突发性耳聋与中医体质理论的相关性研究

发布时间：2018-04-10 16:05

本文选题：突聋 + 体质　；参考：《云南中医学院》2017年硕士论文

【摘要】：目的:本课题从中医体质理论的角度出发,首先,通过对突聋患者进行问卷调查,采集原始数据,根据量表评分来判定突聋患者的体质类别;其次,通过统计学分析,总结易感人群体质及相关因素特点;最后,讨论与之相关的临床表现、防治办法等,为突发性耳聋的临床防治及后期进一步深入研究提供参考。方法:本课题以中医基础理论为指导,从中医体质理论的角度出发,采纳指南和专家意见后,以王琦教授“中医体质九分法”中的《中医体质分类与判定表》[1.2]为基础进行修改。对2015年12月01日至2016年12月01日期间,在云南省中医医院耳鼻喉科就诊的门诊和住院部病人中,符合纳入标准者进行问卷调查,共计112例。被调查者回答《中医体质分类与判定表》(详见附表)中的全部问题,每一问题按5级评分,计算原始分及转化分,依据评分标准判定体质类型。平和质为正常体质,其他8种体质为偏颇体质。统计与问卷调查相关数据进行分析,运用SPSS22.0软件进行描述性分析中的“频数分析”来表达体质证型的分布情况,并对体质与致病因素之间的关系进行探索性分析讨论,观察体质与致病因素之间的分布情况。结果:1.选取的112例患者中,男性61例(54%),女性51例(46%)。2.选取的112例患者中,左耳59例(53%),右耳51例(45%),双耳2例(2%)。3.轻度聋患者41例(53%),中度聋患者56例(50%),中重度聋患者15例(13%)。4.平和质2例(5%),气虚质5例(5%),阳虚质4例(4%),阴虚质14例(13%),痰湿质30例(27%),湿热质9例(8%),血瘀质5例(5%),气郁质42例(38%),特禀质1例(1%)。5.轻度聋中的体质类型:平和质2例(5%),气虚质3例(7%),阳虚质2例(5%),阴虚质9例(22%),痰湿质8例(20%),湿热质3例(7%),血瘀质2例(5%),气郁质11例(27%),特禀质1例(2%)。6.中度聋中的体质类型:平和质0例,气虚质2例(4%),阳虚质2例(4%),阴虚质5例(9%),痰湿质20例(36%),湿热质6例(11%),血瘀质3例(5%),气郁质18例(32%),特禀质0例。7.中重度聋中的体质类型:平和质0例,气虚质0例,阳虚质0例,阴虚质0例,痰湿质2例(13%),湿热质0例,血瘀质0例,气郁质13例(87%),特禀质0例。8.选取的112例患者中,痊愈9人(8%),显效83人(74%),有效20人(18%),无效0人。9.突聋发病人数与气郁质存在相关性,P=0.039(P0.05),具有统计学意义;突聋发病人数与阴虚质存在相关性,P=0.046(P0.05),具有统计学意义。10.听力曲线类型在调查中的分布:低频下降型共计42人;高频下降型共计34人;平坦下降型共计36人;全聋型0人。结论:在本次对突聋患者的调查结果中,偏颇质人数居多,平和质人数少,在偏颇体质中,以气郁质人数最多,其次是阴虚质,气郁质、阴虚质和突聋发病率存在相关性(P0.05)。男性患病比例略高于女性。单耳发病人数居多,左耳发病人数略高于右耳。突聋发病与体质、性别、患耳、听力曲线类型等因素存在相关性趋势。
[Abstract]:Objective: from the point of view of TCM constitution theory, first of all, through the questionnaire survey to the patients with sudden deafness, collect the original data, according to the scale score to determine the physical class of sudden deafness patients, secondly, through statistical analysis,The characteristics of constitution and related factors of susceptible population were summarized. Finally, the related clinical manifestations, prevention and treatment methods were discussed to provide a reference for the clinical prevention and treatment of sudden deafness and further research in the later stage.Methods: under the guidance of the basic theory of traditional Chinese medicine (TCM), from the angle of TCM constitution theory, the subject was revised on the basis of "Classification and judgment Table of TCM Constitution" (1.2) in Professor Wang Qi's "Nine points of Constitution of traditional Chinese Medicine" after adopting the guidelines and expert opinions.From December 01, 2015 to December 01, 2016, 112 outpatients in the department of otolaryngology and otolaryngology of Yunnan traditional Chinese Medicine Hospital were investigated by questionnaire.The respondents answered all the questions in the Classification and judgment Table of TCM Constitution (see the attached table for details). Each question was graded according to grade 5, the original score and transformation score were calculated, and the type of constitution was judged according to the scoring standard.Peaceful quality is normal constitution, the other 8 kinds of constitution are partial constitution.Statistics and questionnaire survey related data were analyzed, "frequency analysis" in descriptive analysis was carried out by SPSS22.0 software to express the distribution of physique syndrome type, and the relationship between physique and pathogenic factors was analyzed and discussed.The distribution of physique and pathogenic factors was observed.The result is 1: 1.Of the 112 selected patients, 61 were male and 51 were female.Of the 112 patients, 59 were in the left ear, 51 in the right ear and 2 in the bilateral ear.There were 41 cases of mild deafness, 56 cases of moderate deafness and 15 cases of moderate and severe deafness.Of 112 selected patients, 9 were cured and 8 were cured, 83 were effective and 74 were effective, 20 were effective and 18 were effective, none was effective.There was a correlation between the incidence of sudden deafness and qi stagnation, which had statistical significance, and the incidence of sudden deafness was correlated with yin deficiency (P = 0.046, P 0.05), which had statistical significance.The distribution of hearing curve types in the investigation was as follows: low frequency type (42 cases), high frequency type (34 cases), flat type (36 cases) and total deafness (0 cases).Conclusion: in the investigation of patients with sudden deafness, the number of people with partial deafness is more than that of calmness. In the partial constitution, the number of qi stagnation is the most, followed by yin deficiency, qi stagnation, yin deficiency and sudden deafness. There is a correlation between the incidence of yin deficiency and sudden deafness.The proportion of males is slightly higher than that of females.The number of monaural diseases was higher in the left ear than in the right ear.The incidence of sudden deafness is related to physical constitution, sex, ear, hearing curve type and so on.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R276.1

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