功能性肛门直肠痛中医证型研究  

Research on TCM Syndromes Type of Functional Anorectal Pain

作　　者：张娇娇 丁义江[2] 丁曙晴[2] 薛雅红[2] 高丽洁 ZHANG Jiaojiao;DING Yijiang;DING Shuqing;XUE Yahong;GAO Lijie(Nanjing University of Chinese Medicine, Nanjing 210029, Jiangsu, China;Nanjing Municipal Hospital of Chinese Medicine, Nanjing 210001, Jiangsu, China)

机构地区：[1]南京中医药大学,江苏南京210029 [2]南京市中医院,江苏南京210001

出　　处：《辽宁中医药大学学报》2018年第6期107-109,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：南京市科技发展计划项目(201605038)

摘　　要：目的：观察功能性肛门直肠痛的中医证型分布与严重度的关系。方法：研究2015年9月—2017年2月南京市中医院肛肠科门诊诊断为功能性肛门直肠痛的患者194例,资料完整有104例,采用问卷形式进行中医辨证量表问卷完成中医辨证分型、疼痛视觉模拟评分（VAS）、36题健康调查量表（SF-36）填写,并分析中医证型与严重度之间关联性。结果：104例功能性肛门直肠痛患者中医证型主要分布：气滞血瘀（n=40,38.5%）,中气下陷（n=26,25%）,肝脾不调（n=18,17.3%）,肝肾阴虚（n=10,9.6%）,脾肾阳虚（n=10,9.6%）。VAS评分2～10分,平均（5.16±2.20）分;SF-36评分14.4～137分,平均（75.17±30.87）分。组间比较,分析各中医证型与疼痛严重度（VAS评分）及生活质量（SF-36）关系,各组间比较均无统计学差异（P〉0.05）。结论：功能性肛门直肠痛中医证型以气滞血瘀、中气下陷、肝脾不调为多见;其中医证型与严重度之间无相关性。Objective：To observe the distribution of TCM syndromes of the functional anorectal pain and the relationship between TCM syndromes and severity. Methods：194 cases with functional anorectal pain as the chief complaint from Nanjing municipal hospital of Chinese medicine colorectal department clinic from September 2015 to February 2017,in which 104 cases got complete data enrolled in the research. Patients completed the questionnaires including Chinese medicine syndrome differentiation form,pain visual analogue scale（VAS）and SF-36 form. Then compared and analysis the relationship between the Chinese medicine syndromes and symptom severity score. Results：Clinical distribution of TCM syndromes in 104 functional anorectal pain patients dyndromes distribution were listed：Qi stagnation and blood stasis（n=40,38.5%）,spleen-Qi sinking（n=26,25%）,hepatosplenic disorder（n=18,17.3%）,deficiency of liver-Yin and kidney-Yin（n=10,9.6%）,spleen kidney-Yang deficiency（n=10,9.6%）. VAS was between 2-10 points[（5.16±2.20）points]. The SF36 score was from 14.4-137 points[（75.17±30.87）points]. The relationship between TCM syndrome differentiation and severity（VAS score）and SF-36 was compared in groups. There was no significant difference between the groups. Conclusion：Functional anorectal pain syndromes distrubution of Chinese medicine were dominated in Qi stagnation and blood stasis,spleen-Qi sinking,hepatosplenic disorder. There was no directly relationship between Chinese medicine syndromes and symptoms severity of the functional anorectal pain.

关 键 词：功能性肛门直肠痛 辨证论治 严重度 

分 类 号：R574[医药卫生—消化系统]