反流性食管炎患者先天运气禀赋特征分析  

Analysis on Congenital Yunqi-Associated Predisposition Characteristics of Patients with Reflux Esophagitis

作　　者：张耘硕 鲁明源[1] ZHANG Yunshuo;LU Mingyuan(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医杂志》2023年第11期1181-1185,1219,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局迟华基全国名老中医药专家传承工作室(编号:520786)。

摘　　要：目的:以反流性食管炎为例,探讨先天运气禀赋内涵,分析反流性食管炎的危险运气因素,总结反流性食管炎患者的先天运气禀赋特征。方法:从山东中医药大学附属医院的电子病历系统中收集253例反流性食管炎患者的相关信息建立Excel数据库,通过统计描述、卡方检验比较患者出生、受孕时间的运气因素分布差异,结合传统中医理论对其结果进行分析。结果:①反流性食管炎患者中,男性多于女性,年龄41~65岁者较多;②受孕时间的运气格局较出生时间意义更大,因此人的先天运气禀赋可能是在受孕时间的运气因素影响下所形成的禀赋类型,并被赋予了该时段的运气特征;③值少阴君火司天/阳明燥金在泉之年受孕者最多,与其他司天/在泉之年受孕人数比较,差异有统计学意义(P=0.006);④反流性食管炎患者于主气为初之气时受孕者更多,与其他主气时受孕人数比较,差异有统计学意义(P=0.045)。结论:①反流性食管炎患者的先天运气禀赋特征为木火上炎,其形成与受孕时间关系更密切;②参考危险运气因素,没有典型临床表现而具有反流性食管炎患者先天运气禀赋特征者,也应行早期筛查以预防调护。Objective:Taking reflux esophagitis(RE)as an example,to explore the connotation of congenital Yunqi-associated predisposition,to analyze the risk Yunqi factors for RE,and to summarize the congenital Yunqi-associated predisposition characteristics of patients with RE.Methods:Related information of 253 patients with RE was collected from the electronic medical record system of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine to establish an Excel database.Statistical description and chi-square test were used to explore the diffe-rences in the distribution of Yunqi factors at the patients’birth time and conception time,and the results were analyzed by traditional Chinese medicine theory.Results:①RE affected males more than females,and the age of the patients with RE was largely at 41 to 65 years old.②The Yunqi pattern at the conception time was more significant than that at the birth time,and therefore the human’s congenital Yunqi-associated predisposition may be built up under the influence of Yunqi factors at the conception time,so that it includes the characteristics of the Yunqi factors at this period.③The number of patients with RE whose conception time was in the Sitian period of Shaoyin Junhuo and the Zaiquan period of Yangming Zaojin was larger than that of patients with RE whose conception time was in other Sitian period and other Zaiquan period(P=0.006).④In terms of the distribution of dominate-qi,the number of RE patients with conception time amid initial qi was larger than that of RE patients with conception time amid other dominate-qi(P=0.045).Conclusions:①The congenital Yunqi-associated predisposition characteristics of patients with RE was wood fire flaming upward,and it is closely related to the conception time.②According to the risk Yunqi factors,those without typical clinical manifestations but having the congenital Yunqi-associated predisposition characteristics of RE patients should undergo early screening to prevent RE.

关 键 词：反流性食管炎 先天运气禀赋 受孕时间 少阴君火司天/阳明燥金在泉 初之气 木火上炎 

分 类 号：R256.31[医药卫生—中医内科学]