溃疡性结肠炎中医辨证中存在的问题

Problems of TCM syndrome differentiation in ulcerative colitis

目的:研究溃疡性结肠炎中医辨证存在的问题。方法:随机抽取溃疡性结肠炎患者80例。采用回顾性方法分析溃疡性结肠炎中医辨证存在的问题。结果:80例患者中,共21例出现辨证论治问题,概率为26.3%;21例辨证论治问题患者中,辨证分型混乱共9例,占42.9%,辨证标准不统一共7例,占33.3%,证与证候混淆共3例,占14.8%,其他问题共2例,占9.5%(P<0.05);其中辨证分型混乱问题中,单纯从阴阳论治占37.2%,单纯从肠论治占25.2%,创新性论治占18.1%,完全参照《标准》论治占10.2%,完全参照《原则》论治占9.3%,单纯从阴阳论治造成辨证分型混乱所占的比例,明显高于其他原因(P<0.05),以上差异具有统计学意义。结论:溃疡性结肠炎中医辨证存在一些问题,最为常见的是辨证分型混乱。

Objective： To study the problems of TCM syndrome differentiation in ulcerative colitis. Methods： 80 patients with ulcerative colitis were randomly selected. To analyze the existing problems of TCM syndrome differentiation of ulcerative colitis by using a retrospective method. Results： 21 cases of patients had syndrome differentiation problems and treatment, the problem rate was 26.3%, 33.3%, 14.3%, 9.52%, 25.2%,3 7.2%, 10.2%, 18.1%, 9.34%, 42.9% respectively, the difference was statistically significant（P〈0.05）. Conclusion： there are some problems in the TCM syndrome differentiation of ulcerative colitis, the most common is the confusion of syndrome differentiation.