子宫内膜息肉的中医证候、体质分布规律及相关因素的调查研究

发布时间：2018-04-25 05:35

本文选题：子宫内膜息肉 + 中医证候　；参考：《成都中医药大学》2016年硕士论文

【摘要】：研究目的：通过对子宫内膜息肉患者的一般资料、中医证候、体质分布规律进行调查研究,并对影响中医证候分布的相关因素进行分析,从而提出客观的、相对规范的中医证候分型标准,为中医防治子宫内膜息肉提供理论依据。研究方法：通过对2014年12月-2016年02月在四川省中医院妇科门诊及住院部就诊且确诊为子宫内膜息肉的125例患者进行面对面问卷调查。采集患者年龄、职业、文化程度等一般资料、中医四诊资料及体质调查状况。运用Excel软件建立信息数据库,使用SPSS21.0软件包对数据进行分析,患者的一般资料采用频数分布的方式进行描述；中医四诊资料用聚类分析,相关因素用Fisher确切概率法进行统计分析,P0.05认为差异有统计学意义。总结并研究本病中医证候、体质分布规律及证候分布与年龄、文化程度、职业、BMI指数、饮食偏嗜、宫腔手术操作次数、体质等的相关性。研究结果：1、125例子宫内膜息肉患者的中医证候共聚为四类,以湿热瘀结证44例(占总数35.2%)最多,其后依次为气滞血瘀证36例(占总数28.8%)、痰湿瘀结证28例(占总数22.4%)、肾虚血瘀证17例(占总数13.6%)。2、 125例子宫内膜息肉患者体质分布中,以湿热质29例(占总数23.2%)最多,其次是气郁质25例(占总数20.0%),痰湿质21例(占总数16.8%),血瘀质17例(占总数13.6%),平和质11例(占总数8.8%),气虚质8例(占总数6.4%),阳虚质7例(占总数5.6%),阴虚质5例(占总数4.0%),特禀质2例(占总数1.6%)。3、子宫内膜息肉患者各中医证候分布与年龄、BMI指数、饮食偏嗜、体质均有统计学意义(P0.05)。4、子宫内膜息肉患者各中医证候分布与职业、文化程度、宫腔手术操作次数均无统计学意义(P0.05)。研究结论：1、子宫内膜息肉患者的中医证候以湿热瘀结证最多见,其后依次为气滞血瘀证、痰湿瘀结证、肾虚血瘀证。2、子宫内膜息肉患者的体质以湿热质最多见,其次是气郁质、痰湿质、血瘀质、平和质、气虚质、阳虚质、阴虚质、特禀质。3、子宫内膜息肉患者各中医证候分布与年龄、BMI指数、饮食偏嗜、体质均有相关性；与职业、文化程度、宫腔手术操作次数均无相关性。
[Abstract]:Objective: to investigate and study the general data of patients with endometrial polyps, TCM syndromes and physical distribution, and to analyze the related factors affecting the distribution of TCM syndromes. The relative standard of TCM syndromes classification provides theoretical basis for the prevention and treatment of endometrial polyps. Methods: a face-to-face questionnaire survey was conducted on 125 patients who were diagnosed as endometrial polyps in gynecological outpatient and inpatient department of Sichuan traditional Chinese Medicine Hospital from December 2014 to February 2016. Collect general data of patient's age, occupation, education, etc. Excel software was used to establish information database, SPSS21.0 software package was used to analyze the data, the general data of patients were described by frequency distribution, and the data of four diagnoses of TCM were analyzed by cluster analysis. Correlation factors were statistically analyzed by Fisher exact probability method (P0.05) and the difference was statistically significant. To summarize and study the correlation between TCM syndromes, physique distribution, and age, education, occupation BMI index, diet preference, times of operation in uterine cavity, physique and so on. Results among 1125 cases of endometrial polyps, the syndromes of TCM syndromes were divided into four categories, 44 cases of damp-heat stasis syndrome (35. 2% of the total). Then 36 cases of Qi stagnation and blood stasis syndrome (28. 8% of the total), 28 cases of phlegm dampness and blood stasis syndrome (22. 4%), 17 cases of kidney deficiency and blood stasis syndrome (13. 6%) and 2. 125 cases of endometrial polyps, 29 cases of dampness and heat (23. 2% of the total) were the most. The second was qi stagnation in 25 cases (20.0%), phlegm dampness in 21 cases (16.8% in total), blood stasis in 17 cases (13.6% in total), calmness in 11 cases (8.8% in total), deficiency of qi in 8 cases (6.4% in total), yang deficiency in 7 cases (5.6%), yin deficiency in 5 cases (5 cases). The total number of patients with endometrial polyps was 4.0%, and 2 cases (1.6% of the total) were found. The distribution of TCM syndromes and BMI index in patients with endometrial polyps, There was no significant difference in the distribution and occupation of TCM syndromes, education level and times of operation in uterine cavity in patients with endometrial polyps. Conclusion the TCM syndromes of endometrial polyps are damp-heat stasis syndrome, followed by Qi stagnation and blood stasis syndrome, phlegm dampness and blood stasis syndrome, kidney deficiency and blood stasis syndrome. Phlegm dampness, blood stasis, calmness, qi deficiency, yang deficiency, yin deficiency, intrinsic nature. 3. The distribution of TCM syndromes in patients with endometrial polyps is correlated with BMI index, diet preference, constitution, occupation and education level. There was no correlation in the number of times of intrauterine surgery.
【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】：R271.9

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