泄泻患者证候相关因素分析
发布时间：2018-08-27 16:43
【摘要】：目的:本研究采用流行病调查方法,对慢性泄泻患者一般情况及饮食情况、情志状态、工作情况等进行调查,分析探讨泄泻证型和影响因素之间的关系,通过分析泄泻患者证型与不同影响因素之间相关性,旨在能给临床医生对泄泻的辨证分型、诊治和防治以及患者生活质量的改善提供一定的理论依据和参考指导。方法:文献研究整理了中医和现代医学对于泄泻的认识的相关文献,归纳、总结出影响泄泻证型形成的影响因素,并构建慢性泄泻患者调查表,在广州中医药大学脾胃病门诊和普通门诊开展问卷调研,运用SPSS22.0统计软件进行数据统计分析:1.描述性分析,对调查对象性别、年龄、职业等的分布情况进行统计描述;2.Kruskal-Wallis H秩和检验和卡方检验:对肥甘厚味食物摄入情况、肉食摄入情况、工作时间的关系进行分析;3.多因素logistics回归分析:用logistics回归分析对泄泻证型差异有统计学意义的影响因素进行分析。结果:通过对101例功慢性泄泻患者86人,慢性泄泻急性发作15人的一般情况、饮食情况、情志状态、工作情况等调查显示:经常摄入肥甘厚味食物对于肠道湿热型或食滞肠胃型泄泻的形成有影响,χ~2=14.40,P0.001,各证型间的肉类食品摄入有统计学差异;经常摄入肉类食物对于食滞肠胃型泄泻的形成有影响,χ~2=14.40,P=0.006,各证型间的肉类食品摄入有统计学差异;经常喝酒对于肠道湿热型泄泻的形成的有影响,χ~2=12.98,P=0.011,各证型间的饮酒情况有统计学差异;平时情志状况对于肝气郁滞型泄泻的形成有影响,χ~2=11.27,P=0.024,各证型间平时的情志状况有统计学差异(p0.05);工作时间对于肝气郁滞型泄泻的形成有影响,χ~2=10.62,P=0.031,各证型间的工作时间有统计学差异;失眠对于肝气郁滞型泄泻和脾气亏虚型泄泻的形成有影响,χ~2=35.01,P0.001,各证型间的失眠情况有统计学差异(p0.05)。结论:经常摄入肥甘厚味食物对于形成肠道湿热型或食滞肠胃型的泄泻有影响;经常摄入肉类食物对于食滞肠胃型的泄泻有影响;经常喝酒对于肠道湿热型泄泻的形成的有关系;平时情志状况对于肝气郁滞型泄泻的形成有影响;工作时间对于肝气郁滞型泄泻的形成有影响;失眠对于肝气郁滞型泄泻和脾气亏虚型泄泻的形成有影响。综上所得,居住在广州地区的慢性泄泻患者应减少甚至避免肥甘厚味的摄入,平时控制好肉类食物的摄入,减少酒精类饮品的摄入,尽量保持心情舒畅,控制好工作时间,尽可能提高睡眠质量,这些举措都有可能有减少泄泻患者的发病频率和减轻发病时的症状。同时临床医生在对于泄泻患者的辨证论治时也可以适当参考
[Abstract]:Objective: to investigate the general and dietary status, emotional status, work status of patients with chronic diarrhea by epidemiological survey, and to analyze the relationship between the type of diarrhea and the influencing factors. By analyzing the correlation between the syndrome types of patients with diarrhea and different influencing factors, the purpose of this paper is to provide some theoretical basis and reference guidance for clinicians in the differentiation of symptoms and signs, diagnosis, treatment, prevention and treatment, and improvement of patients' quality of life. Methods: literature review was conducted on the knowledge of diarrhea in TCM and modern medicine. The factors influencing the formation of diarrhea syndrome were summarized, and the questionnaire for patients with chronic diarrhea was constructed. A questionnaire survey was conducted in the outpatient and general outpatient department of Guangzhou University of traditional Chinese Medicine, and the data were analyzed by SPSS22.0 software: 1. 1. Descriptive analysis. The distribution of sex, age and occupation were analyzed. 2. Kruskal-Wallis H rank sum test and chi-square test. The relationships among fat and sweet food intake, meat intake and working hours were analyzed. Multivariate logistics regression analysis: logistics regression analysis was used to analyze the influencing factors of the type of diarrhea. Results: in 101 cases of chronic diarrhea, 86 patients with chronic diarrhea and 15 patients with acute episode of chronic diarrhea were investigated. The investigation of work conditions showed that regular intake of fat and thick taste food had an effect on the formation of diarrhea of intestinal dampness and heat type or stomach stagnation type, 蠂 ~ (2 +) (蠂 ~ (2) ~ (14) 40 ~ (th) P _ (0.001), and there was significant difference in the intake of meat food among different syndrome types. Regular intake of meat food had an effect on the formation of gastroenteric diarrhea, 蠂 ~ 2 ~ 2 ~ (14. 40) P ~ (0.006), and there was a significant difference in the intake of meat food among different syndrome types. Frequent drinking had an effect on the formation of diarrhea of intestinal dampness and heat type, 蠂 ~ (2 +) 212.98% P0. 011, and there was statistical difference among different syndrome types. The normal emotional status had an effect on the formation of diarrhea with stagnation of liver-qi, 蠂 ~ 2 ~ 2 ~ (11.27) / P ~ (0.024). There was a significant difference in the normal state of emotion among the syndrome types (p0.05), and the working time had an effect on the formation of diarrhea with stagnation of liver-qi, 蠂 ~ (2 +) + 10.62% P0.031, and the working time of each syndrome type was statistically different. Insomnia had an effect on the formation of diarrhea with stagnation of liver-qi and diarrhea with deficiency of temper, 蠂 ~ (2 +) = 35.01 ~ (1) P 0.001, and there was significant difference in insomnia among different syndromes (p0.05). Conclusion: regular intake of fat and thick taste food has influence on diarrhea of intestinal damp-heat type or stomach stagnation type, and regular intake of meat food has influence on diarrhea of intestinal and stomach stagnation type. Regular drinking has a relationship with the formation of intestinal dampness and heat type diarrhea; usually the emotional state has an effect on the formation of the type of diarrhea with stagnation of liver-qi, and the working time has an effect on the formation of the type of diarrhea of the type of stagnation of liver-qi. Insomnia has an effect on the formation of diarrhea with stagnation of liver-qi and diarrhea with deficiency of temper. To sum up, patients with chronic diarrhea living in the Guangzhou area should reduce or even avoid the ingestion of fat, sweet and thick taste, control the intake of meat food, reduce the intake of alcoholic drinks, try to keep their mood at ease, and control their working hours as far as possible. To improve sleep quality as much as possible, these measures may reduce the frequency of diarrhea patients and reduce symptoms. At the same time, the clinicians can also refer to the syndrome differentiation of patients with diarrhea.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R256.34
