西北燥证与新疆不同民族冠心病中医体质相关性研究

发布时间：2018-01-29 14:20

本文关键词： 西北燥证冠心病中医体质民族　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:1)比较新疆维、汉、哈族冠心病患者中医体质差异,进一步探讨新疆维、汉、哈族罹患西北燥证冠心病患者与非罹患西北燥证冠心病患者中医体质的异同;2)探寻西北燥证与新疆汉、维、哈不同民族冠心病发病、病理变化及预后的内在关系。方法:运用横断面调查的方法收集2015年12月-2016年12月在新疆维吾尔自治区中医院以冠心病为第一诊断且西医确诊的冠心病和中医诊断为胸痹的住院患者例850例,健康人群100例,制定冠心病及中医体质类型计量计分调查表,调查并按统一规定填写调查表。采用标准化的9种中医体质量表对冠心病患者实施中医体质辨识,运用统计学方法分析冠心病患者中医体质特点,比较罹患与非罹患西北燥证中医体质的异同。结果:1)分析850例冠心病患者体质与燥证的关系发现,六组间(阳虚质、阴虚质、气虚质、痰湿质、血淤质、平和质、余为兼夹体质)燥证的患病率差异有统计学意义,P0.05;2)不同性别、年龄、民族、饮食习惯、居住环境、生化检查与燥证的患病率关系,有统计学意义P0.05;3)分析人群的冠心病与燥证的关系,各组间燥证患病率均无统计学差异,即P0.05;4)分析100例健康体检人群与850例冠心病人中医体质、燥证与冠心病的关系,P0.001差异有统计学意义;结论:本研究发现新疆维汉哈不同民族冠心病患者中医体质具有差异,维吾尔族阳虚、阴虚体质明显多于汉族与哈萨克族,汉族、哈萨克族平和质多于维吾尔族;燥证和体质在冠心病的发生、发展中存在着某种相关性。
[Abstract]:Objective: to compare the physique differences of coronary heart disease (CHD) patients in Xinjiang, Han and Kazak, and to further explore the Uygur and Han in Xinjiang. The similarities and differences of TCM constitution between patients with northwest dryness syndrome coronary heart disease and non-northwest dryness coronary heart disease patients; 2) to explore the relationship between northwest dryness syndrome and coronary heart disease of Han, Wei and Kazakh nationalities in Xinjiang. Relationship between pathological changes and prognosis. Methods:. The cross-sectional investigation was used to collect the hospitalization in Xinjiang Uygur Autonomous region Hospital of traditional Chinese Medicine from December 2015 to December 2016, with coronary heart disease as the first diagnosis and Western medicine as the diagnosis of coronary heart disease and traditional Chinese medicine diagnosis as chest arthralgia. There were 850 cases. 100 healthy people, coronary heart disease and traditional Chinese medicine constitution type measurement score questionnaire. To investigate and fill out the questionnaire according to the unified regulations. 9 kinds of standardized TCM physique scale were used to identify the TCM constitution of patients with coronary heart disease and the statistical method was used to analyze the characteristics of TCM constitution of patients with coronary heart disease. Results the relationship between physical constitution and dryness syndrome of 850 patients with coronary heart disease was analyzed. It was found that there were six groups (yang deficiency, yin deficiency, qi deficiency and phlegm dampness). There was significant difference in the prevalence rate of blood stasis, calmness, and the rest of the syndrome of dryness (P 0.05). 2) the relationship between sex, age, nationality, eating habits, living environment, biochemical examination and the prevalence of dryness syndrome was statistically significant (P0.05); 3) analyzing the relationship between coronary heart disease and dryness syndrome, there was no statistical difference in the prevalence of dryness syndrome among the groups, that is, P0.05. 4) the relationship between TCM constitution and dryness syndrome and coronary heart disease (CHD) was analyzed in 100 healthy people and 850 patients with coronary heart disease. Conclusion: this study found that there are differences in TCM constitution of patients with coronary heart disease in different nationalities in Weihanha, Uygur nationality is obviously more than Han nationality, Kazak nationality and Han nationality. The peaceful quality of Kazak is more than that of Uygur. Dryness syndrome and constitution in the occurrence, development of coronary heart disease, there is a certain correlation.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

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