功能性便秘患者中医体质类型分布的初步研究

发布时间：2018-01-03 13:43

本文关键词：功能性便秘患者中医体质类型分布的初步研究　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过对功能性便秘患者病例的收集与观察,初步探讨功能性便秘患者的中医体质类型分布。旨在通过对功能性便秘人群中医体质的临床观察研究,探讨其体质类型分布,为中医药防治功能性便秘提供可以借鉴的依据。方法:通过临床问卷调查研究,收集功能性便秘患者184例,按照《中医体质分类与判定表》对其进行体质分型,并参照《慢性便秘中医诊疗共识意见》辨证标准进行证型分型。使用Microsoft Excel建立数据库并录入数据,运用SPSS20.0统计软件进行统计分析。结果:功能性便秘患者的中医体质类型分布有显著差异,出现的频率依次为阴虚质(30.43%)湿热质(16.3%)痰湿质(13.04%)阳虚质(9.79%)=气虚质(9.79%)平和质(8.7%)气郁质(6.52%)血瘀质(3.26%)特禀质(2.17%)。青年组、中年组、老年组的主要体质均为阴虚质、湿热质、痰湿质。功能性便秘患者在性别分布上,女性患者偏多。体重过低组主要为阴虚质、湿热质、气虚质、气郁质;体重正常组主要为阴虚质、湿热质、痰湿质;超重组主要为阴虚质、湿热质、平和质;肥胖组主要为痰湿质、阳虚质、气虚质。184例功能性便秘患者中有57例有便秘家族史,表明便秘家族史在一定程度上影响功能性便秘的形成。功能性便秘患者的中医证型分布有显著差异,其具体证型频数顺序为:津亏血少证(26.63%)肠道实热证(21.74%)脾肾阳虚证(19.02%)肺脾气虚证(17.39%)肠道气滞证(15.22%)。结论:功能性便秘患者的中医体质类型主要为阴虚质、湿热质、痰湿质。功能性便秘患者的中医证型主要为津亏血少证、肠道实热证、脾肾阳虚证。本研究初步探讨了功能性便秘患者的中医体质类型分布及中医证型分布,启示我们在临床上防治功能性便秘应辨病辨证结合辨体,通过调整患者的体质,以提高中医药疗效。
[Abstract]:Objective: to investigate the distribution of TCM constitution of functional constipation patients by collecting and observing the patients with functional constipation. To explore the distribution of its physical type, to provide a reference for TCM in the prevention and treatment of functional constipation. Methods: 184 patients with functional constipation were collected by clinical questionnaire investigation. According to the TCM constitution classification and judgment table, the constitution classification was carried out. According to the standard of TCM diagnosis and treatment of chronic constipation, the syndrome types were classified. Microsoft Excel was used to establish the database and input the data. Results: there were significant differences in the distribution of TCM physique types in functional constipation patients with functional constipation. The frequency of phlegm dampness and dampness is 13.04) Yang deficiency is 9.79 + + = deficiency of qi is 9.79)) peaceful substance is 8.7m). (the frequency of occurrence is: Yin deficiency: 30.43) dampness and heat (16. 3) phlegm and dampness are 13.04) Yang deficiency is 9.79 + + = qi deficiency is 9.79). Gas stagnation 6.52) blood stasis 3.26) the special nature of 2.17. Young group. In the middle age group, the main physical constitution of the old group were yin deficiency, dampness and heat, phlegm and dampness. The gender distribution of functional constipation patients was more than that of female patients, while that of low body weight group was mainly yin deficiency, dampness and heat, and deficiency of qi. Gas stagnation; The body weight of normal group was mainly yin deficiency, dampness and heat, phlegm and dampness. The superrecombination was mainly yin deficiency, dampness and heat, and calmness. In the obesity group, there were 57 cases with family history of constipation, including phlegm dampness, yang deficiency and qi deficiency. It shows that the family history of constipation affects the formation of functional constipation to some extent. The distribution of TCM syndromes in patients with functional constipation is significantly different. The frequency order of specific syndromes is as follows: Jin deficiency and blood deficiency syndrome is 26.63) intestinal heat syndrome is 21.74) spleen and kidney yang deficiency syndrome is 19.02) lung and spleen qi deficiency syndrome is 17.39) intestinal qi stagnation syndrome (. Conclusion: the type of TCM constitution of patients with functional constipation is mainly yin deficiency. The TCM syndromes of functional constipation patients are mainly the syndrome of deficiency of blood and deficiency of blood, and the syndrome of solid heat in intestine. This study preliminarily discussed the distribution of TCM constitution type and TCM syndrome type distribution in functional constipation patients, which enlightens us in clinical prevention and treatment of functional constipation should be combined with syndrome differentiation and body differentiation. By adjusting the physique of patients, to improve the efficacy of traditional Chinese medicine.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R256.35

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