2724例腰椎间盘突出症住院患者的中医证候特征分析

Characteristics of Traditional Chinese Medical Syndrome Patterns of Hospitalized Patients with Lumbar Disc Herniation: An Analysis of 2 724 Cases

【目的】了解中医院骨科腰椎间盘突出症住院患者的中医证候特征,为临床治疗提供参考依据。【方法】采用医院电子病历信息系统数据库转出功能,提取本院骨科腰椎间盘突出症住院患者的中医信息,运用描述性分析和χ2检验方法,分析其不同性别、不同年龄段中医证候构成。【结果】35～59岁年龄段腰椎间盘突出症住院患者构成比例最大,占63.6%,无论男女患者中医诊断均以痹证(病)最多,占95.3%;腰椎间盘突出症住院患者中气滞血瘀证排在第1位(占60.2%),其次是肝肾不足证(占18.3%);年龄小于35岁及35～59岁患者以气滞血瘀证为主,60岁及以上老年住院患者以肝肾不足证和气滞血瘀证为主。【结论】中医院骨科腰椎间盘突出症住院患者的中医诊断以痹证(病)最多,中医证候以气滞血瘀和肝肾不足为主,提示应加强对中青年腰椎间盘突出症住院患者临床医疗工作及开展此年龄段人群的预防保健宣教工作。

Objective To investigate the characteristics of traditional Chinese medical syndrome patterns of hospitalized patients with lumbar disc herniation, and to supply the evidence for clinical treatment. Methods By using the database transfer function of electronic medical record system of the hospitals, we extracted traditional Chinese medical information of lumbar disc herniation patients, and analyzed the distribution of traditional Chinese medical syndrome patterns in patients with different sex and different age groups by descriptive analysis andx2 test. Results The constituent ratio of age group between 35-59 years old was predominant in lumbar disc herniation inpatients, accounting for 63.6%. Blockage syndrome was the predominant traditional Chinese medical diagnosis in male and female inpatients of lumbar disc herniation, up to 95.3%. The syndrome of qi-stagnation and blood stasis ranked first place （60. 2% ）, and then came the syndrome of deficiency of both liver and kidney （ 18.3% ）. The syndrome of qistagnation and blood stasis was mainly predominant in inpatients younger than 35 years old and between 35-59 years old, and the syndrome of qi-stagnation and blood stasis as well as deficiency of both liver and kidney was predominant in inpatients of 60 years old and above. Conclusion Blockage syndrome is the predominant traditional Chinese medical diagnosis in lumbar disc herniation inpatients of traditional Chinese medical hospitals, and the patients can he mainly differentiated as the syndrome of qistagnation and blood stasis and the syndrome of deficiency of both liver and kidney, indicating that preventive health care should be emphasized in the inpatients younger than 35 years old and between 35-59 years old.