南宁市300名乳腺增生患者超声和中医证型等相关因素研究.pdfVIP

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南宁市300名乳腺增生患者超声和中医证型等相关因素研究.pdf

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中文摘要 ················································1 英文摘要 ················································3 引言 ················································6 正文 ················································7 1.资料和方法 ···········································7 1.1 病例来源 ·············································7 1.2 辩证分型标准 ·········································7 1.3 中医证型诊断及纳入标准 ·······························7 1.4 乳腺增生病的超声表现及纳入标准 ························7 2.研究方法 ·············································8 2.1 超声检查 ············································8 2.2 触诊及调查问卷 ·····································8 2.3 观察内容 ············································8 3.统计学方法 ···········································8 4.结果与分析 ·············································8 4.1 研究对象的一般情况分析 ·······························8 5.讨论 ··················································16 6.存在的问题和展望 ···································21 结论 ···············································23 参考文献 ··············································24 综述 ···············································27 参考文献 ··············································31 致谢 ···············································33 攻读学位期间发表的学术论文 ·························34 作者声明 ··············································35 个人简历 ··············································36 中文摘要目的：本文旨在探讨南宁市乳腺彩超与乳腺增生病（Hyperplasia of mammary gland, HMG ，乳癖）的中医证型、年龄、职业及饮食等因素之间的客观关系，为乳腺增生病的中西医结合诊断和治疗提供客观依据，使乳腺增生病的诊断更加规范化，合理化。方法：将南宁市300 例乳腺普查中确诊为乳腺增生病的患者，按照中医的辩证分型、彩超的表现、年龄、职业及饮食等因素分类，结合触诊，调查问卷，收集资料数据，整理数据，最后通过统计学检验结果，得出结论；分析其结果及存在的问题并展望改进研究及发展的方向，使南宁患者的乳腺增生病的诊断和治疗更加客观和规范化。结果： 1．乳腺增生病的彩超与中医证型之间的关系经统计学分析后得出的结果是：彩超与中医证型之间有关系（经行×列表资料的χ2 检验，得： p ＜0.01 ）且（经两法的优势性卡方检验，得p ＜0.05 ）。 2．乳腺增生病的彩超与年龄之间的关系经行×列表资料的χ2 检验，得：υ ＝8，χ2 ＝31.08，p ＜0.01，尚需卡方分割法处理，得豹纹征多见于30 岁以下的女性（经卡方分割法处理后得：p ＜0.