不同疾病并发急性胰腺炎中医证候规律的临床研究

发布时间：2018-06-16 19:04

本文选题：急性胰腺炎 + 不同并发疾病　；参考：《辽宁中医药大学》2016年硕士论文

【摘要】：目的:通过分析急性胰腺炎不同并发疾病与中医辨证分型的相关性,总结不同疾病并发急性胰腺炎的中医证候规律,为临床进一步辨证治疗及深入研究提供参考。方法:参考文献资料与最新诊疗共识,收集符合纳入标准的急性胰腺炎住院病例60例,填写患者一般情况、病因及合并疾病、中医病性与证候要素,整理分析中医辨证分型规律及与并发疾病的相关性。结果:1.与急性胰腺炎并发的疾病中,胆结石最多(45.0%),其次为脂肪肝(31.7%)、高脂血症(21.7%)、糖尿病(13.3%)。2.60例急性胰腺炎患者中辨证为肝胆湿热证比例最多(36.7%),其次为肝郁气滞证(30.0%)和腑实热结证(16.7%)。3.不同疾病并发急性胰腺炎的中医证候分布规律,并发胆结石的中医证候,肝胆湿热证最多(51.9%),其次为肝郁气滞证(18.5%)和腑实热结证(18.5%);并发脂肪肝的中医证候,肝郁气滞证最多(52.6%),其次为肝胆湿热证(21.1%);并发高脂血症的中医证候,常见证候为肝郁气滞证(38.5%)和肝胆湿热证(38.5%);并发糖尿病的中医证候,常见证候为脾虚气滞证(50.0%),其次为肝郁气滞证(37.5%)。结论:不同疾病并发急性胰腺炎的中医证候分布有明显差异,常见证型受到并发疾病病因与病机的影响。
[Abstract]:Objective: to analyze the correlation between different complicated diseases of acute pancreatitis and TCM syndrome differentiation and to summarize the syndromes of different diseases complicated with acute pancreatitis so as to provide reference for clinical treatment and further study. Methods: with reference to literature and consensus of diagnosis and treatment, 60 inpatients with acute pancreatitis who met the inclusion criteria were collected, and patients' general conditions, etiology and associated diseases, characteristics and syndromes of TCM were filled in. Collate and analyze the law of TCM syndrome differentiation and its correlation with complicated diseases. The result is 1: 1. Among the diseases complicated with acute pancreatitis, cholelithiasis was the most common, followed by fatty liver 31.7, hyperlipidemia 21.7m, diabetes mellitus 13.33n.2.60 patients with acute pancreatitis, the most common syndrome was liver-damp-heat syndrome (36.7N), the second was liver stagnation and Qi stagnation (30.00), and the fu-organs syndrome was 16.7T. The distribution of TCM syndromes of different diseases complicated with acute pancreatitis, the syndromes of cholelithiasis, liver and gallbladder dampness and heat, followed by liver stagnation and qi stagnation syndrome were 51.9%, followed by liver stagnation and qi stagnation syndrome. The most common syndromes were liver stagnation and qi stagnation (38.5%) and liver and gallbladder dampness heat syndrome (38.5%), and the syndrome of complicated diabetes in traditional Chinese medicine (TCM syndromes), which were associated with diabetes mellitus, the most common syndromes were liver depression and qi stagnation syndrome, and liver and gallbladder dampness heat syndrome, followed by liver and gallbladder dampness and heat syndrome, the second was liver and gallbladder dampness heat syndrome. The common syndromes were spleen asthenia Qi stagnation syndrome and Qi stagnation syndrome, followed by liver depression Qi stagnation syndrome and Qi stagnation syndrome. Conclusion: there are significant differences in the distribution of TCM syndromes between different diseases complicated with acute pancreatitis, and the common syndromes are affected by the etiology and pathogenesis of complicated diseases.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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