本文選題：福州 + 糖尿病胃輕癱��； 參考：《福建中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:1、通過調查就診福建省立醫(yī)院的糖尿病胃輕癱(DGP)患者的主要癥狀,根據(jù)其癥狀得出對應證型,統(tǒng)計、分析其證候分布特點及規(guī)律。2、為福州地區(qū)糖尿病胃輕癱患者的中醫(yī)證候分型提供參考依據(jù),并進一步指導臨床DGP的中醫(yī)辨證治療。方法:1、通過查閱糖尿病胃輕癱相關資料,制定DGP常見基本證候類型診斷標準,設計科學合理的證候分型問卷調查表。利用臨床流行病學調研方法,通過現(xiàn)場問卷調查的形式,全面、規(guī)范、準確的收集相關資料,得出DGP中醫(yī)證型。2、總結、歸納糖尿病胃輕癱證候分布特點,進一步分析福州地區(qū)DGP中醫(yī)證候分布特點及規(guī)律。結果:1、糖尿病胃輕癱證型分布以兩證兼并為多,三證兼并次之,單獨證型較少,四證合并最少。2、糖尿病胃輕癱基本證候類型分布從多到少為:脾氣虛證胃陰虛證痰濕證濕熱證氣滯證=濕阻證=血瘀證脾陽虛證食積證。3、糖尿病胃輕癱中醫(yī)復合證型大于10例者分布情況為:脾虛夾濕證氣陰兩虛證陰虛夾濕證脾虛氣滯證陰虛夾瘀證脾虛血瘀證陰虛食積證脾虛食積證陰陽兩虛證。4、糖尿病胃輕癱患者基本證型性別分布:氣滯證患者女性明顯多于男性(P0.05),余證型性別分布與總樣本比較無差異。5、糖尿病胃輕癱基本證型平均年齡從小到大為:濕熱證痰濕證氣滯證脾氣虛證食積證胃陰虛證濕阻證血瘀證脾陽虛證。脾陽虛證、胃陰虛證、濕阻證、濕熱證、血瘀證年齡與總樣本年齡存在顯著性差異(P0.05)。6、糖尿病胃輕癱患者基本證型中脾陽虛證、濕熱證的糖尿病病程與總樣本比較存在顯著性差異(P0.05)。脾陽虛證糖尿病病程明顯大于總樣本糖尿病病程,濕熱證糖尿病病程明顯小于總樣本病程。7、糖尿病胃輕癱患者基本證型HP陽性率從高到低為痰濕證濕熱證脾氣虛證血瘀證氣滯證胃陰虛證濕阻證脾陽虛證食積證,其中痰濕證與濕熱證HP陽性率遠高于總樣本的陽性率,具有統(tǒng)計學意義(P0.05)。8、糖尿病胃輕癱患者基本證型BMI比較:胃陰虛證的BMI值明顯小于總樣本,痰濕證的BMI值明顯大于總樣本,其差異性具有統(tǒng)計學意義(P0.05)。結論:1、糖尿病胃輕癱病因為正虛邪犯,基本病機是脾胃功能失調,病位在脾、胃,病性為虛實夾雜,本虛標實,脾氣虛、胃陰虛、脾陽虛為本,食積、氣滯、濕阻、痰濁、濕熱、血瘀等為標。2、福州地區(qū)部分糖尿病胃輕癱患者主要中醫(yī)證型為脾虛濕阻證,氣陰兩虛證。3、福州地區(qū)部分糖尿病胃輕癱患者證候分布特點與性別、年齡、糖尿病病程、BMI、HP感染存在一定關系。
[Abstract]:Objective to investigate the main symptoms of patients with diabetic gastroparesis (DGP) in Fujian Provincial Hospital, and to obtain the corresponding syndromes according to their symptoms. The characteristics and regularity of syndromes distribution were analyzed in order to provide reference for TCM syndromes classification of diabetic gastroparesis patients in Fuzhou area and to further guide the treatment of TCM syndrome differentiation of clinical DGP. Methods: 1. By consulting the relevant data of diabetic gastroparesis, the diagnostic criteria of common basic syndromes of DGP were established, and a scientific and reasonable questionnaire for syndrome classification was designed. By using the method of clinical epidemiology investigation, through the form of field questionnaire survey, comprehensive, standardized and accurate collection of relevant data, the DGP TCM syndrome type. 2, summed up, summed up the characteristics of the distribution of diabetic gastroparesis syndrome. Further analysis of Fuzhou area DGP TCM syndromes distribution characteristics and laws. Results 1. The distribution of diabetes mellitus gastroparesis syndrome type was more than that of two syndrome, followed by three syndromes, and less individual syndrome type. The distribution of basic syndromes of diabetic gastroparesis from more to less is as follows: spleen deficiency syndrome, stomach yin deficiency syndrome, phlegm and dampness syndrome, dampness and heat syndrome, qi stagnation syndrome = dampness syndrome = blood stasis syndrome, spleen yang deficiency syndrome, food accumulation syndrome, and diabetic gastroparesis syndrome. The distribution of syndrome type greater than 10 cases is as follows: spleen deficiency and dampness syndrome qi and yin deficiency syndrome spleen deficiency dampness syndrome spleen deficiency qi stagnation syndrome spleen deficiency and blood stasis syndrome yin deficiency food accumulation spleen deficiency food accumulation yin and yang deficiency syndrome. 4 basic syndrome of diabetic gastroparesis patients Gender distribution: women with Qi stagnation syndrome were significantly more than men (P 0.05), and there was no difference between sex distribution of residual syndrome type and total sample. The average age of basic syndrome type of diabetic gastroparesis was from small to large: damp-heat syndrome, phlegm and dampness syndrome, qi stagnation syndrome and spleen qi deficiency syndrome. Stomach-yin deficiency syndrome dampness obstruction syndrome blood stasis syndrome spleen-yang deficiency syndrome. Spleen yang deficiency syndrome, stomach yin deficiency syndrome, dampness obstruction syndrome, damp-heat syndrome, blood stasis syndrome and total sample age were significantly different. There was significant difference between the course of diabetes and the total sample of damp-heat syndrome (P 0.05). The course of diabetes in spleen yang deficiency syndrome was obviously larger than that in total sample. The course of diabetes in damp-heat syndrome was obviously smaller than that in total sample. The HP positive rate of the basic syndrome type of diabetic gastroparesis was from high to low: phlegm and dampness syndrome, damp-heat syndrome, dampness and heat syndrome, qi stagnation syndrome, stomach yin deficiency syndrome, dampness stagnation syndrome, spleen yang deficiency syndrome, food accumulation syndrome. The positive rate of HP in phlegm dampness syndrome and damp-heat syndrome was much higher than that in total sample, which had statistical significance (P0.050.8.Compared with the BMI of basic syndrome type of diabetic gastroparesis, the BMI value of stomach yin deficiency syndrome was obviously lower than that of total sample, and the BMI value of phlegm dampness syndrome was obviously larger than that of total sample. The difference was statistically significant (P 0.05). Conclusion 1. The etiology of diabetes gastroparesis is the crime of positive deficiency and evil, the basic pathogenesis is the dysfunction of spleen and stomach, the disease is located in the spleen and stomach, the disease is mixed with deficiency and solid, the deficiency of spleen qi, the deficiency of stomach and yin, the deficiency of spleen and yang, the accumulation of food, qi stagnation, dampness obstruction, phlegm turbid. Dampness and heat, blood stasis were the standard. 2. The main TCM syndromes of some diabetic gastroparesis patients in Fuzhou area were spleen deficiency and dampness obstruction syndrome, Qi and Yin deficiency syndrome. The syndrome distribution characteristics, sex and age of some diabetic gastroparesis patients in Fuzhou area. The infection of BMIP HP was related to the course of diabetes.
【學位授予單位】：福建中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R259

