[1]杨少锋,郭彦涛,罗振华,等.长沙市腰椎间盘突出症中医证候研究[J].中医正骨,2016,28(02):33-35.
　YANG Shaofeng,GUO Yantao,LUO Zhenhua,et al.Investigation of SYMPTOM COMPLEX(TCM)of lumbar disc herniation in Changsha city[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(02):33-35.
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长沙市腰椎间盘突出症中医证候研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年02期
页码:
33-35
栏目:
调查研究
出版日期:
2016-02-20

文章信息/Info

Title:
Investigation of SYMPTOM COMPLEX(TCM)of lumbar disc herniation in Changsha city
作者:
杨少锋1; 郭彦涛1; 罗振华1; 聂颖1; 邓博1; 张超1; 向 剑锋2
1.湖南中医药大学第一附属医院,湖南 长沙 410007;
2.湖南省张家界市中医院,湖南 张家界 427000
Author(s):
YANG Shaofeng1; GUO Yantao1; LUO Zhenhua1; NIE Ying1; DENG Bo1; ZAHNG Chao1; XIANG Jianfeng2
1.The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410007,Hunan,China 2.Zhangjiajie Hospital of Traditional Chinese Medicine,Zhangjiajie 427000,Hunan,China
关键词:
椎间盘移位;  腰椎;  证候;  问卷调查
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  symptom complex;  questionnaires
摘要:
目的:探讨长沙市腰椎间盘突出症的中医证候。方法:2011年12月至2012年12月,在长沙市3家医院中随机抽取623例腰椎 间盘突出症患者进行调查,将调查结果录入“文锋中医诊疗软件”,建立SPSS数据库,对患者的中医证候进行分析。结果:623例 患者中男428例,占68.7%; 女195例,占31.3%; 男性患者是女性患者的2.19倍。男性患者年龄小于女性患者[(53.00±9.82) 岁,(57.00±6.18)岁,t=4.620,P=0.035]。623例患者中以长期弯腰活动者及体力劳动者多见。均出现腰部疼痛和双下肢疼 痛,下肢疼痛性质以胀痛、隐痛等为主。623例患者中出现肝阴虚、肾阳虚、脾虚、血瘀、寒湿、湿热、气滞、风、肾阴虚9种 辨证要素,其中肝阴虚、寒湿、肾阳虚出现的频率最高,湿热、脾虚出现的频率最低。肝肾阴虚证176例,占28.3%; 风证50例,占 8.0%; 脾肾阳虚、寒湿证231例,占37.1%; 气滞血瘀、湿热证166例,占26.6%。结论:长沙市腰椎间盘突出症患者以男性居多,其 患病年龄较女性小; 患者以长期弯腰活动者及体力劳动者多见; 基本证型为肝肾阴虚证、风邪入络证、脾肾亏虚寒凝证和气滞 血瘀湿热证,肝阴虚、肾阴虚、血瘀、寒湿、气滞、风是导致该病的主要因素。
Abstract:
Objective:To investigate the SYMPTOM COMPLEX(TCM)of lumbar disc herniation(LDH)in Changsha city.Methods:Six hundred and twenty-three patients with LDH were randomly selected from three hospitals in Changsha city and were investigated from December 2011 to December 2012.The investigation results were inputed into Wenfeng TCM diagnosis and treatment software to build SPSS database,and the SYMPTOM COMPLEX(TCM)of the patients were analyzed.Results:The patients consisted of 428 males(68.7%)and 195 females(31.3%),and the male patients were 2.19 times of the female patients.Male patients were younger than female patients(53.00+/-9.82 vs 57.00+/-6.18 yrs,t=4.620,P=0.035).The patients consisted mainly of persons who often bent from the waist and manual workers.Low back pain and both lower limbs pain were found in the patients,and the lower limbs pain presented mainly with gas pain and vague pain.Nine primary factors for differentiation of symptoms and signs,including liver-yin deficiency,kidney-yang deficiency,spleen deficiency,blood stasis,cold- dampness,dampness-heat,qi stagnation,wind and kidney-yin deficiency were found in 623 patients.The top 3 factors with high frequency included liver-yin deficiency,cold-dampness and kidney-yang deficiency; whlie the top 2 factors with low frequency included dampness-heat and spleen deficiency.Liver-kidney-yin deficiency were found in 176 patients(28.3%),wind in 50 patients(8.0%),spleen-kidney yang-deficiency and cold-dampness in 231 patients(37.1%)and qi stagnation and blood stasis and damp-heat syndrome in 166 patients(26.6%).Conclusion:The patients with LDH are mainly males in Changsha city,and the male patients are younger than female patients.The patients consist mainly of persons who often bend from the waist and manual workers.The basic types of syndrome include liver-kidney-yin deficiency,pathogenic wind invading collaterals,spleen-kidney deficiency and cold coagulation and qi-stagnation and blood stasis and damp-heat.The main causative factors of the disease include liver yin deficiency,kidney yin deficiency,blood stasis,cold-dampness,qi stagnation and wind.

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备注/Memo

备注/Memo:
基金项目:湖南省中医药管理局重点课题(201119); 湖南省教育厅资助课题(11C0968,13C694)
更新日期/Last Update: 2016-04-30