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不同中医证候腹泻型肠易激综合征患者生存质量水平分析 被引量:1

Health-relate Quality of Life in Different Chinese Medicine syndrome of Diarrhea-Irritable Bowel Syndrome Patients
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摘要 目的:分析评价腹泻型肠易激综合征(diarrhea-irritable bowel syndrome,D-IBS)不同中医证候患者生存质量水平的差异。方法:对88例符合罗马III诊断标准的D-IBS患者进行中医辨证分型,同时对不同证候的患者采用肠易激综合征专用生存质量量表(IBS-QOL)进行生存质量水平的测评,对比他们之间的差异。结果:在88例D-IBS患者中,肝气乘脾型30例,脾胃虚弱型26例,肾阳不足型8例,寒湿困脾型12例,大肠湿热型6例,瘀血内阻型6例。其中瘀血内阻型患者生存质量测评总得分最低,脾胃虚弱型患者生存质量测评总得分最高。在焦虑不安(DY)方面肝气乘脾型患者得分最低,在行为障碍(IN)方面肾阳不足型患者得分最低,在躯体意念(BI)方面瘀血内阻型患者得分最低,在健康担忧(HW)方面肾阳不足型患者得分最低,在食物选择(FA)方面脾胃虚弱型患者得分最低,在社会功能(SR)方面大肠湿热型患者得分最低,在性行为(Sx)方面肾阳不足型患者得分最低,在人际关系(RL)方面肾阳不足型患者得分最低。对同一证候患者生存质量各方面的得分间进行比较,显示肝气乘脾型患者及脾胃虚弱型患者生存质量各方面得分间存在显著差别(P<0.01),肝气乘脾型患者在健康担忧(HW)方面得分最少,脾胃虚弱型患者在食物选择(FA)方面得分最少。结论:腹泻型肠易激综合征(D-IBS)不同中医证候患者生存质量水平存在较大差异。其中瘀血内阻型患者生存质量情况最差,肝气乘脾型患者在健康担忧(HW)方面表现最明显,脾胃虚弱患者在食物选择(FA)方面表现最明显。 Objective: This study was aimed to investigate the health— related quality of life(HRQOL) in different Chinese medicine syndrome of diarrhea irritable bowel syndrome(D-IBS) patients. Method: The Irritable Bowel Syndrome Specific Quality of Life Scale(IBS-QOL) was used in the QOL evaluation among 88 patients who were departed into six different Chinese medicine syndromes. Then,healthy subject were compared with,from dysphoria(DY),interference with activity(IN),body image(BI),health worry(HW),food avoidance(FA),social reaction(SR),sexual(Sx),and relationships(RL) eight points. The QOL was analyzed from six Chinese Medicine syndromes,including liver-stagnation and spleen-deficiency,weakness of spleen and stomach,insufficiency of kidney- Yang,colddampness disturbing spleen,dampness-heat of large intestine,internal blockade of static blood. Results: The results of IBS-QOL scores showed that during the six Chinese Medicine syndrome patients,the score of the patients of internal blockade of static blood was lowest,and the score of the patients of weakness of spleen and stomach was highest. In the aspect of dysphoria,the score of the patients of liver-stagnation and spleen-deficiency was lowest,in the aspect of interference with activity,the score of the patients of insufficiency of kidney- Yang was lowest,in the aspect of body image,the score of the patients of internal blockade of static blood was lowest,in the aspect of health worry,the score of the patients of insufficiency of kidney- Yang was lowest,in the aspect of food avoidance,the score of the patients of weakness of spleen and stomach was lowest,in the aspect of social reaction,the score of the patients of dampnessheat of large intestine was lowest,in the aspect of sexual,the score of the patients of insufficiency of kidney- Yang was lowest,in the aspect of relationships,the score of the patients of insufficiency of kidney- Yang was lowest. Compared to the dimensions of the same syndrome score,there was significant difference in liver-stagnation and spleendeficiency、weakness of spleen and stomach patients.(P〈0.01);liver-stagnation and spleen-deficiency patients have lowest points on health worry(HW);weakness of spleen and stomach patients have lowest points on food avoidance(FA). Conclusion: It was concluded that different syndromes of diarrhea predominant irritable bowel syndrome(DIBS) patients with a large difference in the quality of life. Which has the worst quality of life status of patients with internal blockade of static blood,the condition of health worry(HW) in liver-stagnation and spleen-deficiency patients was worst,the condition of food avoidance in weakness of the spleen and stomach patients was worst.
出处 《中医药临床杂志》 2016年第8期1161-1164,共4页 Clinical Journal of Traditional Chinese Medicine
关键词 腹泻型肠易激综合征 中医证候 生存质量水平 Diarrhea-Irritable Bowel Syndrome different Chinese medicine syndrome the health—related quality of life
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