發(fā)布時間：2018-06-30 07:09

  本文選題：慢性阻塞性肺疾病 + 新疆和田　； 參考：《新疆醫(yī)科大學》2016年碩士論文

【摘要】：目的:調(diào)查分析新疆和田地區(qū)維漢兩民族慢阻肺患者及對比樣本中醫(yī)證候與西北燥證的罹患情況,探討新疆慢阻肺的證候特點及其與西北燥證的相關(guān)性。方法:1.問卷調(diào)查2015年7月間入住和田地區(qū)醫(yī)院、和田市醫(yī)院的慢阻肺患者作為病例組,共78例;同時按1:2比例,問卷調(diào)查和田地區(qū)相應(yīng)社區(qū)民族、年齡相同,年齡差別不大于5歲的非慢阻肺(包括非慢阻肺相關(guān)性疾病)的健康人群作為對照組,共156例。在兩組樣本之間開展病例對照研究。2.在兩組樣本中調(diào)查西北燥證罹患率。3.在病例組中調(diào)查慢阻肺癥狀表現(xiàn),以開展病情指數(shù)分析和中醫(yī)證候類型分析;并收集國內(nèi)慢阻肺中醫(yī)辨證論治論文進行文獻計量學分析,以襯托新疆慢阻肺的證候特點。4.統(tǒng)計分析中引入病情指數(shù)、證情指數(shù)、本病指數(shù)等計量學指標,并運用卡方檢驗、方差分析、相關(guān)分析和聚類分析等方法。結(jié)果:1.新疆和田地區(qū)慢阻肺患者西北燥證罹患率(51.28%)顯著高于對照組(12.82%),慢阻肺之罹患西北燥證與否的優(yōu)勢比OR值為7.16。2.慢阻肺病人中,其患有西北燥證者之病情指數(shù)、證情指數(shù)均高于非患者(P0.01或P0.05),前者之病情分級重于后者,而證候構(gòu)成復(fù)雜程度亦大于后者。3.維漢兩民族在對照組中西北燥證罹患率有差別,女性西北燥證罹患率高于男性,病例組維族西北燥證罹患率高于漢族,乃因其病情重于漢族所致;病例組維吾爾族患者病情指數(shù)、病情分級均高于漢族;漢族之風燥傷肺證情指數(shù)大于維族,維族之痰瘀阻肺和外寒內(nèi)飲證情指數(shù)大于漢族;維吾爾族患者之西北燥證主證證情輕于漢族,而其兼證證情則高于漢族。4.性別分析顯示,女性慢阻肺西北燥證患者病情重于男性;而無論病例組或?qū)φ战M,女性病人西北燥證罹患率(55.88%,17.64%)均高于男性(47.72%,9.09%)(P0.05)。5.年齡分析顯示,年齡越大,慢阻肺病情指數(shù)、證情指數(shù)越高,西北燥證罹患率及其證情指數(shù)亦高。6.西北燥證主兼證在慢阻肺患者中均可見到,西北燥證之肺心脾風火燥證與慢阻肺之5個證候關(guān)系最密切。7.與國內(nèi)慢阻肺文獻相比,新疆慢阻肺穩(wěn)定期多發(fā)癥狀以口干、口苦、畏寒、痰鳴等出現(xiàn)頻次高出國內(nèi),而以納呆、便溏等出現(xiàn)頻次低于國內(nèi);證候結(jié)構(gòu)比較,兩者氣虛痰阻、氣陰兩虛、痰瘀阻肺這3個證候出現(xiàn)頻次基本相當,而新疆慢阻肺穩(wěn)定期的風燥傷肺、肝火犯肺、外寒內(nèi)飲證候出現(xiàn)頻次多于國內(nèi);新疆慢阻肺穩(wěn)定期以外寒內(nèi)飲為本病證候,而國內(nèi)本病證候為氣虛痰阻。結(jié)論:1.新疆和田地區(qū)慢阻肺病人西北燥證罹患率高于非罹患者,西北燥證主兼證在和田地區(qū)慢阻肺患者均可見到,西北燥證與慢阻肺的罹患關(guān)系非常密切,西北燥證之肺心脾風火燥證對慢阻肺影響最大。2.維族慢阻肺患者病情和證情重于漢族,兩民族病人證候結(jié)構(gòu)有所不同;男女慢阻肺病人病情差別不顯著,但女性較男性易患西北燥證;年齡大者其病情、證情、西北燥證罹患情況較重。3、與國內(nèi)比較,新疆和田地區(qū)慢阻肺穩(wěn)定期的癥狀特點是口干、口苦、畏寒、痰鳴等;證候特點是風燥傷肺、肝火犯肺、外寒內(nèi)飲等這些證候;本病證候為外寒內(nèi)飲,亦不同于國內(nèi)。
[Abstract]:Objective: To investigate and analyze the incidence of TCM syndrome and Northwest Dryness Syndrome of the patients with slow resistance lung of the two ethnic groups in Xinjiang and the Hetian region, and to explore the syndrome characteristics of the chronic obstructive pulmonary disease in Xinjiang and the correlation with the Northwest Dryness Syndrome. Methods: 1. questionnaires were conducted to investigate the chronic obstructive pulmonary patients in Hetian hospital in July 2015 and the patients with chronic obstructive pulmonary disease in Hetian hospital as a disease. In a total of 78 cases, a total of 156 cases of non slow resistance lung (including non slow obstructive pulmonary related diseases) were selected as the control group according to the proportion of 1:2 in the corresponding community nationalities, age differences not more than 5 years old (including non slow resistance lung related diseases), and a total of 156 cases were studied in the two groups of samples. The investigation of the Northwest Dryness Syndrome in the two groups of samples was conducted by.2.. Rate.3. was used to investigate the symptoms of chronic obstructive pulmonary disease in the case group, to carry out the analysis of the disease index and the type of TCM syndrome, and to collect the bibliometric analysis of the Chinese traditional Chinese medicine syndrome differentiation for chronic obstructive pulmonary disease, and to introduce the index, the syndrome index, the disease index, and so on in the statistical analysis of the syndrome characteristics of the chronic obstructive pulmonary disease in Xinjiang in the.4. statistical analysis. And using chi square test, analysis of variance, correlation analysis and cluster analysis. Results: 1. the incidence of Northwest Dryness Syndrome (51.28%) in 1. Xinjiang Hetian patients was significantly higher than that of the control group (12.82%). The dominant ratio of the slow resistance lung to northwest dryness was 7.16.2. in the patients with chronic obstructive pulmonary disease, and the disease index of the northwest dryness syndrome was confirmed. The index of the situation was higher than that of the non patients (P0.01 or