking, and obvious overweight or obesity were the four risk factors, and the distribution of risk factors was not much different..5. high risk population of high risk of stroke was less than flat and mass, Qi deficiency and yang deficiency, Yang deficiency age was greater than phlegm, wet heat and Qi and qi depression. Conclusion: 1. men with high risk of stroke are male. More than women, more than women, with the majority of the age of 40~50. The overall risk factors are abnormal in blood lipids, few sports, smoking and obvious overweight or obesity. We should strengthen the health management of living habits such as diet and exercise to control the development of risk factors; women should pay attention to the blood pressure; the older people need special attention. Do not pay attention to the heart problems of the.2. high risk population of stroke in general, the general constitution of traditional Chinese medicine distribution except for flat and qualitative, biased constitution with Qi deficiency, phlegm wet quality, damp heat and yang deficiency quality mainly; women in qi depression and yin deficiency quality have increased; older people in Qi deficiency, Yang deficiency and yin deficiency increase.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R277.7

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