不同年龄带状疱疹患者皮损经络分布规律调查研究

发布时间：2018-04-11 18:01

本文选题：带状疱疹 + 年龄　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:通过临床典型病例调查,观察不同年龄带状疱疹患者证型和皮损经络分布,总结不同证型的皮损经络分布规律,以指导和提高临床辨证论治的疗效。方法:收集新疆维吾尔自治区中医医院皮肤科门诊及病房符合纳入标准的带状疱疹患者,通过填写调查量表调查不同年龄患者的不同证型的皮损经络分布规律。结果:(1)本次病例调查入选患者共247例,其中男:100例,女:147例。男性所占比例:40.49%,女性所占比例:59.51%。(2)本次调查将不同年龄分为3组:中年期为A组(35~44岁)30例;老年前期为B组(45~59岁)110例;老年期为C组(60~89岁)107例,年龄分布在老年前期(B组)的病例总数最多,占总调查病例数的44.53%。对不同年龄阶段分别与发病时间、性别进行统计分析,得出P0.05,无统计学意义;(3)对皮损进行经络分布频数统计,排名前三位的经络分别为:足少阳胆经186频次(17.03%)、足太阳膀胱经170频次(15.57%)、足厥阴肝经166频次(15.20%);(4)在证型分布中:肝经郁热型为160例,脾虚湿蕴型为87例。对不同年龄阶段进行不同证型两两组间频数分析,得出P0.05,无统计学意义。同时对不同性别与证型进行统计分析,P0.05,得出在不同证型分布中,性别具有统计学差异。(5)在不同证型中患者皮损经络分布:肝经郁热型排名前三位的是:足少阳胆经占120频次,足太阳膀胱经占113频次,足厥阴肝经占106频次;脾虚湿蕴型排名前三位的是:足少阳胆经占66频次,足阳明胃经占62频次,足厥阴肝经占60频次。结论:通过本次临床调查得出:(1)对不同证型进行经络统计分析得出肝经郁热与脾虚湿蕴的患者皮损经络分布最多的均为足少阳胆经,考虑本病以往的辨证仅参照内科体征进行分型,而证型的标准忽略了皮疹经络的分布;(2)无论为何种证型,都兼有肝胆湿热的病机,考虑肝胆湿热有可能为本病病机的共性机制,提示今后在治疗中,无论何种证型均可以考虑从肝胆湿热进行论治。
[Abstract]:Objective: to observe the distribution of meridians and meridians in herpes zoster patients of different ages and summarize the distribution of meridians in different types of syndrome in order to guide and improve the curative effect of syndrome differentiation and treatment.Methods: collected the herpes zoster patients in dermatology department and ward of Xinjiang Uygur Autonomous region Chinese Medicine Hospital, and investigated the distribution of skin lesions and meridians of patients of different ages by filling out the questionnaire.Results among the 247 patients, 100 were male and 147 were female.The total number of cases in group B was the most, accounting for 44.53% of the total investigated cases.According to the statistical analysis of age, onset time and sex, it was concluded that there was no statistical significance (P0.05) in the distribution frequency of meridian and collaterals in skin lesions.The frequency analysis of two groups of different syndromes in different age stages showed that P0.05 had no statistical significance.At the same time, the statistical analysis of different gender and syndrome type (P0.05) showed that in the distribution of different syndromes, gender had statistical difference. 5) in different syndromes, the distribution of skin lesion meridian and meridian: the first three types of liver meridian stagnation and heat were: foot Shaoyang and gallbladder meridian accounted for 120 times.The bladder meridian of foot sun occupied 113 times, liver meridian of foot Jueyin accounted for 106 times, the top three types of spleen deficiency and dampness accumulation type were as follows: 66 frequency of foot Shaoyang and gallbladder meridian, 62 frequency of foot yang and stomach meridian, 60 times of liver meridian of foot Jueyin.Conclusion: according to the clinical investigation, the meridian statistical analysis of different syndromes shows that the most distribution of meridian in the patients with stagnation of heat of liver meridian and dampness of spleen is the suture of foot, yang and gallbladder.It suggests that in the future treatment, no matter what type of syndrome can be considered from the liver and gallbladder dampness and heat treatment.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R275.9

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