發(fā)布時(shí)間：2018-01-29 14:20

  本文關(guān)鍵詞： 西北燥證 冠心病 中醫(yī)體質(zhì) 民族　出處：《新疆醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:1)比較新疆維、漢、哈族冠心病患者中醫(yī)體質(zhì)差異,進(jìn)一步探討新疆維、漢、哈族罹患西北燥證冠心病患者與非罹患西北燥證冠心病患者中醫(yī)體質(zhì)的異同;2)探尋西北燥證與新疆漢、維、哈不同民族冠心病發(fā)病、病理變化及預(yù)后的內(nèi)在關(guān)系。方法:運(yùn)用橫斷面調(diào)查的方法收集2015年12月-2016年12月在新疆維吾爾自治區(qū)中醫(yī)院以冠心病為第一診斷且西醫(yī)確診的冠心病和中醫(yī)診斷為胸痹的住院患者例850例,健康人群100例,制定冠心病及中醫(yī)體質(zhì)類型計(jì)量計(jì)分調(diào)查表,調(diào)查并按統(tǒng)一規(guī)定填寫調(diào)查表。采用標(biāo)準(zhǔn)化的9種中醫(yī)體質(zhì)量表對(duì)冠心病患者實(shí)施中醫(yī)體質(zhì)辨識(shí),運(yùn)用統(tǒng)計(jì)學(xué)方法分析冠心病患者中醫(yī)體質(zhì)特點(diǎn),比較罹患與非罹患西北燥證中醫(yī)體質(zhì)的異同。結(jié)果:1)分析850例冠心病患者體質(zhì)與燥證的關(guān)系發(fā)現(xiàn),六組間(陽(yáng)虛質(zhì)、陰虛質(zhì)、氣虛質(zhì)、痰濕質(zhì)、血淤質(zhì)、平和質(zhì)、余為兼夾體質(zhì))燥證的患病率差異有統(tǒng)計(jì)學(xué)意義,P0.05;2)不同性別、年齡、民族、飲食習(xí)慣、居住環(huán)境、生化檢查與燥證的患病率關(guān)系,有統(tǒng)計(jì)學(xué)意義P0.05;3)分析人群的冠心病與燥證的關(guān)系,各組間燥證患病率均無(wú)統(tǒng)計(jì)學(xué)差異,即P0.05;4)分析100例健康體檢人群與850例冠心病人中醫(yī)體質(zhì)、燥證與冠心病的關(guān)系,P0.001差異有統(tǒng)計(jì)學(xué)意義;結(jié)論:本研究發(fā)現(xiàn)新疆維漢哈不同民族冠心病患者中醫(yī)體質(zhì)具有差異,維吾爾族陽(yáng)虛、陰虛體質(zhì)明顯多于漢族與哈薩克族,漢族、哈薩克族平和質(zhì)多于維吾爾族;燥證和體質(zhì)在冠心病的發(fā)生、發(fā)展中存在著某種相關(guān)性。
[Abstract]:Objective: to compare the physique differences of coronary heart disease (CHD) patients in Xinjiang, Han and Kazak, and to further explore the Uygur and Han in Xinjiang. The similarities and differences of TCM constitution between patients with northwest dryness syndrome coronary heart disease and non-northwest dryness coronary heart disease patients; 2) to explore the relationship between northwest dryness syndrome and coronary heart disease of Han, Wei and Kazakh nationalities in Xinjiang. Relationship between pathological changes and prognosis. Methods:. The cross-sectional investigation was used to collect the hospitalization in Xinjiang Uygur Autonomous region Hospital of traditional Chinese Medicine from December 2015 to December 2016, with coronary heart disease as the first diagnosis and Western medicine as the diagnosis of coronary heart disease and traditional Chinese medicine diagnosis as chest arthralgia. There were 850 cases. 100 healthy people, coronary heart disease and traditional Chinese medicine constitution type measurement score questionnaire. To investigate and fill out the questionnaire according to the unified regulations. 9 kinds of standardized TCM physique scale were used to identify the TCM constitution of patients with coronary heart disease and the statistical method was used to analyze the characteristics of TCM constitution of patients with coronary heart disease. Results the relationship between physical constitution and dryness syndrome of 850 patients with coronary heart disease was analyzed. It was found that there were six groups (yang deficiency, yin deficiency, qi deficiency and phlegm dampness). There was significant difference in the prevalence rate of blood stasis, calmness, and the rest of the syndrome of dryness (P 0.05). 2) the relationship between sex, age, nationality, eating habits, living environment, biochemical examination and the prevalence of dryness syndrome was statistically significant (P0.05); 3) analyzing the relationship between coronary heart disease and dryness syndrome, there was no statistical difference in the prevalence of dryness syndrome among the groups, that is, P0.05. 4) the relationship between TCM constitution and dryness syndrome and coronary heart disease (CHD) was analyzed in 100 healthy people and 850 patients with coronary heart disease. Conclusion: this study found that there are differences in TCM constitution of patients with coronary heart disease in different nationalities in Weihanha, Uygur nationality is obviously more than Han nationality, Kazak nationality and Han nationality. The peaceful quality of Kazak is more than that of Uygur. Dryness syndrome and constitution in the occurrence, development of coronary heart disease, there is a certain correlation.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R259

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