113例滑胎史患者中医证型分布及相关因素研究

发布时间：2018-03-27 22:26

本文选题：滑胎史患者　切入点：中医证型分布　出处：《成都中医药大学》2016年硕士论文

【摘要】：[研究目的]本文通过对113例滑胎史患者进行“滑胎史患者中医证型分布及相关因素”调查,将所收集的数据资料进行整理、统计分析,探讨滑胎史患者的中医证型分布情况、临床常见症状分布规律及其相关影响因素,为论治该病提供数据支持,并为科学研究提供有关流行病学的依据。[研究方法]在前期调查的基础上,综合各方专家意见完善优化调查表,采用临床流行病学的调查研究方法,收集2014年2月～2016年2月前来四川省中医院妇科就诊的滑胎史患者的中医四诊资料,共113例,建立资料库,采用SPSS17.0统计软件,运用频数分析、聚类分析,研究滑胎史患者的中医证型、临床表现分布规律；采用等级相关分析研究肾虚证与年龄的相关性,自然流产次数与年龄、初潮年龄、人流次数、药流次数的相关性；采用χ2检验分析职业、ABO血型对滑胎史患者的影响。[研究结果]1.113例滑胎史患者的平均年龄为33.52±4.99岁,最小为23岁,最大为45岁。2.113例滑胎史患者主要为非体力劳动者,共72例(占63.7%),其次为待业者,共31例(占27.4%),体力劳动者比例最少,共10例(占8.8%)。3.113例滑胎史患者ABO血型分布从多到少依次为：A型43例(占38.1%),B型35例(占31.0%),0型27例(占23.9%),AB型8例(占7.1%)。4.113例滑胎史患者中,甲状腺功能异常者共17例,占15.0%,以甲减为主。5.113例滑胎史患者的丈夫精液常规检查,异常者共39例,占34.5%,以畸形精子症为主。6.113例滑胎史患者的主要中医证型为：肾虚肝郁血瘀证型59例(占52.2%),肾虚肝郁证型30例(占26.5%),出现肾虚证的患者共107例(占94.7%),以肾阳虚(占34.6%)和肾阴阳两虚占(30.8%)为主。7.113例滑胎史患者按证候虚实分类,主要为虚实夹杂证,共105例(占92.9%)。8.滑胎史患者主要中医证型的症状聚类分析结果为：肾虚肝郁血瘀型中医辨证的主要症状为：腰膝酸软、脱发、善忘、屡孕屡堕、易怒、情志抑郁、经前乳胀、经血夹块、经色黯红；肾虚肝郁证型中医辨证的主要症状为：腰膝酸软、畏寒肢冷、善忘、脱发、屡孕屡堕、易怒、经前乳胀。9.相关性分析初步结果为：肾虚证与年龄呈正向相关(P0.05)；自然流产次数与年龄及肾虚的类型有关(P0.05),而与初潮年龄、体重指数、职业、ABO血型、人流次数、药物流产次数无关(P0.05)。[研究结论]本研究初步显示：滑胎史患者的中医常见证型依次为肾虚肝郁血瘀证、肾虚肝郁证,肾虚证以肾阳虚和肾阴阳两虚主；肾虚和年龄呈正向相关；自然流产的次数与年龄及肾虚的类型有关,而与初潮年龄、体重指数、职业、ABO血型、人流次数、药物流产次数无关。
[Abstract]:[objective] to investigate the distribution of TCM syndromes and related factors in 113 patients with glide history, and to analyze the data collected in order to explore the distribution of TCM syndromes in patients with glide history. The distribution of common clinical symptoms and its related influencing factors provide data support for the treatment of the disease, and provide the basis of epidemiology for scientific research. [research methods] on the basis of previous investigation, According to the expert opinions of all sides, the questionnaire was optimized, and the clinical epidemiology investigation method was used to collect the data of the fourth diagnosis of the history of slippery fetus in gynecological department of Sichuan traditional Chinese Medicine Hospital from February 2014 to February 2016, a total of 113 cases. Establish database, use SPSS17.0 statistical software, use frequency analysis, cluster analysis, study the TCM syndrome type and clinical manifestation distribution rule of the patients with history of slide fetus, use rank correlation analysis to study the correlation between kidney deficiency syndrome and age. The correlation between spontaneous abortion frequency and age, menarche age, abortion frequency and drug flow frequency was analyzed by 蠂 2 test. [results] the average age of 1.113 patients with history of slippery fetus was 33.52 卤4.99 years old, and the youngest was 23 years old. The largest was 45 years old, 2.113 cases were mainly non-manual workers, there were 72 cases (63.7%), followed by unemployed people, 31 cases (27.4%), the proportion of manual workers was the least. The distribution of ABO blood group in 10 cases (8.80.3.113 cases) with history of slippery tire was 43 cases of type A (38.1%) (35 cases of type B) (27 cases of type 30. 0) (8 cases of type AB (8 cases of type AB) (7.11%), 17 cases of abnormal thyroid function. There were 39 cases of abnormal semen examination in the husband of 5.113 cases with history of skid fetus, accounting for 15.0% of the total. The main TCM syndromes of 6.113 patients with history of slippery fetus were kidney deficiency and liver depression and blood stasis syndrome 59 cases (52.2%), kidney deficiency and liver stagnation type 30 cases (26.5%), kidney deficiency syndrome 107 cases (94.7%) and kidney yang deficiency type (94.7%). (34.6B) and the deficiency of kidney, yin and yang (30.8%). 7.113 cases of history of skidding fetus were classified according to the syndrome of deficiency and reality. The main symptoms of TCM syndrome were as follows: kidney deficiency, liver depression and blood stasis. The main symptoms of TCM syndrome differentiation were as follows: waist and knee weakness, hair loss, good memory, repeated pregnancy, frequent fall, irritability, and so on, the main symptoms of TCM syndrome differentiation were: kidney deficiency, liver depression, blood stasis, weakness of waist and knee, loss of hair, good forgetfulness, frequent pregnancy and falling, irritability. The main symptoms of TCM syndrome differentiation of kidney deficiency and liver-depression syndrome are: weak waist and knee, cold cold limbs, good forgetfulness, hair loss, frequent pregnancy and falling, irritability, etc. The preliminary results of correlation analysis were as follows: kidney deficiency syndrome was positively correlated with age (P 0.05), spontaneous abortion frequency was related to age and type of kidney deficiency (P 0.05), but it was related to menarche age, body mass index, occupational ABO blood group and number of abortion. [conclusion] this study showed that the common syndromes of TCM in patients with history of slippery fetus were kidney deficiency and liver stagnation, kidney deficiency and liver stagnation, kidney deficiency and deficiency of kidney yang and deficiency of kidney yin and yang, and the relationship between kidney deficiency and age was positive. The frequency of spontaneous abortion was related to age and type of kidney deficiency, but not to age of menarche, body mass index, ABO blood group, number of abortion and times of drug abortion.
【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】：R271.9

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