椎间盘源性腰痛中医辨证分型研究.docVIP

精品论文 参考文献 椎间盘源性腰痛中医辨证分型研究 代 勇 　　游仙区第二人民医院 四川绵阳 621000 　　摘要：目的：研究椎间盘源性腰痛的中医辨证分型。方法：选择2012年1月到2014年12月份期间来我院进行治疗的275例椎间盘源性腰痛患者，对患者的病因、症状等进行分析，按照多数原则进行中医辨证分型。结果：将所选的椎间盘源性腰痛患者的基本证型分为脾肾阳虚型、肝肾亏虚型、气血不足型、寒湿痹阻型、气滞血瘀型。结论：研究中所选的椎间盘源性腰痛患者的分型以虚证为主，具体的分布为脾肾阳虚型占18.8%、肝肾亏虚型9.1%%、气血不足型16.0%、寒湿痹阻型36.4%、气滞血瘀型20.4%。 　　关键词：椎间盘源性腰痛；中医辨证分型；研究 　　Abstract：Objective：To study the differential diagnosis and classification of discogenic back pain in traditional Chinese medicine（TCM）.Methods：275 cases of patients with discogenic back pain came to our hospital for treatment from January 2012 to December 2014；their clinical data was selected for study.The causes and symptoms of the patients were analyzed；according to the priority principle，they were classified as various types of TCM.Results：The basic types of TCM of the selected patients with discogenic back pain were divided into the asthenia of spleen and kidney Yang，deficiency of liver and kidney，deficiency of vital energy and blood，stagnation of cold-wetness，energy-stagnation and blood stasis.Conclusions：The types of the patients with discogenic back pain mainly reflect in deficiency symptom；the specific proportions were as follows：the type of asthenia of spleen and kidney Yang was 18.8%，the type of deficiency of liver and kidney was 9.1%，the type of deficiency of vital energy and blood was 16.0%，the type of stagnation of cold-wetness was 36.4%，the type of energy-stagnation and blood stasis was 20.4%. 　　[Keywords]：Discogenic back pain；differential diagnosis of TCM；research. 　　椎间盘源性腰痛的发病率较高，是一种临床上的常见疾病，患者由于各种诱因出现的椎间盘紊乱或变形等刺痛窦椎神经，临床症状方面患者一般会出现下腰部以及腰臀部疼痛[1]，研究选择2012年1月到2014年12月份期间来我院进行治疗的275例椎间盘源性腰痛患者，研究椎间盘源性腰痛的中医辨证分型，现报道如下。 　　1 资料与方法 　　1.1一般资料 　　选择2012年1月到2014年12月份期间来我院进行治疗的275例椎间盘源性腰痛患者作为研究对象，所选患者的年龄分布情况如下所述：20岁以下的椎间盘源性腰痛患者5例，男性患者2例，女性患者3例；20岁到29岁之间的椎间盘源性腰痛患者17例，男性患者7例，女性患者10例；30岁到39岁之间的椎间盘源性腰痛患者50例，男性患者50例，女性患者50例；40岁到49岁的椎间盘源性腰痛患者83例，男性患者41例，女性患者42例；50岁到59岁的椎间盘源性腰痛患者63例，男性患者15例，女性患者48例；60岁以上的椎间盘源性腰痛患者57例，男性患者16例，女性患者41例。所选患者均确诊为椎间盘源性腰痛，确