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蒙古族人群痔病的相关因素调查和中医证型分布及相关性研究

Study on Relevant Factors of Hemorrhoids in Mongolian Population and Distribution and Relevance of Tradition Chinese Medicine Syndrome Types
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摘要 目的确定蒙古族人群痔病的相关因素、中医证型分布特点,总结二者的相关性。方法多因素Logistic回归对数据进行处理。结果年龄、食油腻类、辛辣类食物、锻炼、蹲厕时间、清洗肛门频次、家族史与痔病发作相关,蹲厕时间、家族史、食油腻类与证型相关。结论年龄28~37岁、48~57岁、嗜食油腻、辛辣类、蹲厕时长、有家族史易患痔病。适当锻炼、每周洗肛门2~6次可预防痔病。患者247例,风伤肠络证占6%,湿热下注证占42%,气滞血瘀证占33%,脾虚气陷证占15%,热毒炽盛证占4%。蹲厕时间>5 min辨为气滞血瘀证;间断、经常食油腻类辨为湿热下注证;有家族病史的辨为湿热下注证、气滞血瘀证和脾虚气陷证。 Objective To determine the relevant factors and traditional Chinese medicine(TCM)syndromes of Mongolian with hemorrhoids,and to summarize the relationship between them.Methods The clinical data were analyzed by Multivariate Logistic Regression.Results There were significant differences in age,greasy food,spicy food,exercise,time of squatting,frequency of cleaning anus,history of hemorrhoids.Squatting time,greasy food and family history are related to TCM syndromes.Conclusion The occurrence of hemorrhoids in Mongolian population who is 28~37 and 48~57 are prone to hemorrhoids,is related to the age.Secondly,the risk factors of hemorrhoids in Mongolian population are greasy food,spicy food,prolonged squatting time and the history of hemorrhoids in close relatives.Proper exercise,2~6 times a week of anus cleaning can reduce the incidence of hemorrhoids in Mongolian population.In addition,dampness-heat injection syndrome was 42%,qi stagnation and blood stasis syndrome is 33%,spleen deficiency and qi depression syndrome is 15%,and dampness-heat syndrome is 4%.The time spent in squatting toilet for more than 5 minutes will increase the risk of qi stagnation and blood stasis syndrome in Mongolian hemorrhoids patients.Intermittent or frequent eating of greasy foods will increase the risk of dampness-heat syndrome in Mongolian population.The history of hemorrhoids in close relatives will increase the risk of dampness-heat injection syndrome,qi stagnation and blood stasis syndrome and spleen deficiency and qi depression syndrome in Mongolian hemorrhoids patients.
作者 张慧 史圣华 吴佳红 陈佳 孙博 莫日根 ZHANG Hui;SHI Shenghua;WU Jiahong;CHEN Jia;SUN Bo;MO Rigen(Department of Proctology,Ulanchabu Hospital of Traditional Chinese and Mongolian Medicine,Inner Mongolia Autonomous Region,Ulanchabu 012000,China;College of Tradition Chinese Medicine,Inner Mongolia Medical University,Inner Mongolia Autonomous Region,Hohhot 010110,China;Department of Proctology,Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine,Inner Mongolia Autonomous Region,Hohhot 010020,China;Graduate School,Inner Mongolia Medical University,Inner Mongolia Autonomous Region,Hohhot 010110,China)
出处 《中国中医药现代远程教育》 2022年第17期78-80,共3页 Chinese Medicine Modern Distance Education of China
基金 内蒙古自治区科技创新引导项目 全国名老中医药专家王生义传承工作室项目【No.国中医药人教教育便函〔2016〕167号】 内蒙古自治区中医药(蒙医药)中青年领导人才项目资助【No.内卫中蒙传承字〔2022〕108号】 内蒙古卫生健康科技计划项目【No.202101124,202201123】。
关键词 痔病 相关因素 中医证型分布 相关性 hemorrhoids relevant factors TCM distribution of syndromes correlation
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