中医药治疗功能性便秘的证候分布规律研究

发布时间：2018-03-17 14:13

本文选题：功能性便秘　切入点：证候分布　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过观察功能性便秘患者的临床症状和体征,运用中医辨证理论将病例资料进行归纳整理,并应用统计学软件进行对比分析,总结出功能性便秘的中医证候分布规律,进而为临床诊疗提供参考。方法:1全部病例都来自2014年9月至2015年12月在吉林省中医院在肛肠病门诊的患者,病例通过病患填写调查问卷来收集。符合标准病患的资料共98篇。2根据功能性便秘的中医证候提前制定调查问卷。3数据统计将临床调查问卷内容统计成表格,用spss19软件对功能性便秘的流行病学、患病原因、机理、症状、证候等进行统计分析。结果:(1)98例功能性便秘患者中,证候分布以肠道实热证患者最多,占病例总数36.73%,其次是肠道气滞证,为23.47%,再次是阴虚肠燥证,为15.31%,脾肾阳虚证的病患最少,为8.16%。(2)功能性便秘的证候分布和年龄有意义。因此,每个年龄段,各个证候的分布差异明显。(3)职业在功能性便秘各个证候中分布有意义。(4)病程在各个证候间分布无明显差异。(5)发病原因在各证候间分布比例有意义。(6)饮食分布在功能性便秘证候间有差异。结论:(1)功能性便秘的中医证候分布可归结成:肠道实热、肠道气滞、脾气虚弱、脾肾阳虚、阴虚肠燥。(2)各证候间临床发病频度比较:肠道实热肠道气滞脾气虚弱阴虚肠燥脾肾阳虚,以肠道实热和肠道气滞为主。(3)女性的得病率显然高于男性,青、中年得病率高于老年。
[Abstract]:Objective: to observe the clinical symptoms and signs of patients with functional constipation, sum up the distribution of TCM syndromes of functional constipation by using the theory of TCM syndrome differentiation. Methods all the cases from September 2014 to December 2015 in Jilin Province Hospital of traditional Chinese Medicine in the anorectal disease outpatient, Patients were collected by filling out questionnaires. 98 data of patients with functional constipation were collected. 2. According to TCM syndrome of functional constipation, questionnaire .3 data were compiled ahead of time. The contents of clinical questionnaire were counted into tables. Spss19 software was used to analyze the epidemiology, cause, mechanism, symptom and syndrome of functional constipation. Results among 98 functional constipation patients with functional constipation, the distribution of syndromes was the most. It accounted for 36.73 cases, followed by intestinal qi stagnation (23.4747), Yin deficiency and intestinal dryness (15.31), spleen and kidney yang deficiency (8.16%), and functional constipation (8.16%). The distribution of functional constipation is significant. 4) the course of disease has no significant difference among the syndromes. 5) the cause of the disease has significant distribution ratio among the syndromes. 6) Diet is distributed in the function of the function constipation in the functional constipation. 5) there is no significant difference in the distribution of the disease course among the syndromes. 5) the distribution ratio of the causes among the symptoms is significant. Conclusion the distribution of TCM syndromes of functional constipation can be summed up as: intestinal heat, Intestinal qi stagnation, weak temper, deficiency of spleen and kidney yang, yin deficiency and intestinal dryness. (2) comparison of clinical incidence frequency among various syndromes: intestinal heat, deficiency of qi, weakness of spleen and kidney, deficiency of spleen and kidney, deficiency of spleen and kidney, deficiency of spleen and kidney, deficiency of spleen and kidney, deficiency of spleen and kidney, The disease rate of female is obviously higher than that of male, youth and middle age is higher than that of old.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R256.35

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