痔病症状发作诱因与其中医证型的相关性研究  

Study on the Relativity of Seizure Inducing of Hemorrhoids with their TCM Indication Type

作　　者：高家治[1] 刘华[1] 王振宜[1] 耿润毅[1] 冯志凯[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437

出　　处：《中国肛肠病杂志》2011年第12期12-15,共4页Chinese Journal of Coloproctology

基　　金：上海市自然科学基金（11ZR1438200）上海高校创新团队项目（第2期）：中医防治皮肤病

摘　　要：为探讨痔病症状发作诱因与其中医证型的相关性，以期为痔病的中医辨证论治提供科学依据，本研究由统一培训过的专业人员对符合要求的研究对象进行面对面的问卷调查，调查结束后在专业统计人员的指导下对痔病患者病史、症状、体征等临床资料进行整理，并与其中医证型进行相关性分析。结果显示，辛辣饮食（P=0．008）、排便频率（P=0．023）、大便性状（P=0．046）、疲劳（P=0．024）四个因素在不同中医证型痔病中的构成比差异有统计学意义。进一步多因素回归分析结果表明，大便性状和疲劳是脾虚气陷证的相关因素，排便频率和辛辣饮食是气滞血瘀证的相关因素，大便性状和辛辣饮食是湿热下注证的相关因素，大便性状是风伤肠络证的相关因素。摘要为探讨痔病症状发作诱因与其中医证型的相关性，以期为痔病的中医辨证论治提供科学依据，本研究由统一培训过的专业人员对符合要求的研究对象进行面对面的问卷调查，调查结束后在专业统计人员的指导下对痔病患者病史、症状、体征等临床资料进行整理，并与其中医证型进行相关性分析。结果显示，辛辣饮食（P=0．008）、排便频率（P=0．023）、大便性状（P=0．046）、疲劳（P=0．024）四个因素在不同中医证型痔病中的构成比差异有统计学意义。进一步多因素回归分析结果表明，大便性状和疲劳是脾虚气陷证的相关因素，排便频率和辛辣饮食是气滞血瘀证的相关因素，大便性状和辛辣饮食是湿热下注证的相关因素，大便性状是风伤肠络证的相关因素。The objective of this study was to explore the relativity of seizure inducing of hemorrhoids with their TCM indication type, so as to provide scientific basis for TCM selection of treatment according to different diagnosis of hemorrhoids. In this study the unitied trained professionals questionnaired face to face to survey the subjects conforming to request,after the survey under direction of special statistical persons the obtained clinical data, including patients disease history, symptoms and signs, were arranged, and analysed their relativity with TCM indication types. As results,the component ratios of pungent eating,feces form, defecation frequency and fatigue in hemorrhoids at different indication types of TCM had statistical differ- ences（ P = 0. 008,0. 023,0. 046 and 0. 024, respectively）, then through multi-factor regression analysis it is indicated that feces form and fatigue are the relative factors of insufficiency of the spleen and collapse of qi type,defecation frequency and pungent eating are the relative factors of qi stagnation and blood stasis type, feces form and pungent eating are the relative factors of down-ward flow of damp-heat type, feces form is intestinal collaterals indication caused wind pathogen type.

关 键 词：痔 症状发作 诱发因素 中医证型 相关性 

分 类 号：R259.414[医药卫生—中西医结合]