大肠息肉的中医辩证分型及其与体质关系的探讨

发布时间：2018-03-19 01:37

本文选题：大肠息肉　切入点：体质　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本研究的目的是探讨大肠息肉中医证型与体质的关系,为大肠息肉的防治提供客观依据。方法:1.根据流行病学方法,收集符合纳入研究标准的大肠息肉100例,并结合文献资料制订了患者临床资料登记表,收集患者临床信息。2.对收集到的100例病历资料,进行总结规律,并与传统的中医望闻问切结合,录入数据。3.采用SPSS18.0统计软件进行数据分析,分析中医证型与体质关系。结果:在100例患者中,肝郁气滞证18例,肠道湿热证23例,脾虚湿困证35例,瘀血阻滞证16例,血虚肠燥证8例。在体质分类占比方面,气虚质及气虚倾向)阳虚质及阳哰倾向〉痰湿质及痰湿倾向〉湿热质及湿热倾向〉气郁质及气郁倾向〉阴虚质及阴虚倾向〉血瘀质及血瘀倾向〉平和质及基本平和质〉特凛质及特凛质倾向。本次研究显示,中医证型与体质有一定的关联,本次研究中,肠道湿热证与痰湿质及湿热质密切相关,脾虚湿困证与阳虚质、气虚质密切相关,肝郁气滞证与气郁质密切相关,瘀血阻滞证与血瘀质密切相关,血虚肠燥证与阴虚质密切相关。逡逡结论:结合研究结果,并以本病病因病机为基础,大肠息肉的中医证型可分为肝郁气滞证、肠道湿热证、脾虚湿困证、瘀血阻滞证、血虚肠燥证。不同中医体质分类在该疾病的分布存在差异。其中气虚质、阳虚质、痰湿质及湿热质是导致本病发生的重要因素。进一步分析中医证型与中医体质两者间的关系,发现肠道湿热证与痰湿质及湿热质密切相关,脾虚湿困证与阳虚质、气虚质密切相关,肝郁气滞证与气郁质密切相关,瘀血阻滞证与血瘀质密切相关,血虚肠燥证与阴虚质密切相关。
[Abstract]:Objective: the purpose of this study was to explore the relationship between TCM syndromes and physique of colorectal polyps, and to provide an objective basis for the prevention and treatment of colorectal polyps. Methods: 1. According to the epidemiological method, 100 cases of colorectal polyps that met the criteria of inclusion in the study were collected. The clinical information of 100 cases was summarized and combined with the traditional Chinese medicine, and it was combined with the traditional Chinese medicine to look at and hear the clinical information of the patients, and to collect the clinical information of the patients with the registration form of the clinical data of the patients, and collect the clinical information of the patients. 2. Input data .3.Using SPSS18.0 statistical software to analyze the relationship between TCM syndrome types and physique. Results: among the 100 patients, 18 cases were liver stagnation, 23 cases were intestinal dampness and heat, 35 cases were spleen deficiency and dampness, 16 cases were blood stasis. Eight cases of blood deficiency and intestinal dryness syndrome. Deficiency of qi and tendency of deficiency of qi) deficiency of yang and tendency of phlegm dampness and phlegm dampness > tendency of damp-heat and damp-heat > tendency of qi stagnation and stagnation of qi > tendency of deficiency of yin and deficiency of yin > tendency of blood stasis and blood stasis > gentle nature and basic level. And the quality > the quality and the tendency. This study shows that, There is a certain correlation between TCM syndrome type and physical constitution. In this study, intestinal damp-heat syndrome is closely related to phlegm and dampness, spleen deficiency to dampness is closely related to Yang deficiency, qi deficiency is closely related to qi stagnation, liver stagnation of qi is closely related to qi stagnation. Blood stasis is closely related to blood stasis, blood deficiency and intestinal dryness are closely related to yin deficiency. Conclusion: combined with the results of the study and based on the etiology and pathogenesis of this disease, the TCM syndromes of large intestine polyps can be divided into liver stagnation syndrome and intestinal damp-heat syndrome. Spleen deficiency dampness syndrome, blood stasis block syndrome, blood deficiency intestinal dryness syndrome. There are differences in the distribution of different TCM constitution classification in this disease. Phlegm dampness and dampness heat are important factors leading to this disease. Further analysis of the relationship between TCM syndrome type and TCM constitution shows that intestinal damp-heat syndrome is closely related to phlegm dampness and dampness heat, spleen deficiency dampness is trapped and yang deficiency. Qi deficiency is closely related to qi deficiency, stagnation of liver qi is closely related to qi stagnation, blood stasis is closely related to blood stasis, and blood deficiency to intestinal dryness is closely related to yin deficiency.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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