CAJ | 학술논문

目的:探讨泉州地区肛痈的证素规律.方法:根据临床调研的方法,采用证素辨证的方法对105例肛痈患者的证素规律进行分析归纳总结,并对西医血液生化指标进行相关性研究.结果:①肛痈的证素分布规律:病位证素主要有大肠、脾、肾、肝,大肠的积分为(88.56±19.58)分,出现的频次与积分均为最高,与其他病位证素比较有显著差异(P<0.01);病性证素主要有热、湿、气滞、血瘀、阴虚、阳虚、气虚,热的积分为(156.68±47.83)分、出现的频次与积分均为最高,与其他病性证素比较差异显著(P<0.01).②肛痈的证素辨证虚实比较以实证为主占84.8%;虚实夹杂与虚证分别占12.4%和2.9%;其中湿热证素为最主要的证型组合因子大肠湿热证最多占 38.1%.③肛痈证素与生化指标存在相关性,其中肾与低密度脂蛋白呈负相关,肝与总胆固醇呈负相关,与血尿酸呈正相关,余无相关;病性证素中,热与白细胞、中性粒细胞呈正相关,与三酰甘油呈负相关,湿与总胆固醇、低密度脂蛋白呈正相关,气滞与三酰甘油呈正相关,阴虚与血尿酸呈负相关,阳虚、气虚与血尿酸呈正相关.结论:①肛痈的主要病位证素是大肠,主要要病性证素为热与湿.②肛痈辨证分型以实证居多,其中湿热证素为最主要的证型组合因子大肠湿热证是最常见的证型.③证素与生化指标存在一定相关性.
목적:탐토천주지구항옹적증소규률.방법:근거림상조연적방법,채용증소변증적방법대105례항옹환자적증소규률진행분석귀납총결,병대서의혈액생화지표진행상관성연구.결과:①항옹적증소분포규률:병위증소주요유대장、비、신、간,대장적적분위(88.56±19.58)분,출현적빈차여적분균위최고,여기타병위증소비교유현저차이(P<0.01);병성증소주요유열、습、기체、혈어、음허、양허、기허,열적적분위(156.68±47.83)분、출현적빈차여적분균위최고,여기타병성증소비교차이현저(P<0.01).②항옹적증소변증허실비교이실증위주점84.8%;허실협잡여허증분별점12.4%화2.9%;기중습열증소위최주요적증형조합인자대장습열증최다점 38.1%.③항옹증소여생화지표존재상관성,기중신여저밀도지단백정부상관,간여총담고순정부상관,여혈뇨산정정상관,여무상관;병성증소중,열여백세포、중성립세포정정상관,여삼선감유정부상관,습여총담고순、저밀도지단백정정상관,기체여삼선감유정정상관,음허여혈뇨산정부상관,양허、기허여혈뇨산정정상관.결론:①항옹적주요병위증소시대장,주요요병성증소위열여습.②항옹변증분형이실증거다,기중습열증소위최주요적증형조합인자대장습열증시최상견적증형.③증소여생화지표존재일정상관성.
Objective: To explore the the law of anal carbuncle syndrome in Quanzhou. Methods: The law of anal carbuncle syndrome of 105 patients were analyzed and summarized based on anal carbuncle syndrome differentiation, anal carbuncle relativity was studied on the basis of blood biochemical index of Western Medicine.Results: The law of anal carbuncle distribution was summarized; the deficiency and excess of anal carbuncle syndrome differentiation was clarified; the relativity of anal carbuncle syndrome and biochemical index was confirmed. Conclusion: The major disease location of anal carbuncle was in large intestine; the main type of anal carbuncle syndrome differentiation was anal carbuncle of excess; there was relativity between anal carbuncle syndrome and biochemical index.