本文選題：崩漏 + 證型��； 參考：《新疆醫(yī)科大學》2017年碩士論文

【摘要】：目的:通過調(diào)查了解漢族與維吾爾族崩漏患者中醫(yī)證型和中醫(yī)體質(zhì)的分布規(guī)律及兩民族之間是否存在差異性,以及患者在崩漏證型上與自身的體質(zhì),兩者是否存在一定的關(guān)聯(lián)性,得出相應結(jié)論以更好的為患者診治和預防調(diào)護。方法:制定《崩漏癥狀及相關(guān)因素調(diào)查表》。崩漏相對應的辨證分型按照全身的癥狀、舌脈等進行收集。相關(guān)的體質(zhì)臨床資料收集參考王琦教授的《中醫(yī)體質(zhì)分類與判定表》�，F(xiàn)況調(diào)查研究2015年8月至2016年10月在新疆維吾爾族自治區(qū)中醫(yī)醫(yī)院就診的256例崩漏患者證型、體質(zhì)分型、年齡、文化程度以及經(jīng)期生活習慣的構(gòu)成比、頻數(shù)。比較按照相對應的民族、年齡、文化程度以及經(jīng)期生活習慣進行。結(jié)果:虛證在總體證型中占主導。漢族、維吾爾族各證型中漢族患者以脾虛證構(gòu)成比為最多,維吾爾族患者以腎虛證構(gòu)成比為最多。崩漏患者中漢族、維吾爾族的中醫(yī)證型分布差異有統(tǒng)計學意義(P0.O5)。崩漏患者中醫(yī)體質(zhì)分布最多的為氣郁質(zhì),其次為陽虛質(zhì)、陰虛質(zhì)以及痰濕質(zhì)。其中漢族患者以氣郁質(zhì)構(gòu)成比最多,其次為陽虛質(zhì),氣虛質(zhì),陰虛質(zhì)。維吾爾族患者占構(gòu)成比最多的體質(zhì)是痰濕質(zhì),其次是氣郁質(zhì),陰虛質(zhì),血瘀質(zhì),血熱質(zhì)以及陽虛質(zhì)。漢族與維吾爾族崩漏患者的體質(zhì)分布差異有統(tǒng)計學意義(P0.O5)。血瘀質(zhì)與證型之間存在差異,具有統(tǒng)計學意義(P0.O5)。結(jié)論:漢族、維吾爾族崩漏患者證型分布差異具有統(tǒng)計學意義。崩漏患者中醫(yī)體質(zhì)中以氣郁質(zhì)、陽虛、陰虛、痰濕分布較多。漢族、維吾爾族崩漏患者體質(zhì)分布差異有統(tǒng)計學意義。血瘀質(zhì)與證型分布上存在差異有統(tǒng)計學意義,提示說明體質(zhì)特征在某些情況下決定證候類型。
[Abstract]:Objective: to investigate the distribution of TCM syndromes and TCM constitution in patients of Han nationality and Uygur nationality, and whether there are differences between them, and to find out whether the patients have their own constitution on the type of insipidus and leakage. Whether there is a certain correlation between the two, draw the corresponding conclusions for better diagnosis and treatment of patients and prevention and nursing. Methods: to establish the questionnaire of symptom of insipidus and related factors. According to systemic symptoms, tongue veins and so on, the syndrome differentiation and classification of insipidus were collected. The related physique clinical data collected and referred to Professor Wang Qi's TCM Constitution Classification and judgment Table. From August 2015 to October 2016 in Xinjiang Uygur Autonomous region, 256 cases of syndrome type, physique type, age, education level and composition ratio of menstrual habits were investigated. The comparison was carried out according to the corresponding ethnic group, age, education level and menstrual habits. Results: deficiency syndrome dominates the overall syndrome type. In the Han nationality and Uygur nationality, the majority of Han patients were spleen deficiency syndrome and the most Uygur patients were kidney deficiency syndrome. The difference of TCM syndromes between Han and Uygur patients was statistically significant (P 0. 0. 0. 5). TCM constitution distribution of patients with insipidus was mostly qi-stagnation, followed by yang-deficiency, yin-deficiency and phlegm-dampness. The majority of Han patients were Qi stagnation, followed by Yang deficiency, Qi deficiency and Yin deficiency. The most common constitution of Uygur patients was phlegm and dampness, followed by qi stagnation, yin deficiency, blood stasis, blood heat and yang deficiency. The difference of constitution distribution between Han and Uygur patients was statistically significant (P 0. 0. 0. 5). There was significant difference between blood stasis and syndrome type (P 0. 0. 0. 5). Conclusion: the distribution of syndrome types in patients with insipidus in Han nationality and Uygur nationality has statistical significance. In the TCM constitution of patients with insipidus, qi-stagnation, yang-deficiency, yin-deficiency and phlegm-dampness are more widely distributed. The difference of constitution distribution between Han and Uygur patients was statistically significant. There was statistical significance between the distribution of blood stasis and syndromes, which suggested that the physique characteristics determined the types of syndromes in some cases.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R271.12

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