317例腹股沟疝患者中医体质类型分析  

Analysis of Constitutional Types of Chinese Medicine in 317 Cases of Inguinal Hernia

作　　者：满艺[1] 黄皇[1] 张新[1] 谢加东[1] 王荫龙[1] 

机构地区：[1]天津市人民医院疝和腹壁外科,天津300121

出　　处：《中国中西医结合外科杂志》2016年第4期346-349,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探讨腹股沟疝患者的中医体质分布特征。方法:采用《中医体质分类与判定》标准,对317例腹股沟疝患者(病例组)和80例健康者(对照组)进行问卷调查,分析中医体质与腹股沟疝的相关性。结果:两组间性别、年龄差异无统计学意义(P>0.05),具有可比性。与对照组相比,病例组患者的中医体质类型以气虚质和平和质为主(气虚质:8人VS 84人,P<0.05;平和质:33人VS 82人,P<0.05;)。进一步分析不同腹股沟疝类型与中医体质的分布发现,斜疝患者中以气虚质和平和质为主,分别为45人和43人;直疝患者以气虚质、平和质、和湿热质为主,分别为27人、25人和17人;而复合疝患者则以气虚质、阳虚质为主,分别为12人和18人。结论:腹股沟疝患者的中医体质类型以气虚质为主,气虚质可能是腹股沟疝的易感因素。Objective To investigate the inguinal hernia patients＇ constitution in traditional chinese medicine（TCM） distribution. Methods Questionnaire survey was conducted on 317 inguinal hernia patients （case group） and 80 healthy people（control group） by using TCM Constitution Scale,and then analysis the relation between both groups. Results The demographic （age and gender） of the two groups were similar. Compared with the control group, qi-deficiency and gentler were significantly difference in the inguinal hernia patients （qi-deficiency ： 8 VS 84, P 〈 0.05 ; gentler： 33 VS 82, P 〈 0.05）. When compared the subgroups of the inguinal hernia with TCM distribution, we found that there were forty-five of qi-deficiency and forty-three of gentler in indirect hernia group, respectively. Moreover, qi-deficiency, gentler and dampnessheat were the main tvne in the direct hernia group, which were twenty-seven, twenty-five and seventeen, respectively. However, there were twelve of qi-deficiency and seventeen of yang-deficiency in the composite hernia group. Conclusion Qi-deficiency types were the common constitution types in all inguinal hernia patients. Qi-deficiency may be the susceptibility factors of patients with inguinal hernia.

关 键 词：中医体质类型 中医体质量表 腹股沟疝 

分 类 号：R656.21[医药卫生—外科学]