肘管综合征中医证型分布规律研究  

The Study on Distribution of Traditional Chinese Medicine Syndromes of Cubital Tunnel Syndrome

作　　者：杨松[1] 黄昭华 詹晓欢 高峻青[1] YANG Song;HUANG Zhaohua;ZHAN Xiaohuan;GAO Junqing(Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,Guangdong China.)

机构地区：[1]广东佛山市中医院,广东佛山528000

出　　处：《中国中医骨伤科杂志》2021年第6期17-20,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：广东省中医药管理局“十三五”医学重点专科建设项目。

摘　　要：目的:探究肘管综合征不同中医证型的特点和分布规律。方法:回顾2015年3月至2020年3月确诊为轻中型肘管综合征患者共120例,依据痹证辨证分型并比较不同中医证型患者的体质量指数(BMI)、病程、肌电生理等指标。结果:本研究中痰瘀痹阻证占比最高(29.2%);各证型间BMI分布差异无统计学意义(Ρ>0.05),而病程分布比较差异有统计学意义(P<0.01)。各证型尺神经肘段运动神经传导速度:风寒湿证为(42.19±9.65)m/s,风湿热痹证为(42.27±5.58)m/s,寒热错杂证为(44.64±3.41)m/s,痰瘀痹阻证为(42.02±7.80)m/s,气血亏虚证为(36.02±11.45)m/s,肝肾亏虚证为(38.07±6.37)m/s,各组间差异有统计学意义(P<0.01)。结论:肘管综合征中医证型分布有一定的规律性,肌电生理可作为辨证分型的参考依据之一。Objective:To investigate the characteristics and distribution of different traditional Chinese medicine(TCM)syndromes of cubital tunnel syndrome.Methods:A total of 120 patients from March 2015 to March 2020 were retrospectively reviewed.The indicators of different TCM syndromes,such as the body mass index(BMI),the course of disease and Neuroelectrophysiology and so on,were compared according to the dialectical classification of Bi syndrome.Results:In this study,the proportion of phlegm and blood stasis stagnation syndrome was the highest(29.2%).There was no significant difference in the distribution of BMI between the syndromes(Ρ>0.05),and the differences in course of disease were statistical significance(Ρ<0.01).The elbow motor nerve conduction velocity(MNCV)of each syndrome type was:wind-cold-dampness syndrome was(42.19±9.65)m/s,wind-fever-dampness syndrome was(42.27±5.58)m/s,cold and heat complicated syndrome was(44.64±3.41)m/s,phlegm and blood stasis stagnation syndrome was(42.02±7.80)m/s,Qi and blood deficiency syndrome was(36.02±11.45)m/s,liver and kidney deficiency syndrome was(38.07±6.37)m/s,and the difference was statistically significant(Ρ<0.01).Conclusion:There is a certain regularity in the distribution of TCM syndromes in the cubital tunnel syndrome.The neurophysiological indicators can be used as one of the reference basis for syndrome differentiation.

关 键 词：肘管综合征 中医证型分布 肌电生理 回顾性研究 

分 类 号：R681.7[医药卫生—骨科学]