P0.05), the former was heavier than the latter, and the complexity of the syndrome was more complex than the latter.3. Wei Han nationality. The incidence of dryness syndrome was higher in the control group than in the control group. The incidence rate of the Northwest Dryness Syndrome in the female was higher than that of the male, and the incidence rate of the West North dryness syndrome in the case group was higher than that of the Han nationality, but the disease was heavier than the Han nationality in the case group. The disease index of Uygur patients in the case group is higher than that of the Han nationality, and the index of lung syndrome in the Han nationality is greater than that of the Uygur, and the index of phlegm and blood stasis in the Uygur nationality is greater than that of the Han nationality, and the main syndrome of the Northwest Dryness Syndrome of Uygur patients is less than that of the Han nationality, but the syndrome is higher than the Han.4. sex analysis, and the female is higher than the Han nationality. The incidence of Northwest Dryness Syndrome of sexual slow resistance lung was more serious than that of male, while the incidence rate of Northwest Dryness Syndrome (55.88%, 17.64%) in female patients (55.88%, 17.64%) was higher than that of men (47.72%, 9.09%) (P0.05).5. age analysis showed that the older the age, the more chronic obstructive pulmonary disease index, the higher the index of syndrome, the incidence of Northwest Dryness Syndrome and the higher.6. northwest dryness. The 5 syndromes of the lung, heart, spleen, wind, heat and dryness syndrome of the Northwest Dryness Syndrome and the 5 syndromes of the slow resistance lung were most closely related to the chronic obstructive pulmonary disease in the Northwest Dryness Syndrome. Compared with the domestic slow resistance lung literature, the frequent symptoms in the stable stage of Xinjiang's slow resistance lung were higher than the domestic, while the frequent occurrence frequency of dry mouth, pain, cold and phlegm was higher than the domestic. Syndrome structure comparison, both qi deficiency phlegm resistance, Qi Yin deficiency, phlegm and stagnation of lung these 3 syndrome frequency basically equal, but Xinjiang slow resistance lung stable period of wind dryness lung, liver fire, lung, external cold internal drinking syndrome frequency more frequent than the domestic; Xinjiang slow resistance lung stability outside cold internal drink for this disease syndrome, and domestic syndrome is Qi deficiency phlegm resistance. Conclusion: 1. the incidence of Northwest Dryness Syndrome of chronic obstructive pulmonary patients in Xinjiang Hetian area is higher than that of non patients. The Northwest Dryness Syndrome is very close to the chronic obstructive pulmonary patients in Hetian area. The relationship between the Northwest Dryness Syndrome and the slow resistance lung is very close. The lung, spleen and wind and fire syndrome of the Northwest Dryness Syndrome have the most influence on the slow hindrance lung patients with the slow hindrance of the lung and the syndrome of the.2.. The syndrome structure of the two ethnic group was different, and the difference of the patient's disease was not significant, but the female was more susceptible to the northwest dryness syndrome than the male. The age of the patients with the disease, the syndrome and the northwest dryness syndrome were.3. The symptom characteristics of the stable period of the slow resistance lung in Xinjiang Hetian area were dry mouth, bitter, cold, phlegm and so on. These syndromes are wind dryness, lung injury, liver fire invading the lung, external cold and internal drinking. This syndrome is external cold internal drinking, and also different from domestic.
【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】：2016
【分類號】：R259

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