80例溃疡性结肠炎的中医证型特点分析

发布时间：2018-03-08 19:39

本文选题：溃疡性结肠炎　切入点：中医证型　出处：《辽宁中医杂志》2017年12期 　论文类型：期刊论文

【摘要】：目的:分析80例溃疡性结肠炎患者的中医证型特点,以明确该疾病证候的规律及特异性,为其预防和治疗提供依据。方法:选取2014年2月—2016年12月在本院接受治疗的溃疡性结肠炎门诊及住院患者作为研究对象,对其临床资料进行回顾性分析,调查、记录并归纳本病的中医证型分布情况。结果:80例患者中,中医证根据患者所占比例高低依次为大肠湿热证、肝郁脾虚证、脾气虚弱证、脾肾阳虚证、血瘀肠络证、阴血亏虚证,其中处于缓解期患者以脾气虚弱证最多,处于活动期患者则以大肠湿热证分布最多,其中活动期患者中肝郁脾虚证和大肠湿热证出现频率要明显高于缓解期患者(P0.05),缓解期患者中脾肾阳虚证和脾气虚弱证的出现频率则明显高于活动期患者(P0.05);病情严重程度为轻度组患者中最常见的胃肝郁脾虚证,而中度和重度组患者最为常见的为大肠湿热证。结论:溃疡性结肠炎病机复杂,活动期以标实为主,缓解期以本虚为主,多见虚实夹杂者。本病证候要素以脾虚、气虚、湿热内蕴多见,病位涉及大肠、肝、脾、肺、肾等多脏腑,并且与疾病的分期及疾病严重程度均显著相关,总体体现为多病性、多病位的要素组合。
[Abstract]:Objective: to analyze the characteristics of TCM syndromes in 80 patients with ulcerative colitis, so as to clarify the regularity and specificity of the syndromes of ulcerative colitis. Methods: the clinical data of ulcerative colitis patients who were treated in our hospital from February 2014 to December 2016 were analyzed retrospectively. Results according to the proportion of the patients, the TCM syndromes were: large intestine damp-heat syndrome, liver stagnation and spleen deficiency syndrome, spleen deficiency syndrome, spleen and kidney yang deficiency syndrome, blood stasis and intestinal collaterals syndrome, yin and blood deficiency syndrome. Most of the patients in remission stage were characterized by deficiency of temper, while those in active stage were most distributed with damp-heat syndrome of large intestine. The frequency of liver stagnation and spleen deficiency syndrome and large intestine damp-heat syndrome in active stage was significantly higher than that in remission stage (P 0.05), while the frequency of spleen and kidney yang deficiency and spleen deficiency in remission was significantly higher than that of active stage (P 0.05). The most common syndrome of stomach and liver stagnation and spleen deficiency in mild group, Conclusion: the pathogenesis of ulcerative colitis is complex, the active stage is mainly standard solid, the remission stage is mainly the deficiency of the original, the most common is the deficiency of the spleen, the deficiency of qi, the main factor of the syndrome is spleen deficiency, qi deficiency, and so on, the most common syndrome in the moderate and severe group is the syndrome of large intestine damp-heat syndrome, which is characterized by spleen deficiency and deficiency of qi. Dampness and heat accumulation is more common, disease location involves large intestine, liver, spleen, lung, kidney and other organs, and is significantly related to the disease stage and the severity of the disease, the overall embodiment of multi-disease, multi-disease location of the elements combination.
【作者单位】：长治医学院附属和济医院中医科;长治医学院附属和平医院中医科;
【分类号】：R259

【相似文献】