【參考文獻】

相關期刊論文 前10條

1 李培彩;吳震宇;盧小芳;王佳佳;汪正芳;張恒鈺;楊雪;張聲生;;幽門螺桿菌感染相關疾病中醫(yī)證候分布的文獻研究[J];北京中醫(yī)藥;2016年01期

2 杜福;;甲鈷胺聯(lián)合多潘立酮治療糖尿病性胃輕癱的療效[J];糖尿病新世界;2015年16期

3 張子健;閆晨;張銘慧;高森;藍高爽;李正翔;;莫沙必利治療糖尿病性胃輕癱的系統(tǒng)評價[J];中國醫(yī)院用藥評價與分析;2015年03期

4 魏劍芬;陳冬;吳乃君;王穎;馬紹杰;;2型糖尿病合并胃輕癱患者血糖水平的臨床觀察[J];中國糖尿病雜志;2015年03期

5 薛萌;;莫沙必利與多潘立酮治療糖尿病性胃輕癱的臨床效果差異分析[J];中國現(xiàn)代藥物應用;2014年23期

6 褚璐;王建軍;邢曉燕;;糖尿病胃輕癱的早期診斷及發(fā)病機制探討[J];世界中醫(yī)藥;2014年09期

7 尚瑩瑩;黃天生;李良;嚴軍;張藝;肖定洪;胡春平;吳曉華;郭召平;;聚類分析和主成分分析在糖尿病胃輕癱中醫(yī)證型研究中的應用[J];遼寧中醫(yī)雜志;2014年08期

8 謝英姿;張茂華;;多潘立酮聯(lián)合中藥自擬和胃方對糖尿病胃輕癱患者治療的效果[J];世界華人消化雜志;2014年15期

9 雷輝;;糖尿病胃輕癱發(fā)病機制及治療方法分析[J];中國醫(yī)學創(chuàng)新;2014年01期

10 李君玲;田佳星;逄冰;劉洪興;李敏;;糖尿病胃輕癱發(fā)病機制研究概況[J];醫(yī)學研究雜志;2013年12期

相關博士學位論文 前1條

1 鄒卓成;電針治療糖尿病胃輕癱的療效及胃動力作用研究[D];廣州中醫(yī)藥大學;2011年

相關碩士學位論文 前7條

1 張冬冬;健脾通絡方治療糖尿病胃輕癱的臨床研究[D];華北理工大學;2015年

2 呂超;朱國茹教授治療糖尿病胃輕癱經(jīng)驗總結[D];遼寧中醫(yī)藥大學;2014年

3 周慎;連蘇飲加減方治療糖尿病胃輕癱臨床觀察[D];南京中醫(yī)藥大學;2014年

4 張靜毅;中醫(yī)辨證治療糖尿病胃腸病變的臨床研究[D];中國中醫(yī)科學院;2013年

5 趙蘭風;電針結合西藥治療糖尿病胃輕癱的臨床研究[D];廣州中醫(yī)藥大學;2011年

6 黎天沛;電針治療糖尿病胃輕癱胃動力障礙的臨床研究[D];廣州中醫(yī)藥大學;2010年

7 俞秋華;高天舒教授從痞論治糖尿病胃輕癱的經(jīng)驗總結[D];遼寧中醫(yī)藥大學;2008年

，

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