溃疡性结肠炎中医证候要素文献研究  

Literature Research on TCM Syndrome Factors of Ulcerative Colitis

作　　者：于斌[1] 厉启芳[2] 陈佳[1] 吴先林[1] 戴聪齐[1] 李恩庆[1] 黄春荣[1] 张玉佩[1] 赵昌林[1,3] 张天奉 陈孝银[1] 

机构地区：[1]暨南大学医学院中医系,广东广州510632 [2]广东外语外贸大学校门诊部,广东广州510420 [3]广东省祈福医院肿瘤科,广东广州511495 [4]深圳市福田区中医院,广东深圳518034

出　　处：《辽宁中医杂志》2013年第10期1963-1966,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81273616;30973693);教育部博士点基金(博导类)项目(20104401110003);教育部留学回国人员科研启动基金项目(23611010)

摘　　要：目的:探讨溃疡性结肠炎常见证候要素、证候类型及其分布规律。方法:对中国知网学术期刊数据库1979年1月—2011年12月的全部期刊进行高级检索,从符合研究标准的35篇文献中提取证候要素,对证候要素进行归类合并,总结证候类型。结果:2502例溃疡性结肠炎患者共有9个证候要素,主要是气虚749例(30.46%),阳虚1030例(41.17%),湿热725例(28.98%),气滞524例(20.95%)。全部病例中,虚证924例(36.93%),实证968例(57.04%),虚实夹杂证610例(24.38%)。湿热气滞是主要的实证要素,阳虚气虚是主要的虚证要素,痰湿湿热是主要的虚实夹杂证的证候要素。结论:气虚阳虚,湿热痰湿和气滞是溃疡性结肠炎中较为重要的证候要素,气阳两虚,生湿化痰积热和气滞血瘀是溃疡性结肠炎的两大基本类型。Objective：To probe into the common syndromes, syndrome factors and distribution regularity of ulcerative colitis. Methods：Firstly,literature was selected from January 1979 to December 2011 in CNKI retrieval system by advanced search meth- ods, then a database of 35 articles which met the criteria was established. Secondly, syndrome factors were concluded from the da- tabase and classified into different kinds and the syndrome type was summarized. Results ： There were totally 9 syndrome factors in 2502 cases of ulcerative colitis patients mainly including 749 cases of qi deficiency （ 30.46% ）, 1030 cases of yang deficiency （41.17%） ,725 cases of damp -heat （28.98%） and 524 cases of qi stagnation （20.95%）. And all patients could be divided into three types,924 cases of deficiency syndrome （36.93 % ） ,968 cases of excess syndrome （57.04%）, and 610 cases of syn- drome of intermingled deficiency and excess （24.38%）. From the statistical analysis,we concluded that damp -heat and qi stag- nation were the main excess syndrome factors, while yang deficiency and qi deficiency were the main deficiency syndrome factors, and phlegm - damp and damp - heat were the main syndrome factors of syndrome of intermingled deficiency and excess. Conclu- sion：The important syndrome factors of ulcerative colitis were qi deficiency,yang deficiency,damp- heat, phlegm- damp and qi stagnation ; and there were two fundamental types of ulcerative colitis, one was qi - yang deficiency, the other was qi - stagnancy and blood stasis.

关 键 词：溃疡性结肠炎 证候要素 证候类型 分布规律 

分 类 号：R574.62[医药卫生—消化系统]