咽喉反流的发病与中医体质的相关性研究

发布时间：2018-04-13 22:38

本文选题：咽喉反流 + 一般资料　；参考：《北京中医药大学》2017年硕士论文

【摘要】：目的:研究咽喉反流的发病与中医体质类型之间的相关性,探讨咽喉反流与发病年龄、性别分布、体重指数、职业分布及中医体质之间的关系,利用中医理论对咽喉反流患者的体质及证型进行分类,了解该病的人群体质类型及特点,进行针对性中医调理及预防,为从中医体质角度防治本病提供科学依据。方法:对北京中医药大学附属东直门医院耳鼻喉科咽喉反流患者进行中医体质调查,制定纳入及排除标准进行临床病例采集,根据患者体征应用RFS及RSI进行筛选和排除病例,对符合纳入标准的患者分别对其性别、年龄、职业、体重指数(BMI)进行统计,并经过患者同意后让其填写统一的中医体质分类与判定自测表(中华中医药学会标准),其中包括九种体质类型(平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质),划分9种体质类型,观察咽喉反流患者与体质类型的分布规律,观察年龄、体重指数(BMI)及职业与体质类型的分布规律。建立数据库,采用SPSS 17统计软件对数据进行统计分析,计数资料运用X2(卡方)检验,根据中医辨证理论,查阅咽喉反流病相关文献研究,结合统计学方法得出结论。结果:本研究最终纳入符合条件的咽喉反流患者共120例,其中,男性43例,女性77例,在年龄分布上,年龄分布范围为10-80岁,各年龄段均有发病,其中最小年龄为19岁,最大年龄为79岁,平均年龄为46岁,其中31-40、51-60岁的发病率较高;在体重指数上,体重偏低者13人,正常者33人,超重者54人,肥胖者16人,重度肥胖者4人,其中,非正常体重患者共87人;职业分布方面,工人占55%,知识分子占45%,其中企业、事业单位占比25%,服务业占比21.67%,无业及其他职业占比18.33%,军人占比0.83%。患者体质分布特点为:以混合体质为主,有89人为混合体质,其中同时具有气虚质+痰湿质+阴虚质的患者占大多数,其次为气虚质+痰湿质+阴虚质+气郁质,而单一体质仅有31人,其中痰湿质6人,气虚质4人,阴虚质4人。总体频次分布特点为:气虚质(63.33%)痰湿质(60%)阴虚质(40%)阳虚质(39.17%)气郁质(34.17%)湿热质(28.33%)特禀质(13.33%)血瘀质(11.67%)平和质(8.33%),经卡方检验,X2=93.023,P0.01,具有明显统计学意义。患者证型分布特点依次为:气滞痰凝证(45例)脾胃气虚(36例)肝郁脾虚(23例)肺胃湿热(12例)=胃阴亏虚证(12例)瘀血阻络证(5例)。结论:咽喉反流女性发病率高于男性,在各年龄段均有发病,但以31-40、51-60岁的发病率较高;发病职业以企业、事业单位职员为主。咽喉反流的发病与中医体质具有相关性,以气虚质、痰湿质、阴虚质及阳虚质这四种体质为主,平和质占比最少;证型以气滞痰凝证、脾胃气虚证、肝郁脾虚证较为多见。
[Abstract]:Objective: to study the correlation between the onset of pharyngopharynx reflux and the physique type of TCM, and to explore the relationship between larynx reflux and age, sex distribution, body mass index, occupation distribution and TCM constitution.Using the theory of TCM to classify the physique and syndrome type of patients with pharynx and larynx reflux, to understand the physique types and characteristics of the disease, and to provide scientific basis for the prevention and treatment of this disease from the perspective of TCM constitution.Methods: the physique of the patients with otolaryngology, otolaryngology and throat reflux in Dongzhimen Hospital affiliated to Beijing University of traditional Chinese Medicine were investigated, and the clinical cases were collected according to the criteria of inclusion and exclusion. According to the signs of the patients, RFS and RSI were used to screen and exclude the cases.Patients who met the inclusion criteria were analyzed for their sex, age, occupation, body mass index (BMI).With the consent of the patient, the patient was asked to fill in a unified TCM constitution classification and self-test form (Chinese Academy of Chinese Medicine) standard, which includes nine types of constitution (peaceful, qi deficiency, yang deficiency, yin deficiency, phlegm and dampness, dampness and heat, blood stasis, etc.)The distribution of body mass, age, body mass index (BMI), occupation and physique type were observed in patients with pharynx and larynx reflux.The database was set up, the data was analyzed by SPSS 17 software, the count data was analyzed by X2 (chi-square) test, according to the theory of TCM syndrome differentiation, the related literature research of pharynx and larynx reflux disease was consulted, and the statistical method was used to draw the conclusion.Results: a total of 120 patients with throat reflux were included in this study, including 43 males and 77 females. The age distribution ranged from 10 to 80 years old, with the youngest age being 19 years old.The maximum age was 79 years, with an average age of 46 years, with a high incidence of 31-40,51-60 years of age. In BMI, 13 people were underweight, 33 were normal, 54 were overweight, 16 were obese, and 4 were severely obese.There were 87 patients with abnormal body weight. In terms of occupational distribution, the proportion of workers and intellectuals was 5555 and 4545, including 25 in enterprises and institutions, 21.67 in service industry, 18.33 in unemployed and other occupations, and 0.83 in military personnel.The distribution characteristics of patients' physique are as follows: mixed constitution is the main one, 89 people are mixed constitution, most of them have deficiency of qi, phlegm and dampness of Yin, followed by deficiency of phlegm and dampness of Yin, and then of deficiency of phlegm and dampness of Yin.But the single constitution only 31 people, including phlegm dampness 6 people, Qi deficiency 4 people, yin deficiency 4 people.The distribution characteristics of the total frequency are as follows: Qi deficiency (63.33) phlegm and dampness (60)) Yin deficiency and dampness (40) Yang deficiency (39.17)) Qi stagnation (34.17)) dampness and heat (28.3333))) blood stasis (11.33)) calming 8.3333) by chi-square test (X293.023) P0.01, which has significant statistical significance.The distribution of syndrome types was as follows: Qi stagnation and phlegm coagulation syndrome (45 cases) spleen and stomach Qi deficiency syndrome (36 cases) liver stagnation and spleen deficiency syndrome (23 cases)) lung and stomach dampness and heat (n = 12 cases) Qi Yin deficiency syndrome (n = 12 cases) blood stasis blocking collaterals syndrome (n = 5 cases).Conclusion: the incidence of throat reflux in women is higher than that in men, and it has been found in all ages, but the incidence rate is higher in 31-40 or 51-60 years old.The incidence of pharynx and larynx reflux has correlation with TCM constitution. The four types of constitution are qi deficiency, phlegm and dampness, yin deficiency and yang deficiency, and the proportion of peaceful quality is the least, and the syndrome type is qi stagnation and phlegm coagulation, spleen and stomach qi deficiency, and liver stagnation and spleen deficiency.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R276.1

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