基于聚类分析的慢性胃炎证候研究

发布时间：2018-05-20 17:43

本文选题：慢性胃炎 + 中医证型　；参考：《广西中医药大学》2016年硕士论文

【摘要】：目的:本课题通过流行病学调查的方式对慢性胃炎中的胃痛患者临床资料进行收集,借助统计学方法,总结出慢性胃炎中胃痛的常见证型,及慢性胃炎性别、年龄、职业、分布、诱发因素的关系,试找出慢性胃炎中慢性胃炎证型的分布规律,为慢性胃炎的中医证治提供帮助。方法:收集广西中医药大学附属瑞康医院消化门诊和消化内科病房住院确诊为慢性胃炎的600例患者进行问卷调查,按照统一的标准,将收集的临床信息填入《慢性胃炎证候分布规律调查表》。运用频数分析、聚类分析等统计学方法对资料进行分析,总结出慢性胃炎中胃痛的常见证型分布规律及相关因素的影响。结果:经统计分析,600例慢性胃炎胃痛患者聚为四类,第一类为:肝胃不和、脾虚气滞、肝郁脾虚、肝胃郁热、湿郁脾胃、胃络瘀阻型,第二类为:脾胃虚弱型,第三类为:脾胃湿热、寒热错杂、饮食停滞型,第四类为:胃阴不足型。患者女性多于男性。年龄段以中年最多,其次为老年、青年。职业分布中最多的为农民,其次为经商,再次为工人。发病诱因主要以七情内伤和饮食不节为明显诱因。结论:经聚类分析四种证候类型主要辨证症状分别为:聚一类:胃脘及胁肋胀满疼痛,反酸,嗳气,纳差,烦躁抑郁,便秘,舌苔薄白,舌质淡红,脉弦。聚二类:胃脘胀满隐痛,乏力,面色苍白,胃部喜暖喜按,嗳气,纳差,口淡,便溏,舌苔白,舌质淡红,脉细。聚三类:胃脘胀满灼痛或胀痛,反酸,纳差,口干,口苦,排便不爽,小便黄,舌苔黄厚或黄腻,舌质红,脉弦。聚四类:胃脘胀满、灼痛、失眠、饥不思食、口干、便秘、舌质红、脉细。
[Abstract]:Objective: to collect the clinical data of the patients with gastric pain in chronic gastritis by epidemiological investigation, and to summarize the common syndrome types of gastric pain in chronic gastritis with the help of statistical methods, and the relationship between the sex, age, occupation, distribution and inducing factors of chronic gastritis, and try to find out the distribution law of the syndrome type of chronic gastritis in chronic gastritis. Methods: 600 patients with chronic gastritis diagnosed as chronic gastritis were collected from the digestive and digestive department of Guangxi University of traditional Chinese medicine. Analysis, cluster analysis and other statistical methods to analyze the data, summarize the common pattern of gastric pain in chronic gastritis and the influence of related factors. Results: through statistical analysis, 600 patients with chronic gastritis and stomach pain are divided into four categories, the first category is liver stomach disharmony, spleen qi stagnation, liver depression and spleen deficiency, liver and stomach depression, wet and spleen stomach, stomach collaterals stasis type, The second categories were: spleen and stomach weak, third types: spleen and stomach damp heat, cold and heat mixed, diet stagnation type, and fourth types of stomach yin deficiency type. Women more than men. Age group is most in middle age, second is old age, young. The most of the occupational distribution is farmer, second is business, again for workers. The main cause of disease is seven emotional internal injuries and diet. Conclusion: the main syndromes of the four types of syndromes are: gag and flank distention and pain of stomach and flank, antiacid, belching, dysphagia, irritability, depression, constipation, thin tongue, pale tongue, pale red tongue, pulse chord. The two types of stomach are distended, weak, pale, warm and happy in the stomach, belching, difference, palate, loose stool, loose stool, and tongue White tongue, pale red tongue and fine vein. Three types: stomach distended and swell or distended pain, acid, dysphasia, mouth dry, pain, defecation, yellow, yellow and yellow tongue, tongue red, pulse chord. Poly four types: stomach fullness, burning pain, insomnia, hunger and unthinkable food, dry mouth, constipation, dry mouth, constipation, lingual, and fine veins.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R256.3

【参考文献】