王坚+李小玲+魏晓丹+罗观洋+吴荣发+陈惠文

[摘要]目的 研究分析泉州地区痔病证素规律，探寻其临床诊断及有效治疗方案。方法 选取我院2015年3月～2016年6月收治的300例患者作为研究对象，根据自制中医证候调查表进行四诊资料采集，应用证素辨证，采用频数分析、因子分析等统计方法，研究整理泉州地区痔病患者的证素分布和组合规律。分析其常见证素分布与组合规律。结果 饮食不合理是造成泉州地區痔病患者发病的主要原因，其中嗜食辛辣为主要原因；在病位证素中，大肠平均积分和热病性证素积分最高（P<0.05）；大肠湿实证指标和湿邪困脾证指标所占比率最大（P<0.05）；从证素因子方面来看，主成分Z1与大肠、热、湿显著相关，Z2与气滞、血瘀显著相关，Z3与脾、气虚、湿关系密切。结论 在泉州地区痔病证素规律中，大肠实热证最多，病位证素也以大肠为主，病性证素以热、湿为主，根据上述指标能够针对泉州地区痔病患者制订相应的治疗方案，在临床中具有重要意义。

[关键词]泉州；痔；证素规律；临床研究

[中图分类号] R657.1+8 [文献标识码] A [文章编号] 1674-4721（2016）12（a）-0158-04

Clinical study on the regularity of syndrome elements of anorectal diseases in Quanzhou Area

WANG Jian LI Xiao-ling WEI Xiao-dan LUO Guan-yang WU Rong-fa CHEN Hui-wen

The Second Anorectal Area，Hospital of Traditional Chinese Medicine of Quanzhou City in Fujian Province，Quanzhou 362000，China

[Abstract]Objective To study and analyze the regularity of syndrome elements of anorectal diseases in Quanzhou Area，and to explore the clinical diagnosis and effective treatment program.Methods 300 cases of anorectal diseases in our hospital from March 2015 to June 2016 were selected as the research object.According to the self-made questionnaire of traditional Chinese medicine syndromes of the four diagnostic information collection，applying syndrome differentiation of syndrome elements，using to the frequency analysis，factor analysis and other statistical methods，distribution and combination regularity of syndrome elements in patients with hemorrhoids in Quanzhou Area were researched and organized，the distribution and combination rule of the common syndrome elements were analyzed.Results Irrational diet was the main cause of the incidence of hemorrhoids in Quanzhou Area，and eating spicy food was the main reason.In the syndrome elements，the average score of the large intestine and the syndrome elements of febrile syndrome were the highest （P<0.05）.The proportion of the indexes of the large intestine damp-heat syndrome and the dampness stagnating in spleen syndrome were the largest （P<0.05）.From the essence of syndrome factor，the principal components of Z1 was significantly related to the large intestine，heat and dampness，the principal components of Z2 was significantly related to Qi Stagnation，Blood Stasis，the principal components of Z3 was closely related to spleen，Qi Deficiency and Dampness.Conclusion The large intestine damp-heat syndrome of syndrome elements in the Quanzhou Area is the most common syndrome elements，and large intestine is also the major syndrome elements，Heat and Humidity are the major syndrome elements.According to these indicators，the corresponding treatment plan can be used in the treatment of patients with hemorrhoids in Quanzhou Area，which has important significance in clinical.

[Key words]Quanzhou；Hemorrhoid；Syndrome regularity；Clinical study

临床调查发现，在我国肛门直肠疾病中有85%以上的患者患有痔病[1-3]。就目前而言，研究分析痔证素规律显得尤为重要，这对于探寻其发病原因及有效防治方案具有重要意义[4-5]。本研究选取泉州地区的300例痔病患者作为研究对象，对其进行研究，取得了较好的研究结果，现报道如下。

1资料与方法

1.1一般资料

选取我院肛肠科2015年3月～2016年6月收治的300例痔病患者作为研究对象，其中男性143例，女性157例；年龄为16～70岁，平均（46.5±1.5）岁。所有患者及家属均知晓并且签署同意书。纳入标准：存在大量便血、肛门灼热、坠涨及瘙痒等临床症状；被确诊患有混合痔疮；知晓并自愿同意参与本次实验。排除标准：存在不同类型、不同程度的基础疾病，如心、脑、肝、肺、肾及精神类疾病等；已经行手术治疗者；孕妇或正处于哺乳期的女性；……