脊髓空洞症患者中医体质特征调查与分析
Investigation and Analysis of TCM constitution characteristics of Patients with syringomyelia
目地:探索脊髓空洞症的中医体质特征,为脊髓空洞症的防治、养生康复、健康管理提供依据。方法: 本研究采用横断面调查的方法,选择2012年7月至2013年3月到中国人民武装警察部队总医院脊髓空洞症专科中心就诊的门诊和住院患者,经核磁检查确认存在脊髓空洞症者,应用中医体质问卷开展体质测评,分析脊髓空洞症患者体质分布特征。结果:参加测试并纳入分析者共计499人,平和质者180例,占总人数的36.1%。异常体质中阳虚质111例、约占总人数的22.2%,气郁质64例、约占总人数的12.8%,湿热质64例、约占总人数的12.8%,其它体质者总数为80人,约占总数的16.03%。全部受试者当中222例表现为两种异常体质同时出现。180例平和质者,肢体疼痛、容易疲劳和怕冷的症状发生率较高。结论:脊髓空洞症患者异常体质以阳虚质为主,同时兼杂湿热质,气郁质出现,表现为虚实夹杂的特点,提示临床治疗需要平衡补虚泻实之间的关系,分阶段、分步骤地进行中医康复治疗。
Objective: Explore the TCM physical characteristics of Syringomyelia, to provide a basis for the prevention and treatment of syringomyelia and the health rehabilitation and management. Methods: This study used a cross-sectional survey method, selected outpatient and inpatient with spinal cord syringomyelia that visit the Center of the syringomyelia of the General Hospital of the Chinese People's Armed Police Forces, from July 2012 to March 2013. Those who confirmed syringomyelia by magnetic resonance imaging examination were included. The application of Chinese Medicine constitution questionnaire were used to carry out physical evaluation, and analysis of physical distribution characteristics of patients with syringomyelia were carried out. Results: A total of 499 people were included, Gentleness type accounted for 36.1 percent, eight pathological constitutions accounted for 63.8 percent, and the former three types of eight pathological constitutions were Yang-deficiency type 111 cases, Wet-heat type 64 cases, Qi-depression type 64 cases, which accounted for 22.2 percent, 12.8 percent and 12.8 percent respectively. 222 patients showed two abnormal physical constitutions. A higher incidence of limb pain, easy fatigue and afraid of the cold symptoms were observed with in 180 cases of Gentleness type. Conclusion: Yang-deficiency type is more common in patients with syringomyelia, mixed with Wet-heat and Qi-depression type. A deficiency mixed characteristics that prompt clinicians to consider the balance of the tonic diarrhea real, and adopt a step-by-step method of Chinese Medicine rehabilitation treatment.Objective: Explore the TCM physical characteristics of Syringomyelia, to provide a basis for the prevention and treatment of syringomyelia and the health rehabilitation and management. Methods: This study used a cross-sectional survey method, selected outpatient and inpatient with spinal cord syringomyelia that visit the Center of the syringomyelia of the General Hospital of the Chinese People's Armed Police Forces, from July 2012 to March 2013. Those who confirmed syringomyelia by magnetic resonance imaging examination were included. The application of Chinese Medicine constitution questionnaire were used to carry out physical evaluation, and analysis of physical distribution characteristics of patients with syringomyelia were carried out. Results: A total of 499 people were included, Gentleness type accounted for 36.1 percent, eight pathological constitutions accounted for 63.8 percent, and the former three types of eight pathological constitutions were Yang-deficiency type 111 cases, Wet-heat type 64 cases, Qi-depression type 64 cases, which accounted for 22.2 percent, 12.8 percent and 12.8 percent respectively. 222 patients showed two abnormal physical constitutions. A higher incidence of limb pain, easy fatigue and afraid of the cold symptoms were observed with in 180 cases of Gentleness type. Conclusion: Yang-deficiency type is more common in patients with syringomyelia, mixed with Wet-heat and Qi-depression type. A deficiency mixed characteristics that prompt clinicians to consider the balance of the tonic diarrhea real, and adopt a step-by-step method of Chinese Medicine rehabilitation treatment.
李鹏超、刘勇、杨新宇、邢志霞
中医学神经病学、精神病学医药卫生理论
神经外科脊髓空洞症中医体质康复保养虚实夹杂
NeurosurgerySyringomyeliTCM constitutionRehabilitation and MaintenanceThe Deficiency Mixed
李鹏超,刘勇,杨新宇,邢志霞.脊髓空洞症患者中医体质特征调查与分析[EB/OL].(2015-07-08)[2025-08-05].http://www.paper.edu.cn/releasepaper/content/201507-68.点此复制
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