乳腺增生病患者的中医证型及其体质的探讨

发布时间：2018-09-19 19:36

【摘要】：目的:本研究旨在研究乳腺增生病患者的中医证型和体质类型的分布规律,探讨本病的中医证型与患者体质的相关性,为临床上防治乳腺增生病提供理论依据。方法:随机选取120例乳腺增生病患者及120例健康女性,建立调查问卷,获取相关资料,判定体质类型,并对患者进行中医辨证分型,建立数据库,利用SPSS系统进行统计分析,得出本病各证型及患者体质的分布规律,初步探讨本病证型与体质的关系。结果:1.病例组中气郁质(28.3%)占多数,明显多于对照组,组间比较P0.01,有非常显著性差异。病例组中痰湿质(22.5%)、血瘀质(13.3%)也显著多于对照组,组间比较P0.05,有显著性差异。病例组中没有出现平和质,与对照组组间比较,有非常显著性差异。2.对每种体质的乳腺增生病患者在不同证型中的分布进行比较,气郁质患者中肝气郁滞型(58.7%)明显多于另三类证型,阴虚质患者中阴虚火旺型(50.0%)明显多于另三类证型,这两种体质患者组间比较P0.01,有非常显著性差异。痰湿质和血瘀质患者中痰瘀互结型均多于另三类证型,组间比较均P0.05,有显著性差异。结论:1.气郁质、痰湿质、血瘀质是乳腺增生病患者中的主要体质类型,三种体质较易患乳腺增生病。2.乳腺增生病在本实验中的临床证型分布主要以肝郁气滞型和痰瘀互结型为主,其中肝郁气滞型的患者明显高出其他证型。
[Abstract]:Objective: the purpose of this study was to study the distribution of TCM syndromes and physique types in patients with hyperplasia of mammary glands, and to explore the correlation between TCM syndromes and patients' physique, and to provide theoretical basis for clinical prevention and treatment of hyperplasia of mammary glands. Methods: 120 patients with hyperplasia of mammary glands and 120 healthy women were randomly selected, questionnaire was established, relevant data were obtained, physique types were determined, and TCM syndrome differentiation was carried out, database was established, and statistical analysis was carried out by SPSS system. The relationship between syndrome type and physique was discussed. The result is 1: 1. In the case group, qi stagnation (28.3%) was more than that in the control group (P 0.01), there was a very significant difference between the two groups. Phlegm dampness (22. 5%) and blood stasis (13. 3%) were significantly higher in the case group than in the control group (P 0. 05). There was no calmness in the case group, and there was a very significant difference between the two groups. 2. 2. The distribution of each type of hyperplasia of mammary gland in different syndromes was compared. The stagnation of liver qi (58.7%) in patients with Qi stagnation was significantly more than that of the other three types of syndrome, while the type of deficiency of Yin and fire (50.0%) in patients with deficiency of yin was obviously more than that of the other three types of syndromes. There was a significant difference between the two groups (P 0.01). Phlegm and blood stasis syndromes in phlegm dampness and blood stasis patients were more than those in the other three syndromes with significant difference (P 0.05). Conclusion 1. Qi stagnation, phlegm dampness and blood stasis are the main physique types in patients with hyperplasia of mammary gland. In this experiment, the main clinical syndrome types of hyperplasia of mammary gland were liver stagnation and phlegm and blood stasis, in which the patients with liver stagnation and qi stagnation were significantly higher than other syndrome types.
【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】：R269

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