成都中医药大学附属医院肥胖患者中医体质分析

发布时间：2017-12-28 04:33

本文关键词：成都中医药大学附属医院肥胖患者中医体质分析　出处：《成都中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的通过对肥胖患者的临床流行病学调查,研究和探讨成都中医药大学附属医院门诊肥胖患者的中医体质分布,中医证候类型,肥胖的并发症以及运动、生活习惯对肥胖发生的影响,完善中国和外国肥胖的中医辩证论治,更好地发挥中医药的优势,提高中医药防治肥胖的疗效。方法调查2014年1月至2016年1月成都中医药大学附属医院(门诊部、住院部)符合本研究纳入标准的肥胖患者。调查内容为肥胖患者的年龄、性别、身高、体重、腰围、BMI、血压、饮食习惯、运动量、并发症、家族病史、精神状态、吸烟史、饮酒史、月经情况(女性),FPG、TG、TC、HDL-C、ALT、 AST、尿酸,面色、舌色、舌形、苔质、苔色、脉象等中医四诊信息及中医体质信息。最终纳入了412例患者。采用SPSS 23.0统计软件来进行统计分析。结果(1) 肥胖人群412名,其中男性172例,占41.75%,女性240例,占58.25%,男女比例为1：1.4。(2)412例肥胖调查患者中,单纯体质324例,两种以上体质相兼者88例,各自所占比例分别为79%和21%。(3) 324例单纯体质患者中,平和质有65例(占20.06%)；气虚质50例(占15.43%);阳虚质10例(占3.09%)：阴虚质48例(占14.81%)；痰湿质76例(占23.46%)；湿热质58例(占17.90%)；血瘀质10例(占3.09%)；气郁质6例(占1.85%)；特禀质1例(占0.31%)。各种体质由多到少：痰湿质平和质湿热质气虚质阴虚质阳虚、血瘀质气郁特禀质。(4) 在青年人阶段(30岁),总体为114例,男性29例,女性85例。在中年阶段(30-59岁),总体为158例,男性89例,女性54例。在老年阶段(≥60岁),总体为85例,男性54例,女性58例。(5) 在412名肥胖病例中,45.87%的患者有糖尿病并发症,26.21%的患者有高血压并发症,16.50%的患者有脂肪肝病史并发症,其他肥胖并发症少于15%。结论本研究纳入的病例,多发于中年人,女性多于男性。中医体质方面,单纯体质324例,两种以上体质相兼88例。单纯体质的肥胖患者以痰湿质、平和质、湿热质为主。肥胖患者多与糖尿病、高血压病、脂肪肝合并。
[Abstract]:Objective: through the clinical epidemiological survey of obese patients, and study the distribution of TCM Constitution in obese patients in Affiliated Hospital of Chengdu University of Traditional Chinese Medicine clinic, TCM syndrome type, the complications of obesity and exercise and lifestyle effects on obesity and obesity, improve the China foreign Chinese dialectical theory of governance, better play the advantages of Chinese medicine to improve the curative effect. Chinese traditional medicine for the treatment of obesity. Methods to investigate the obesity patients in the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine (outpatient department and inpatient department) in accordance with the standard of the study from January 2014 to January 2016. The investigation content for obese patients' age and sex, height, weight, waist circumference, BMI, blood pressure, diet, exercise, complications, family history, mental status, smoking history, drinking history, menstruation (female), FPG, TG, TC, HDL-C, ALT, AST, uric acid, complexion, tongue color tongue, moss, moss, color, pulse and other four diagnostic information of TCM and TCM physical information. In the end, 412 patients were included. Statistical analysis was carried out by using SPSS 23 statistical software. Results (1) there were 412 obese people, of which 172 were male, 41.75% were male, 240 women, 58.25%, and the ratio of men and women was 1:1.4. (2) among the 412 cases of obesity, there were 324 cases of simple constitution and 88 cases of more than two kinds of physical concurrently. The proportion of each group was 79% and 21% respectively. (3) 324 cases of patients with simple constitution, normal constitution 65 cases (20.06%); 50 cases of qi deficiency (15.43%); 10 cases of Yang deficiency (3.09%): Yin deficiency in 48 cases (14.81%); phlegm dampness in 76 cases (23.46%); 58 cases (accounting for damp heat 17.90%); 10 cases of blood stasis (3.09%); 6 cases of Qi Stagnation (1.85%); 1 cases of special constitution (0.31%). A variety of physique from more to less: phlegm wet, wet and heat, Qi deficiency and Qi deficiency, yin deficiency and deficiency of Yang, blood stasis and qi stagnation quality. (4) at the stage of young people (30 years old), there were 114 cases, 29 men and 85 women. In the middle age (30-59 years old), the total was 158 cases, male 89 cases, and female 54 cases. In the old age (over 60 years), total 85 cases, male 54 cases, female 58 cases. (5) of the 412 obese cases, 45.87% had diabetes complications, 26.21% had hypertension complications, 16.50% had fatty liver history, and other obesity complications were less than 15%. Conclusion the cases included in this study are mostly in middle-aged people and more women than men. In the physique of traditional Chinese medicine, there were 324 cases of simple constitution, more than two kinds of physique and 88 cases. The obese patients with simple constitution were mainly phlegm, flat and qualitative, and humid heat. Obesity patients are mostly associated with diabetes, hypertension and fatty liver.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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