基于经络学说的294例大学生头痛病因病机探析  

Discussion on the Etiology and Pathogenesis of 294 College Students with Headache Based on Meridian Theory

作　　者：马玉刚 李明襄 李明凯 刘淑真 张成盈 丁宝刚[1] MA Yugang;LI Mingxiang;LI Mingkai;LIU Shuzhen;ZHANG Chengying;DING Baogang(College of Combining Traditional Chinese and Western Medicine,Binzhou Medical University,Shandong Province,Yantai 264003,China)

机构地区：[1]滨州医学院中西医结合学院,山东烟台264003

出　　处：《中国中医药现代远程教育》2021年第11期47-51,共5页Chinese Medicine Modern Distance Education of China

基　　金：大学生创新创业训练计划项目【No.201810440111】。

摘　　要：目的基于经络学说探究大学生头痛经络分型的分布规律及其病因病机,并给予相应防治建议。方法通过对来自山东省除临沂和日照以外的14地市以及甘肃张掖、河北石家庄和唐山、北京东城区和海淀区等省外10地市驻地高校的在校大学生开展头痛患者病情资料问卷调查,了解不同经络分型头痛的发病因素,运用中医理论分析其发病机理。结果回收并整理问卷资料436份,其中符合研究标准的大学生294例。294例患者中,男女比例1∶1.88,女性显著多于男性;不同经络分型的头痛患者的情绪表现占比最高的均为易思虑;有65.31%(192/294)的患者存在五味偏嗜的现象,有58.16%(171/294)的患者存在饮食种类偏嗜,喜荤患者显著多于喜素患者;在23时以后入睡有68.37%(201/294),其中有2.04%(6/294)习惯在凌晨1时之后入睡;有287例患者对目前的学习生活等状态感到明显压力,占比高达97.62%(287/294),有1成多的患者表示压力很大,以致对正常生活的情绪状态产生影响;每天使用电子产品2~6 h的患者占61.56%(181/294),使用时长超过6 h的患者占34.01%(100/294),仅有4.42%(13/294)的患者每天使用电子产品的时长在2 h以内;192例女性头痛患者中,经期时长对经期头痛发病率有影响;头痛发作时以胀痛28.91%(85/294)和隐痛26.87%(79/294)最为常见,其中,太阳经头痛、阳明经头痛、厥阴经头痛和非典型经络循行头痛中以胀痛最为常见,少阳经头痛和少阴经或太阴经头痛中以隐痛最为常见。结论大学生头痛的性别与头痛的经络分型存在显著相关,女性患者中经期头痛与月经周期存在显著相关。情绪、饮食偏嗜、睡眠、压力、电子产品使用等不良生活习惯是头痛发病的重要因素。Objective Based on the meridians theory,this paper probes into the distribution pattern and etiology and pathogenesis of the meridians classification of headache in college students,and gives corresponding suggestions on prevention and treatment,hoping to provide support for promoting college students to establish a good lifestyle and clinical diagnosis and treatment of the disease.Methods A questionnaire survey was conducted among college students from 14 prefecture-level cities in Shandong Province except Linyi and Rizhao,and 10 resident universities in 10 prefecture-level cities including Zhangye of Gansu Province,Shijiazhuang and Tangshan of Hebei Province,and Dongcheng District and Haidian District of Beijing.The pathogenesis factors of headache with different meridians classifications will be understood,and its pathogenesis will be analyzed with the theory of traditional Chinese medicine.Results Among the 294 patients,the ratio of male to female is 1:1.88,and female patients were significantly more than male patients.65.31%(192/294)of the patients had the phenomenon of preference for five flavors,58.16%(171/294)of the patients had dietary preference,the patients who liked meat was significantly more than those who liked oxin.68.37%(201/294)fell asleep after 23:00,and 2.04%(6/294)fell asleep after 1:00 in the morning;There were 287 patients who felt obvious pressure on current study and life,accounting for 97.62%(287/294),and more than 10%of the patients expressed great pressure,so that the emotional state of normal life would be affected.61.56%(181/294)of the patients used electronic products for 2-6 hours a day,34.01%(100/294)of the patients used electronic products for more than 6 hours a day,and only 4.42%(13/294)of the patients used electronic products for less than 2 hours a day.The duration of menstrual period had an effect on the incidence of menstrual headache in 192 female patients.The most common headache symptoms were bilge pain(28.91%,85/294)and dull pain(26.87%,79/294),among which bilge pain wa

关 键 词：头痛 病因病机 经络分型 大学生 调查研究 

分 类 号：R277.7[医药卫生—中医学]