| 钱乐.浙北地区上尿路结石中医证型与偏颇体质的相关性研究[J].浙江中西医结合杂志,2018,28(3): |
| 浙北地区上尿路结石中医证型与偏颇体质的相关性研究 |
| The correlative study of TCM syndromes and TCM constitution types of patients with upper urinary stone in northern Zhejiang |
| 投稿时间：2017-07-17 修订日期：2017-08-01 |
| DOI： |
| 中文关键词: 上尿路结石 中医证型 中医体质 结石预防 |
| 英文关键词:upper urinary stone TCM syndromes TCM constitutions prevention of stones |
| 基金项目:浙江中医药大学科研基金项目 |
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| 摘要点击次数: 1123 |
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| 中文摘要: |
| [目的]：分析浙北地区上尿路结石患者中医证型和中医体质类型,探讨两者之间的相关性,为结石防治提供新的依据。[方法]：选取2014年12月至2016年12月期间在浙江中医药大学附属第二医院门诊及住院治疗,经检查为上尿路结石患者466例,对入选的患者进行中医证型及体质量表的调查,对结果进行统计学分析。[结果]：本研究中医体质构成比：湿热质118例(25.3%)；痰湿质103例(22.1%)；阳虚质78例(16.7%)；阴虚质60(12.9%)；瘀血质51例(10.9%)；气虚质32例(6.9%)；平和质14例(3.0%)；气郁质10例(2.2%)；特禀质(0%)。中医证型构成比：湿热内蕴181例(38.8%)；气滞血瘀130例(27.9%),肾阳虚型92例(19.8%)；肾阴虚型63例(13.5%)。相关性分析：湿热内蕴型与湿热质、痰湿质有相关性；肾阳虚型和阳虚质有相关性；肾阴虚型和阴虚质有相关性；气滞血瘀型和瘀血质有相关性。[结论]：1.浙北地区尿石症患者的中医体质以湿热质、痰湿质、阳虚质比例最大,为浙北地区主要易患体质。2.中医证型与偏颇体质有一定相关性,可以探索通过调节患者的偏颇体质,预防结石的复发,为石淋病的预防和治疗提供新的方法与思路。 |
| 英文摘要: |
| Abstract: [Objective]: To analyze the TCM syndromes and TCM constitution types of patients with upper urinary stone in northern Zhejiang and explore the correlation between them. It may provide a new basis for the prevention and cure of stones.[Methods]: 466 cases patients with upper urinary calculi were elected in outpatient and inpatient treatment of Xinhua Hospital in Zhejiang Province from December 2014 to December 2016. The patients were examined by TCM syndrome type and Constitution in Chinese Medicine Questionnaire. The results were analyzed statistically. [ Results]: The proportion in simple TCM constitution type: damp-heat constitution in 118 cases (25.3%); phlegm-dampness constitution in 103 cases (22.1%); Yang deficiency constitution in 78 cases (16.7%); Yin deficiency constitution in 60 cases (12.9%); Static-blood constitution in 51 cases (10.9%); Qi asthenia in 32 cases (6.9%); gentler constitution in 14 cases (3.0%); Qi-stagnation constitution in 10 cases (2.2%); Special temperament constitution (0%). The proportion in TCM syndrome types: endoretention of damp-heat181 cases (38.8%); Qi-stagnation and blood stasis 130 cases (27.9%)；kidney Yang deficiency type 92 cases (19.8%). kidney Yin deficiency type 63 cases (13.5%). The correlation between them :Damp-heat constitution and phlegm-dampness constitution are correlate with endoretention of damp-heat syndromes. Yang deficiency constitution is correlated with kidney Yang deficiency syndromes. Yin deficiency constitution is correlated with kidney Yin deficiency syndromes. Static-blood constitution is correlated with Qi-stagnation and blood stasis syndromes.[Conclusion]: 1.The TCM constitution type of patients with urolithiasis in northern Zhejiang is the largest in terms of damp-heat, phlegm-dampness and Yang deficiency, which is mainly susceptible TCM constitution type in northern Zhejiang. 2. TCM syndromes and biased constitution have a certain relevance which can adjust the patient's biased body and prevent the recurrence of stones.It can provide new methods and ideas for the prevention and treatment of stone gonorrhea. |
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