165例抽动障碍证候分布规律与病机探讨
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山东中医药大学校级课题——常见脑病病因病机解析与辨证论治体系构建


Distribution Rule of Tic Disorder Syndromes and Discussion of the Pathogenesis: 165 cases
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    摘要:

    目的:探讨抽动障碍常见证候分布规律及其病机。方法:分析165例抽动障碍患者的临床资料,对年龄、性别、类型、相关因素、病性证素、病位证素、证候等进行统计学分析。结果:相关因素中易急躁者占76.36%,嗜肉者占45.45%,看电视、电脑频繁者占33.33%,剖宫产者占32.12%,家庭环境严格者占29.09%,易感冒者占19.39%;病性证素中热(火)136例(82.42%),瘀132例(80.00%),阴亏57例(34.55%),风26例(15.76%),痰25例(15.15%);病位证素中肝38%,神29%,心24%,上焦5%,阳明4%;证候分布中瘀热证90例(54.55%),阴虚血瘀证21例(12.73%),痰热瘀阻证13例(7.88%)。结论:瘀热内蕴、阴虚血瘀、痰热瘀阻为抽动障碍常见证候;其病在厥阴,肝风内动,形神不宁是主要病机。

    Abstract:

    To explore the distribution rule of common syndromes of tic disorder as well as its pathogenesis. Methods: We analyzed a total of 165 tic disorder cases by conducting statistical analysis on patients’ age, gender, disease type, related factors, nature of disease, disease location and syndrome. Results: The relative factors showed that the easily irritable accounted for 76.36%, the frequent intake of meat accounted for 45.45%, the frequent watching TV and computer accounted for 33.33%, the cesarean section was 32.12%, the strict family environment accounted for 29.09%, the easy catching cold accounted for 19.39%; as to nature of disease, the hot (fire) accounted for 136 cases (82.42%), stagnation 132 cases (80%), yin deficiency 57 cases (34.55%), wind 26 cases (15.76%), phlegm, 25 cases (15.15%); as to disease location, liver accounted for 38%, the God 29%, heart 24%, upper energizer 5% , Yang-Ming 4%; as to syndrome, syndrome of stagnation heat accounted for 90 cases (54.55%), yin deficiency and blood stasis syndrome 21 cases (12.73%), phlegm heat and blood stasis syndrome 13 cases (7.88%). Conclusion: Internal heat stagnation, yin deficiency and blood stasis, phlegm-heat stasis were common syndromes of tic disorders. The disease was in the reverting yin, and internal stirring of liver wind, restlessness of spirit were the main pathogenesis.

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孙鲁艳,赵丽丽,李庆朋,丁元庆.165例抽动障碍证候分布规律与病机探讨[J].世界中医药,2015,10(07).

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  • 收稿日期:2014-12-18
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  • 在线发布日期: 2015-08-03
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