反流性咽喉炎中医证候特征及证型分布规律的研究中医五官科学专业论文.docxVIP

研究生优秀毕业论文 (4)LPRD中医证型分布：共得出七个证型：肝胃不和证(34．36％)、肝郁脾虚 (4)LPRD中医证型分布：共得出七个证型：肝胃不和证(34．36％)、肝郁脾虚 证(22．56％)、脾胃虚弱证(14．36％)、肝胃郁热证(10．26％)、痰气交阻证(8．72％)、 胃阴亏虚证(5．64％)、气滞血瘀证(4．10％)。实证以肝胃不和最为多见，虚证以脾 胃虚弱多见，虚实夹杂则以肝郁脾虚多见。 (5)RSI与RFS与中医证型的关系：肝郁脾虚证与脾胃虚弱RSI总分比较有统计 学意义(PO．05)。RFS总分比较中，脾胃虚弱和痰气交阻、胃阴亏虚和痰气交阻比 较有统计学意义(P0．05)。 结论： 1．不同证型与年龄、病程的分布具有明显差异，无性别差异。 2．文献调查与临床调研得出的反流性咽喉炎主要中医证型大致相同，具体证型分 布则存在一定差异。临床得出证型分布为：肝胃不和证肝郁脾虚证脾胃虚弱证肝 胃郁热证痰气交阻证胃阴亏虚证气滞血瘀证。 3．反流性咽喉炎的中医证型分布以实证多见，其次为虚实夹杂证，虚证比例最小。 其临床的主要症状、舌脉提示本病均与肝、脾、胃关系密切。 4．反流症状量表及反流体征量表评分与中医证型分布的关系解释了本病的发展 规律。早期以实证为主，以肝胃不和与肝胃郁热为主，到疾病中期则以虚实夹杂为主， 肝郁脾虚和痰气交阻为主；后期则以正虚为主，以脾胃虚弱及胃阴亏虚为其主要证型。 关键词： 反流性咽喉疾病；中医证型分布；反流症状指数量表：反流体征评分量表 II The The research on character i st i CS and D i str i but；on Ru I es of TCM Syndrome of I aryngopharyngea I ref I UX SpeciaIty：ENT of TraditionaI Chinese MediciRe Author：zhong Xiuting Tutor：Prof．Chen Wenyong Abstract ObjectiVe Laryngopharyngeal reflux disease(LPRD)refer to gastric contents through the upper esophageal sphincter retrograde motion to the throat，reserved in the throat abnormal。thus cause throat series of syndrome histopath0109ical changes．In recent years，more and more scholars found that LPR is relatively special disease in chronic pharyn901aryngitis，on the etiology， symptoms and treatment has different characteristics．Chinese medicine has certain effect on treatment based on syndrome differentiation of LPR，however，the previous studies in the scientific nature and repeatability there still insufficient，especially in the aspect of rules of syndrome． This study is based the 1iterature research of LPR， to develop self—。rating scale of LPR main syndrome characteristics and extent．Through the LPR patients clinical investigation，discuss distribution regularity of TEM syndrome characteristics and syndrome type，provide preliminary basis for the clinical syndrome differentiation and treatment of LPR． Methods Adopt the method of combining l i terature research and cl inical investigation．Literature Search：