眩晕中医证候与焦虑程度的相关性研究

发布时间：2018-05-02 02:37

本文选题：眩晕 + 中医证候　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:通过对眩晕中医证候的分布规律及各证候与焦虑程度的相关性进行研究,翼能为临床诊治和预防眩晕提供理论依据。方法:对符合纳入标准的240例眩晕患者进行病史、症状及舌脉等临床资料采集,分析归纳中医证候,并采用焦虑自评量表(SAS)评估患者眩晕发作时的焦虑程度,运用统计学方法,观察患者年龄、性别、中医证候、焦虑程度等分布规律,研究眩晕中医证候与焦虑程度的相关性。结果:1.眩晕中医证候分布特点:痰湿中阻证(43.3%)肝阳上亢证(30.0%)气血亏虚证(17.1%)肾精不足证(12.6%);肝阳上亢证与气血亏虚证、肾精不足证在性别分布上有显著差异(P0.05);眩晕中医证候在年龄分布上无统计学意义(P0.05)。2.眩晕患者焦虑状态分布:轻度焦虑(39.58%)无焦虑(34.58%)中度焦虑(18.34%)重度焦虑(7.5%)。轻度焦虑与中度焦虑在性别分布上有显著差异(P0.05)。轻度焦虑与中度焦虑、无焦虑在年龄分布上有显著差异(P0.05)。3.眩晕中医证候与焦虑程度的相关性:眩晕中医证候在焦虑程度分布上有显著差异(P0.05),即眩晕中医证候与焦虑状态有一定的相关性,相关性大小:肝阳上亢证肾精不足证气血亏虚证痰湿中阻证。结论:眩晕中医证候与焦虑程度相关,其相关性大小:肝阳上亢证肾精不足证气血亏虚证痰湿中阻证。
[Abstract]:Objective: to study the distribution of vertigo syndrome and the correlation between each syndrome and anxiety degree, so as to provide theoretical basis for clinical diagnosis, treatment and prevention of vertigo. Methods: 240 patients with vertigo who met the inclusion criteria were collected the clinical data such as history, symptoms and tongue pulse, and the symptoms of TCM were analyzed and summarized. The anxiety degree of the patients with vertigo was assessed by SAS, and the statistical method was used to evaluate the degree of anxiety. To observe the distribution of age, sex, TCM syndromes and anxiety degree, and to study the correlation between TCM syndromes of vertigo and anxiety degree. The result is 1: 1. The distribution characteristics of vertigo syndrome in TCM: phlegm dampness in blocking syndrome (43.3) liver yang hyperactivity syndrome (30.010) qi and blood deficiency syndrome (17.1) kidney essence deficiency syndrome (12.6A), liver yang hyperactivity syndrome and qi deficiency syndrome, There were significant differences in the sex distribution of deficiency of kidney essence and vertigo in age distribution. Distribution of anxiety status in patients with vertigo: mild anxiety (39.58) without anxiety (34.58) moderate anxiety (18.34) severe anxiety (7.5g). There was significant difference in sex distribution between mild anxiety and moderate anxiety (P 0.05). There was significant difference in age distribution between mild anxiety and moderate anxiety. The correlation between vertigo TCM syndrome and anxiety degree: there was significant difference in anxiety degree distribution between vertigo TCM syndrome and anxiety degree, that is, vertigo TCM syndrome had certain correlation with anxiety state. Correlation: liver yang hyperactivity syndrome deficiency of kidney essence syndrome qi and blood deficiency syndrome phlegm dampness obstruction syndrome. Conclusion: the degree of anxiety is related to the syndrome of vertigo in TCM. The correlation is that deficiency of qi and blood deficiency of phlegm and dampness in stagnation of phlegm and dampness in syndrome of deficiency of kidney essence and deficiency of kidney on liver-yang hyperactivity.
【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】：R255.3

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