| 徐芳,李婷园,龚文倩,张烁.腹泻型肠易激综合征中医体质与生活质量的相关性分析[J].浙江中西医结合杂志,2017,27(3): |
| 腹泻型肠易激综合征中医体质与生活质量的相关性分析 |
| Analysis on relationship between constitution of traditional Chinese medicine and life quality in IBS patients with diarrhea |
| 投稿时间：2016-07-12 修订日期：2016-10-07 |
| DOI： |
| 中文关键词: 腹泻型肠易激综合征 体质 生活质量 相关性分析 |
| 英文关键词:Irritable bowel syndrome constitution of traditional Chinese medicine life quality correlation analysis |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目） |
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| 中文摘要: |
| 摘要: 目的:探索腹泻型肠易激综合征中医体质与生活质量的相关性分析，为临床调整体质偏颇以提高腹泻型肠易激综合征患者生活质量提供依据。方法:对100例腹泻型肠易激综合征例患者进行横断面现场调查,填写中医体质调查表及患者腹泻型肠易激综合征生活质量问卷中文版(汉化版QOL-IBS)问卷,应用多元逐步回归分析法探讨二者的相关性。结果:1）腹泻型肠易激综合征患者偏颇体质以气虚质、气郁质、湿热质、痰湿质为主。2）QOL-IBS各维度评分以饮食限制(55.86±30.16)、烦躁不安(72.73±21.95)为最低分，以性障碍（84.76±21.72）、社交反应（81.19±21.87）为最高分。3）平和质对患者生活质量大部分均起促进作用，阳虚质对于饮食限制影响较大(r=-0.35;P<0.05)，气郁质是降低QOL-IBS总分及多个方面的主要因素，尤其对于烦躁不安相关方面(r=-0.35;P<0.05)。结论：腹泻型肠易激综合患者的生活质量与中医体质类型有一定的相关性，以此相关性为依据调节中医体质，改善生活质量。 |
| 英文摘要: |
| Abstract: Objective: The aim is to explore the relationship between constitution of traditional Chinese medicine and life quality in IBS patients with diarrhea. Methods: 100 patients with D-IBS were assessed using Chinese medicine questionnaire (CCMQ) and irritable bowel syndrome-quality of life measure (IBS-QOL) to predict the correlation between life quality and TCM constitution, which was analyzed by using multiple stepwise regression analysis. Results: 1）The main constitution was qi deficiency constitution, phlegm-dampness constitution, dampness-heat constitution, qi depression constitution . 2）The scores of dysphoria and food avoidance in IBS-QOL were the lowest（72.73±21.95；55.86±30.16）；the scores of sexual intercourse and social reaction in the IBS-QOL were the highest.（84.76±21.72;81.19±21.87）. 3) The gentleness constitution had a promotion influence on life quality. Yang deficiency constitution was able to effect food avoidance(r=-0.35;P<0.05). Qi depression constitution was the main factor of reducing the scores of IBS-QOL, especially associated with dysphria(r=-0.35;P<0.05). Conclusion: There was certain relationship between life quality and constitution of TCM in patients with D-IBS. According to the correlation, it is way to improve the life quality of patients with D-IBS by some interventions on constitution. |
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