福州地区糖尿病胃轻瘫的中医证候分布特点研究

发布时间：2018-05-31 12:08

本文选题：福州 + 糖尿病胃轻瘫　；参考：《福建中医药大学》2017年硕士论文

【摘要】：目的:1、通过调查就诊福建省立医院的糖尿病胃轻瘫(DGP)患者的主要症状,根据其症状得出对应证型,统计、分析其证候分布特点及规律。2、为福州地区糖尿病胃轻瘫患者的中医证候分型提供参考依据,并进一步指导临床DGP的中医辨证治疗。方法:1、通过查阅糖尿病胃轻瘫相关资料,制定DGP常见基本证候类型诊断标准,设计科学合理的证候分型问卷调查表。利用临床流行病学调研方法,通过现场问卷调查的形式,全面、规范、准确的收集相关资料,得出DGP中医证型。2、总结、归纳糖尿病胃轻瘫证候分布特点,进一步分析福州地区DGP中医证候分布特点及规律。结果:1、糖尿病胃轻瘫证型分布以两证兼并为多,三证兼并次之,单独证型较少,四证合并最少。2、糖尿病胃轻瘫基本证候类型分布从多到少为:脾气虚证胃阴虚证痰湿证湿热证气滞证=湿阻证=血瘀证脾阳虚证食积证。3、糖尿病胃轻瘫中医复合证型大于10例者分布情况为:脾虚夹湿证气阴两虚证阴虚夹湿证脾虚气滞证阴虚夹瘀证脾虚血瘀证阴虚食积证脾虚食积证阴阳两虚证。4、糖尿病胃轻瘫患者基本证型性别分布:气滞证患者女性明显多于男性(P0.05),余证型性别分布与总样本比较无差异。5、糖尿病胃轻瘫基本证型平均年龄从小到大为:湿热证痰湿证气滞证脾气虚证食积证胃阴虚证湿阻证血瘀证脾阳虚证。脾阳虚证、胃阴虚证、湿阻证、湿热证、血瘀证年龄与总样本年龄存在显著性差异(P0.05)。6、糖尿病胃轻瘫患者基本证型中脾阳虚证、湿热证的糖尿病病程与总样本比较存在显著性差异(P0.05)。脾阳虚证糖尿病病程明显大于总样本糖尿病病程,湿热证糖尿病病程明显小于总样本病程。7、糖尿病胃轻瘫患者基本证型HP阳性率从高到低为痰湿证湿热证脾气虚证血瘀证气滞证胃阴虚证湿阻证脾阳虚证食积证,其中痰湿证与湿热证HP阳性率远高于总样本的阳性率,具有统计学意义(P0.05)。8、糖尿病胃轻瘫患者基本证型BMI比较:胃阴虚证的BMI值明显小于总样本,痰湿证的BMI值明显大于总样本,其差异性具有统计学意义(P0.05)。结论:1、糖尿病胃轻瘫病因为正虚邪犯,基本病机是脾胃功能失调,病位在脾、胃,病性为虚实夹杂,本虚标实,脾气虚、胃阴虚、脾阳虚为本,食积、气滞、湿阻、痰浊、湿热、血瘀等为标。2、福州地区部分糖尿病胃轻瘫患者主要中医证型为脾虚湿阻证,气阴两虚证。3、福州地区部分糖尿病胃轻瘫患者证候分布特点与性别、年龄、糖尿病病程、BMI、HP感染存在一定关系。
[Abstract]:Objective to investigate the main symptoms of patients with diabetic gastroparesis (DGP) in Fujian Provincial Hospital, and to obtain the corresponding syndromes according to their symptoms. The characteristics and regularity of syndromes distribution were analyzed in order to provide reference for TCM syndromes classification of diabetic gastroparesis patients in Fuzhou area and to further guide the treatment of TCM syndrome differentiation of clinical DGP. Methods: 1. By consulting the relevant data of diabetic gastroparesis, the diagnostic criteria of common basic syndromes of DGP were established, and a scientific and reasonable questionnaire for syndrome classification was designed. By using the method of clinical epidemiology investigation, through the form of field questionnaire survey, comprehensive, standardized and accurate collection of relevant data, the DGP TCM syndrome type. 2, summed up, summed up the characteristics of the distribution of diabetic gastroparesis syndrome. Further analysis of Fuzhou area DGP TCM syndromes distribution characteristics and laws. Results 1. The distribution of diabetes mellitus gastroparesis syndrome type was more than that of two syndrome, followed by three syndromes, and less individual syndrome type. The distribution of basic syndromes of diabetic gastroparesis from more to less is as follows: spleen deficiency syndrome, stomach yin deficiency syndrome, phlegm and dampness syndrome, dampness and heat syndrome, qi stagnation syndrome = dampness syndrome = blood stasis syndrome, spleen yang deficiency syndrome, food accumulation syndrome, and diabetic gastroparesis syndrome. The distribution of syndrome type greater than 10 cases is as follows: spleen deficiency and dampness syndrome qi and yin deficiency syndrome spleen deficiency dampness syndrome spleen deficiency qi stagnation syndrome spleen deficiency and blood stasis syndrome yin deficiency food accumulation spleen deficiency food accumulation yin and yang deficiency syndrome. 4 basic syndrome of diabetic gastroparesis patients Gender distribution: women with Qi stagnation syndrome were significantly more than men (P 0.05), and there was no difference between sex distribution of residual syndrome type and total sample. The average age of basic syndrome type of diabetic gastroparesis was from small to large: damp-heat syndrome, phlegm and dampness syndrome, qi stagnation syndrome and spleen qi deficiency syndrome. Stomach-yin deficiency syndrome dampness obstruction syndrome blood stasis syndrome spleen-yang deficiency syndrome. Spleen yang deficiency syndrome, stomach yin deficiency syndrome, dampness obstruction syndrome, damp-heat syndrome, blood stasis syndrome and total sample age were significantly different. There was significant difference between the course of diabetes and the total sample of damp-heat syndrome (P 0.05). The course of diabetes in spleen yang deficiency syndrome was obviously larger than that in total sample. The course of diabetes in damp-heat syndrome was obviously smaller than that in total sample. The HP positive rate of the basic syndrome type of diabetic gastroparesis was from high to low: phlegm and dampness syndrome, damp-heat syndrome, dampness and heat syndrome, qi stagnation syndrome, stomach yin deficiency syndrome, dampness stagnation syndrome, spleen yang deficiency syndrome, food accumulation syndrome. The positive rate of HP in phlegm dampness syndrome and damp-heat syndrome was much higher than that in total sample, which had statistical significance (P0.050.8.Compared with the BMI of basic syndrome type of diabetic gastroparesis, the BMI value of stomach yin deficiency syndrome was obviously lower than that of total sample, and the BMI value of phlegm dampness syndrome was obviously larger than that of total sample. The difference was statistically significant (P 0.05). Conclusion 1. The etiology of diabetes gastroparesis is the crime of positive deficiency and evil, the basic pathogenesis is the dysfunction of spleen and stomach, the disease is located in the spleen and stomach, the disease is mixed with deficiency and solid, the deficiency of spleen qi, the deficiency of stomach and yin, the deficiency of spleen and yang, the accumulation of food, qi stagnation, dampness obstruction, phlegm turbid. Dampness and heat, blood stasis were the standard. 2. The main TCM syndromes of some diabetic gastroparesis patients in Fuzhou area were spleen deficiency and dampness obstruction syndrome, Qi and Yin deficiency syndrome. The syndrome distribution characteristics, sex and age of some diabetic gastroparesis patients in Fuzhou area. The infection of BMIP HP was related to the course of diabetes.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

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