糖尿病心肌病的中医证型分布研究

发布时间：2018-02-26 02:27

本文关键词： 糖尿病心肌病中医证型分布　出处：《大连医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本研究通过临床回顾性调查分析的方式,利用M i c r o s o f t E x c e l和统计学方法,探讨糖尿病心肌病的中医证型分布的规律及特点,为糖尿病心肌病的诊疗提供客观科学的依据,以便于更好地服务于临床。方法:1.采集从2 0 1 5年1月至2 0 1 6年1 2月到大连医科大学附属第二医院中医科及内分泌科门诊就诊及病房住院的患者,按照相关的诊断标准、排除标准、纳入标准,采用调查及问卷的方式,采集糖尿病心肌病患者1 1 9例。2.应用M i c r o s o f t E x c e l表格的形式记录患者相关信息。3.分析、归纳糖尿病心肌病各中医证型的分布情况。4.利用S P S S 2 2.0统计分析各中医证型间的差异性。结果:对采集的1 1 9例糖尿病心肌病患者数据进行统计分析,得到如下结论:1.中医证型分布情况,按发生率多少依次排序为:气阴两虚证、痰瘀互结证、阴阳两虚证、心肾阳虚证。2.糖尿病心肌病患者的平均总胆固醇5 m m o l/L,接近正常上限水平,各证型间无统计学差异(P0.0 5)。3.糖尿病心肌病患者的平均甘油三脂2.1 m m o l/L,高于正常值,其中痰瘀互结证与阴阳两虚证之间有显著性差异(P0.0 5)。结论:1.糖尿病心肌病各中医证型按依次递减顺序排列为:气阴两虚证、痰瘀互结证、阴阳两虚证、心肾阳虚证。2.糖尿病心肌病各证型间平均总胆固醇含量无统计学差异,不能作为区分证型的标准。3.痰瘀互结证与阴阳两虚证间平均甘油三脂含量有统计学差异,可以作为辨证分型的参考。
[Abstract]:Objective: to investigate the distribution of TCM syndromes of diabetic cardiomyopathy (DM) by means of clinical retrospective investigation and statistical analysis, using Mi c r o s o f t E x c El and statistical methods. To provide objective scientific basis for the diagnosis and treatment of diabetic cardiomyopathy. Methods: from January to December, we collected the patients from the Department of traditional Chinese Medicine and the Endocrinology Department of the second affiliated Hospital of Dalian Medical University. According to the relevant diagnostic criteria, exclusion criteria, inclusion criteria, the use of surveys and questionnaires, Data of 119 patients with diabetic cardiomyopathy were collected. The relevant information was recorded by Mi c r r o s o f t E x c El tables. The distribution of TCM syndromes of diabetic cardiomyopathy was summarized. (4) the differences of TCM syndromes were analyzed by using S P S 2 2.0. Results: the data of 119 cases of diabetic cardiomyopathy were statistically analyzed. The results are as follows: 1. The distribution of TCM syndromes in order of incidence is: Qi and Yin deficiency Syndrome, phlegm and Blood stasis Syndrome, Yin and Yang deficiency Syndrome, The average total cholesterol of patients with diabetic cardiomyopathy was close to the normal upper limit level, and there was no statistical difference among the different syndrome types (P 0.05). The average triglyceride 2.1 mol / L was higher than the normal value in patients with diabetic cardiomyopathy. There was significant difference between phlegm and blood stasis syndrome and yin and yang deficiency syndrome (P 0.05). Conclusion 1. The TCM syndromes of diabetic cardiomyopathy are listed in descending order: Qi and yin deficiency syndrome, phlegm and blood stasis syndromes, yin and yang deficiency syndrome. Syndrome of deficiency of heart and kidney yang. 2. There was no statistical difference in the average total cholesterol content among the syndrome types of diabetic cardiomyopathy, which could not be used as the standard of differentiating the syndromes. 3. The average triglyceride content was significantly different between the syndrome of phlegm and blood stasis and the syndrome of deficiency of yin and yang. It can be used as a reference for syndrome differentiation and classification.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

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