摘要
目的 探讨下肢静脉血栓性疾病的发病与季节的关系.方法 采用回顾性研究方法,选择2012年8月至2014年2月在邯郸市中医院住院治疗的下肢静脉血栓性疾病患者300例,观察不同季节下肢静脉血栓性疾病的发病情况及中医证型,分析其与季节的关系.结果 300例患者中下肢血栓性浅静脉炎142例,下肢深静脉血栓形成158例,春季下肢静脉血栓性疾病发病率明显高于夏季和秋季〔32.8%（86/262）比21.3%（54/254）、18.4%（50/272）,均P〈0.01〕,但却低于冬季组〔32.8%（86/262）比37.2%（110/296）〕,差异无统计学意义（P〉0.05）;而冬季下肢静脉血栓性疾病的发病率明显高于夏季和秋季（均P〈0.01）.湿热下注型夏秋季节下肢静脉血栓性疾病的发病率较冬春季节增多〔55.6%（30/54）、60.0%（30/50）比20.0%（22/110）、23.3%（20/86）〕,湿热瘀阻型冬春季节下肢静脉血栓性疾病发病率较夏秋季节增多〔80.0%（88/110）、76.7%（66/86）比44.4%（24/54）、40.0%（20/50）,均P〈0.01〕.结论 下肢静脉血栓性疾病的发病与季节有关,冬季和春季是高发季节,且以湿热瘀阻证为主要证型;临床治疗中可根据不同季节,针对不同的发病原因采取不同的预防措施,对其体质进行干扰,消除或减少发病因素,达到预防疾病的效果.
Objective To investigate the relationship between the onset of lower extremity venous thrombotic disease and seasons.Methods A retrospective study was conducted, 300 patients with lower extremity venous thrombotic disease admitted to HandanCity Hospital of Traditional Chinese Medicine （TCM） from August 2012 to February 2014 were enrolled, the incidences and TCM syndromes of patients with lower extremity venous thrombotic disease in different seasons were observed, and the pathogenesis and relationships between the types of TCM syndrome and seasons were analyzed.Results There were 142 patients with lower extremity superficial thrombophlebitis, and 158 cases with lower extremity deep venous thrombosis, the incidence of lower extremity venous thrombotic disease in spring was significantly higher than that in summer and autumn [32.8% （86/262） vs. 21.3% （54/254）, 18.4% （50/272）, bothP 〈 0.01], but lower than that in winter [32.8% （86/262） vs. 37.2% （110/296）], the difference was not statistically significant （P 〉 0.01）; while the incidence of lower extremity venous thrombotic disease in winter was significant higher than those in summer and autumn （allP 〈 0.01）. The incidences of damp and heat downward flow type in autumn and summer were increased compared with those in winter and spring [55.6% （30/54）, 60.0% （30/50） vs. 20.0% （22/110）, 23.3% （20/86）, allP 〈 0.01], while the incidences of lower extremity venous thrombotic disease with damp heat and stasis syndrome in winter and spring were increased compared with those in summer and autumn seasons [80.0% （88/110）, 76.7% （66/86） vs. 44.4% （24/54）, 40.0% （20/50）].Conclusions The incidence of lower extremity venous thrombotic disease is related to seasons, and the onset is high in winter and spring, damp heat and stasis syndrome being the main type; according to different seasons, clinical treatment can direct to different pathogenic factors to adopt different preventive measures interfering with the patient＇s constitution in order to eliminate or reduce the risk factors, achieving the effect of the disease prevention.
出处
《中国中西医结合急救杂志》
CAS
CSCD
北大核心
2017年第3期307-309,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
河北省中医药管理局科研计划项目（2014295）
关键词
下肢静脉血栓性疾病
季节
关系
Lower extremity venous thrombotic disease
Seasons
Relationship
