脑梗死恢复期血瘀质危险因素研究

发布时间：2018-04-21 00:32

本文选题：脑梗死恢复期 + 血瘀质　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:本研究从中医体质相关理论着手,运用流行病学调查方法,调查分析脑梗死恢复期血瘀质患者的危险因素,结合中医“治未病”思想,重在预防,为脑梗死恢复期血瘀质患者的症状改善和二级预防提供依据。方法:对2014年3月份到2015年12月份曾在山东省中医院、烟台市中医医院、蓬莱市中医医院等3家中医院住院的脑梗死患者进行临床调查,根据纳入标准、排除标准、剔除标准筛选出脑梗死恢复期患者,并依据2009年中华中医药学会颁布的《中医体质分类与判定表(ZYYXH/T157-2009)》标准,判定中医体质类型,共选出血瘀质患者403例,平和质100例,并填写脑梗死恢复期危险因素的临床调查表,调查内容包括性别、年龄、民族、工作状况、是否中心性肥胖、睡眠情况、熬夜情况、是否锻炼身体、是否有吸烟、饮酒、饮食偏嗜的生活嗜好等一般资料和高血压病史、糖尿病史、心脏病史、血脂异常病史、中风病史等一些病史资料。最后统一运用SPSS17.0统计学软件进行统计分析比较,血瘀质与危险因素的相关性经卡方检验,并进行多因素Logistic回归分析。结果:1.经卡方检验,相对于平和质,血瘀质脑梗死恢复期患者的工作强度、睡眠、熬夜、锻炼身体、心脏病史、总胆固醇(TC)偏高、低密度脂蛋白(LDL-c)偏高、吸烟、饮食偏嗜味咸厚重这些因素的分布具有统计学意义(P0.05或P0.01)。2.经多因素Logistic回归分析,与平和质比较,血瘀质脑梗死恢复期患者的工作紧张、睡眠质量差、缺乏体育锻炼、心脏病史、饮食偏嗜味咸厚重等因素有统计学意义(P0.05或P0.01),根据危险因素比数比(OR)值大小排序依次为:心脏病史、缺乏体育锻炼、睡眠质量差、工作紧张、饮食偏嗜味咸厚重。结论:相对于平和质,脑梗死恢复期的血瘀质患者的主要危险因素是心脏病史、缺乏体育锻炼、睡眠质量差、工作紧张、饮食偏嗜味咸厚重,对这些危险因素进行针对性地干预,并运用中医理论对其体质进行适当地调理是脑梗死恢复期血瘀质患者症状改善和二级预防的有效途径。
[Abstract]:Objective: To investigate and analyze the risk factors of blood stasis in patients with cerebral infarction in the convalescent period of cerebral infarction with the method of epidemiological investigation, and to provide the basis for the improvement of symptoms and two level prevention in patients with blood stasis in the recovery period of cerebral infarction. Methods: from March to 2015 in 2014. In December, 3 patients of cerebral infarction hospitalized in Shandong Provincial Traditional Chinese Medical Hospital, Yantai city traditional Chinese medicine hospital, Penglai traditional Chinese medicine hospital and other 3 Chinese medicine hospitals were investigated. According to the standards, exclusion criteria and elimination standard, the patients with cerebral infarction recovery period were selected, and according to the Chinese Medical Association of China in 2009 (ZYYXH /T157-2009) > standard, determine the type of TCM Constitution, select 403 cases of blood stasis and blood stasis, 100 cases of horizontal and qualitative, and fill in the clinical questionnaire of the risk factors of the recovery period of cerebral infarction. The contents include sex, age, nationality, work condition, whether central obesity, sleep condition, stay up night, whether exercise body, smoking, drinking, diet Some general data and history of hypertension, diabetes history, history of heart disease, history of heart disease, blood lipid abnormality, history of apoplexy, and other medical history data. The correlation of blood stasis and risk factors was tested by chi square test and multiple factor Logistic regression analysis. Results: 1 After the chi square test, the distribution of the factors such as the intensity of work, sleep, stay up, heart disease, total cholesterol (TC), low density lipoprotein (LDL-c), smoking, and eating and salty weight were statistically significant (P0.05 or P0.01).2. through multiple factor Logistic regression. Analysis, compared with the level and the quality, the patients with cerebral infarction in the recovery phase of blood stasis are tense, poor quality of sleep, lack of physical exercise, heart disease history, and diet bias and salty heavy weight and other factors have statistical significance (P0.05 or P0.01), according to the ratio of risk factors ratio (OR), the order of order is: the history of heart disease, lack of physical exercise, poor quality of sleep, and poor quality of sleep. Conclusion: the main risk factors of blood stasis in the recovery period of cerebral infarction are the history of heart disease, lack of physical exercise, poor quality of sleep, stress, eating and salty weight, intervention on these risk factors, and applying the theory of traditional Chinese medicine to their physique. Local conditioning is an effective way to improve symptoms and prevent grade two of patients with blood stasis during cerebral infarction.

【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

【参考文献】