摘要
目的初步探讨青少年颈痛的中医证候特征。方法运用临床流行病学横断面调查方法,设计调查表,通过预调查及专家论证最终整理出44项症状、70条条目的问卷,内容主要包括日常生活习惯、颈肩部疼痛不适感的详细描述、全身情况三部分。对137名青少年颈痛在校大学生进行问卷调查,对所得数据进行描述性统计分析及因子分析。结果青少年颈痛出现频率在前15位的症状依次是易感疲乏、眼干不适、颈项部酸胀、颈部僵硬、视力减退、情绪低落、头部沉重感、多梦、视物不清、口燥咽干、头痛、急躁易怒、健忘、胃胀、怕冷怕风和少气懒言。因子分析共提取出11个公因子,累计方差贡献率达67.64%,因子1证候要素属于气滞血瘀,病位在局部;因子2证候要素属于风寒阻络,病位在局部;因子3、5、7证候要素属于脾虚湿盛,病位在脾;因子4、6、9、10、11证候要素属于肝郁化火,病位在肝;因子8证候要素属于心肾气阴两虚,病位在心与肾。结论青少年颈痛的主要病位在局部经筋,主要病性证素是气滞、血瘀、风寒、肝郁、脾虚、湿盛,基本病机包括气滞血瘀、风寒阻络、肝郁化火、脾虚湿盛。
Objective To study the TCM pattern characteristics of neck pain in youth.Methods Mehtodology of clinical epidemiological cross-sectional study was conducted.A 70-item questionnaire involving daily habits,neck and shoulder pain and general condition was designed,and 137college students with neck pain answered the questionnaires.Data obtained from the survey was analyzed with descriptive statistical analysis and factor analysis.Results The descriptive statistical analysis showed that the top 15symptoms were fatigue,dry eye,neck soreness,neck stiffness,vision loss,depression,head heaviness,dreaminess,blurred vision,dry mouth and throat,headache,irritability,forgetfulness,shortage of qi and laziness to speak.Eleven common factors were extracted and the cumulative percent variance reached 67.64%.The pattern element of factor 1was qi stagnation and blood stasis with local lesion.The pattern element of factor 2was wind cold obstructing the network vessels and the disease location was spleen.The pattern element of factor 3,5and 7was spleen deficiency exuberant dampness and the disease location was spleen.The pattern element of factor 4,6,9,10and 11 was liver depression transforming into fire and the disease location was liver.The pattern element of factor 8was heart-kidney qi-yin deficiency and the disease location was heart and kidney.Conclusion The disease location of neck pain in youth is local channel sinew.The major elements of disease nature are qi stagnation,blood stasis,wind cold,liver depression,spleen deficiency and exuberant dampness.The basic pathogenesis is qi stagnation blood stasis,wind-cold obstructing the network vessels,liver depression transforming into fire and spleen deficiency exuberant dampness.
出处
《中医杂志》
CSCD
北大核心
2013年第22期1937-1940,共4页
Journal of Traditional Chinese Medicine
基金
教育部高等学校博士学科点专项科研基金资助项目(20110013110013)
