贵阳城区功能性消化不良中医证候分布特点

Functional Dyspepsia Syndromes Distribution Characteristics in Guiyang City

目的：通过调查了解贵阳城区功能性消化不良的病因及发病情况；分析该区功能性消化不良中医证候分布特点，为制定规范化、个体化辨治方案提供临床证据。方法：本研究在中医学基本理论的指导下，遵照循证医学和流行病学调查的原则，采用门诊问卷的方式全面收集功能性消化不良患者中医四诊及相关资料，制定，临床证候调查表，有专门的医师对功能性消化不良患者进行调查，共收集260例贵阳城区功能性消化不良患者的临床资料，建立数据库，将得到的数据进行统计学分析，最后得出结论。结果：（1）260例患者中，男115例，占44．23％；女145例，占55．77％；年龄最4、18岁，最大74岁，平均年龄（46．57147±13．6117）岁；年龄段分布以41～50岁年龄段最多。（2）患者中中医证型的分布中，脾虚气滞者最多85例，占32．69％；其他依次是肝胃不和证占24，61％；脾胃湿热证占19．64％；寒热错杂证占13．46％；脾胃虚寒证最少占9．6％。（3）患者中医主症的分布中胃脘胀满的症状最多，占93．08％；伴随症状的分布中排名在前7位的依次是口苦、口干、泛酸、睡眠欠佳、嗳气、身体困重、乏力。舌苔的分布占前三位的是：舌淡红为主，占76．92％；薄苔占58．85％；腻苔占46．15％；脉象占前三位的是：细脉占70％；弦脉占68．46％；弱脉占61．54％。结论：该研究结果显示贵阳城区功能性消化不良（FD）具有以下中医证候分布特点：中医证型的分布中，脾虚气滞者最多85例，占32．69％；其他依次是肝胃不和证占24.61％；脾胃湿热证占19．64％；寒热错杂证占13．46％；脾胃虚寒证最少占9．6％。

Objective： To know etiology and pathogenesis of functional dyspepsia in Guiyang city by investigation and to analyze the distribution characteristics of functional dyspepsia TCM syndromes for providing clinical evidence for standardized and individualized treating scheme. Methods： Under the guidance of the basic theory of TCM, in accordance with the principles of evidence-based medicine and epidemiological investigation, the comprehensive outpatient questionnaire way was used to collect patients with functional dyspepsia and the related data and the four diagnosis methods results in traditional Chinese medicine for making the clinical syndrome questionnaire. Special doctors investigated patients with functional dyspepsia. 260 cases of patients with functional dyspepsia in Guiyang downtown were collected, establishing database for the data statistical analysis and the final conclusion. Results： （1） Among 260 patients, 115 cases were male, accounting for 44.23%; 145 cases were female, accounting for 55.77%. The youngest was 18 years old and the oldest was 74 years old. The average age was 46.57147 ± 13.6117 years old. The age distribution was 41 to 50 years old. （2 ）For patients TCM syndrome type distribution, spleen deficiency was up to 85 cases, accounting for 32.69%. In turn, was disharmony between liver and stomach with 24 cases, accounting for 21 %; damp-heat in spleen and stomach syndrome accounted for 19.64%; cold and heat mixed syndrome was 13.46%; spleen deficiency cold syndrome was the least. accounting for 9.6%. （3） For distribution of main symptoms, stomach fullness was the most, accounting for 93.08%. The top seven accompanying symptoms were bitter taste in mouth, dry mouth. acid regurgitation. poor sleep. belching, body heaviness, lack of power. The top three tongue coating coniditions were pink tongue, accounting for 76.92%; thin tougue coating, accounting for 58.85%; greasy tongue coating, accounting for 46.15%. The top three pulse conditions were fine pulse, accounting for 70%; string-like pulse, accounting for 68.46%; weak pulse, accounting for 61.54%. Conclusion： This study results show that functional dyspepsia （ FD ） in Guiyang city has the following syndromes distribution characteristics： spleen deficiency syndrome was the most, accounting for 32.69%. In turn, was disharmony between liver and stomach with 24 cases, accounting for 21 %; damp-heat in spleen and stomach syndrome accounted for 19.64%; cold and heat mixed syndrome was 13.460/0; spleen deficiency cold syndrome was the least, accounting for 9.6%.