本文编号：2207848
[Abstract]:Objective: to investigate the general and dietary status, emotional status, work status of patients with chronic diarrhea by epidemiological survey, and to analyze the relationship between the type of diarrhea and the influencing factors. By analyzing the correlation between the syndrome types of patients with diarrhea and different influencing factors, the purpose of this paper is to provide some theoretical basis and reference guidance for clinicians in the differentiation of symptoms and signs, diagnosis, treatment, prevention and treatment, and improvement of patients' quality of life. Methods: literature review was conducted on the knowledge of diarrhea in TCM and modern medicine. The factors influencing the formation of diarrhea syndrome were summarized, and the questionnaire for patients with chronic diarrhea was constructed. A questionnaire survey was conducted in the outpatient and general outpatient department of Guangzhou University of traditional Chinese Medicine, and the data were analyzed by SPSS22.0 software: 1. 1. Descriptive analysis. The distribution of sex, age and occupation were analyzed. 2. Kruskal-Wallis H rank sum test and chi-square test. The relationships among fat and sweet food intake, meat intake and working hours were analyzed. Multivariate logistics regression analysis: logistics regression analysis was used to analyze the influencing factors of the type of diarrhea. Results: in 101 cases of chronic diarrhea, 86 patients with chronic diarrhea and 15 patients with acute episode of chronic diarrhea were investigated. The investigation of work conditions showed that regular intake of fat and thick taste food had an effect on the formation of diarrhea of intestinal dampness and heat type or stomach stagnation type, 蠂 ~ (2 +) (蠂 ~ (2) ~ (14) 40 ~ (th) P _ (0.001), and there was significant difference in the intake of meat food among different syndrome types. Regular intake of meat food had an effect on the formation of gastroenteric diarrhea, 蠂 ~ 2 ~ 2 ~ (14. 40) P ~ (0.006), and there was a significant difference in the intake of meat food among different syndrome types. Frequent drinking had an effect on the formation of diarrhea of intestinal dampness and heat type, 蠂 ~ (2 +) 212.98% P0. 011, and there was statistical difference among different syndrome types. The normal emotional status had an effect on the formation of diarrhea with stagnation of liver-qi, 蠂 ~ 2 ~ 2 ~ (11.27) / P ~ (0.024). There was a significant difference in the normal state of emotion among the syndrome types (p0.05), and the working time had an effect on the formation of diarrhea with stagnation of liver-qi, 蠂 ~ (2 +) + 10.62% P0.031, and the working time of each syndrome type was statistically different. Insomnia had an effect on the formation of diarrhea with stagnation of liver-qi and diarrhea with deficiency of temper, 蠂 ~ (2 +) = 35.01 ~ (1) P 0.001, and there was significant difference in insomnia among different syndromes (p0.05). Conclusion: regular intake of fat and thick taste food has influence on diarrhea of intestinal damp-heat type or stomach stagnation type, and regular intake of meat food has influence on diarrhea of intestinal and stomach stagnation type. Regular drinking has a relationship with the formation of intestinal dampness and heat type diarrhea; usually the emotional state has an effect on the formation of the type of diarrhea with stagnation of liver-qi, and the working time has an effect on the formation of the type of diarrhea of the type of stagnation of liver-qi. Insomnia has an effect on the formation of diarrhea with stagnation of liver-qi and diarrhea with deficiency of temper. To sum up, patients with chronic diarrhea living in the Guangzhou area should reduce or even avoid the ingestion of fat, sweet and thick taste, control the intake of meat food, reduce the intake of alcoholic drinks, try to keep their mood at ease, and control their working hours as far as possible. To improve sleep quality as much as possible, these measures may reduce the frequency of diarrhea patients and reduce symptoms. At the same time, the clinicians can also refer to the syndrome differentiation of patients with diarrhea.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R256.34
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