复发性口腔溃疡中医证型分布规律及相关因素研究

发布时间：2018-04-03 07:59

本文选题：复发性口腔溃疡　切入点：中医证型　出处：《成都中医药大学》2016年硕士论文

【摘要】：研究目的：研究复发性口腔溃疡(recurrent oral ulcer, ROU)中医证型分布特点规律及其与不同因素的相关性,为中医临床辨证诊疗及预防提供参考和依据。研究方法：查阅相关资料,参考专家意见,制定统一的复发性口腔溃疡辨证分型调查表,对就诊于成都中医药大学附属医院老年病科门诊及华西口腔医院中医科门诊符合纳入标准的ROU患者进行问卷调查,收集基本信息及四诊资料,确定证型；整理资料进行数据统计,分析复发性口腔溃疡中医证型分布规律及其与相关因素的关系。研究结果：(1)ROU中医证型中脾气虚弱证最多(占39.2%),脾气虚弱证与其他6种证型之间比较差异均有统计学意义(P0.05)(2)ROU不同证型性别分布的差异有统计学意义,气血亏虚证患者全部为女性,气血亏虚证分别与脾气虚弱、脾肾阳虚证相比,性别分布差异有统计学意义。(3)ROU各证型年龄分布差异无统计学意义,各证型饮食偏嗜情况差异无统计学意义,ROU各证型诱因分布情况差异无统计学意义；ROU各证型情志异常分布情况的差异无统计学意义。(4)120例ROU患者中女性占总病例数的59.2%,患者在30-59岁年龄段者居多；患者中以无明显诱因发病者为多,占63.3%；患者中无饮食偏嗜者占71.7%,比例最高。(5)120例ROU患者中,轻型ROU患者占96.7%,重型、疱疹型分别占2.5%、0.8%。结论：1、ROU患者中医辨证分型以脾气虚弱证最为多见,胃火炽盛证相对于脾气虚弱证、寒热错杂证、脾肾阳虚证较为少见。2、ROU中医证型中,气血亏虚证与脾气虚弱、脾肾阳虚证相比,以女性更为多见；年龄、饮食偏嗜、发病诱因与ROU中医证型之间无相关性；情志异常在各中医证型中普遍存在。3、ROU的女性发病率高于男性,各年龄段均可发病,发病年龄以青年、中年为主。4、多数ROU患者发病无明显诱因,无明显饮食偏嗜。5、ROU分型情况以轻型为最常见,重型及疱疹型少见。
[Abstract]:Objective: to study the distribution characteristics of TCM syndromes of recurrent oral ulceration (rou) and its correlation with different factors so as to provide reference and basis for the diagnosis and treatment of TCM clinical syndrome differentiation and prevention.Methods: referring to relevant materials and expert opinions, a unified questionnaire for the differentiation of symptoms and signs of recurrent oral ulcer was made.A questionnaire survey was conducted on ROU patients who met the inclusion criteria in the geriatric outpatient clinic of Chengdu University of traditional Chinese Medicine and the Department of traditional Chinese Medicine of West China Stomatology Hospital. The basic information and four diagnostic data were collected to determine the type of syndrome.To analyze the distribution of TCM syndromes of recurrent oral ulcer and its relationship with related factors.The results showed that among the TCM syndromes, the deficiency of temper syndrome was the most (39.2%), and the difference between the deficiency of temper syndrome and the other six syndrome types was statistically significant. There were significant differences in the sex distribution of the different syndrome types of P0.05P0. 05, and all the patients with deficiency of qi and blood were women, and all of the patients with deficiency of qi and blood were women, and all the patients with deficiency of qi and blood were all women.The age distribution of Qi and blood deficiency syndrome was not significantly different from that of spleen deficiency syndrome and spleen kidney yang deficiency syndrome.There was no statistical significance in the distribution of inducement in each syndrome type of ROU. There was no significant difference in the distribution of abnormal mood in each syndrome type of ROU. There was no significant difference in the distribution of abnormal mood of each syndrome type of ROU. Women accounted for the total number of cases in 120 patients with ROU.59.2% of the patients were in the 30-59 age group.Conclusion the syndrome differentiation of qi and deficiency of qi and deficiency of spleen and kidney is the most common in the syndrome differentiation of syndrome of deficiency of qi and deficiency of qi and deficiency of qi and deficiency of spleen and kidney in the syndrome of deficiency of spleen and kidney yang and deficiency of spleen and kidney, compared with the syndrome of deficiency of temper and deficiency of yang of spleen and kidney, the syndrome of deficiency of qi and blood and deficiency of spleen and kidney are rare in the syndrome of deficiency of spleen and kidney.There was no correlation between age, diet, inducement and TCM syndrome type of ROU. The prevalence of abnormal emotion in female was higher than that in male, and the age of onset was youth.The majority of ROU patients had no obvious inducement, and the mild type was the most common, and the severe type and herpes type were rare.
【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】：R276.8

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