摘要
目的:探讨干燥综合征的中医证候分布特征。方法:对1991年1月-2011年6月中国知网全文数据库(CNKI)、维普中国科技期刊全数文据库(VIP)和万方数据库收集的中医辨证分型治疗干燥综合征的临床研究文献进行检索,筛选出符合研究标准的16篇文献进行证候分布研究。结果:16篇文献共1 316例,虚证671例(占50.99%),实证215例(占16.34%),虚实夹杂430例(占32.67%)。共有证候类型32种,出现频次最高的是气阴两虚证,11次(68.75%),其次是津亏血瘀7次(43.75%)、肝肾阴虚6次(37.50%)、阴虚内热4次(25.00%)。按病例数排列,气阴两虚证244例(18.54%),津亏血瘀证200例(15.20%)、阴虚津亏125例(9.50%)。结论:干燥综合征的证候分布特点以阴虚和阴虚夹实为主,阴虚是主要证候类型,瘀血是其发病中的1个主要因素,阴虚(津亏)血瘀可能是干燥综合征发病的根本。
Objective： Discussing syndrome distribution character of Sjogren syndrome in TCM. Methods： The pertinent articles in China National Knowledge Infrastructure Databases（CNKI）, VIP Chinese science and technology periodical full papers library and Wanfang database collection of TCM from January 1991 to June 2011 were retrieved. 16 literatures with syndromedifferentiation treatment of Sjogren syndrome clinical research were screened out. Results： 16 of a total of 1 316 cases, with deficiency syndrome 671 cases（50.99%）, fullness syndrome 215 cases（16.34%）, and the inclusions in 430 cases（32.67%）. There were 32 types of syndromes, the frequency was highest in the qi and yin deficiency syndrome 11 times（68.75%）, fluid deficiency blood stasis 7 times（43.75%）, yin deficiency syndrome of liver and kidney 6 times（37.50%） and internal heat due to yin deficiency 4 times（25.00%）. According to the number of patients, qi and yin deficiency 244 cases（18.54%）, fluid deficiency blood stasis 200 cases（15.20%）, yin deficient 125 cases（9.50%）. Conclusion： Yin deficiency and yin deficiency with fullness were main syndromes in Sjogren syndrome. Yin deficiency was the main syndrome, blood stasis was the pathogenesis. Yin deficiency and blood stasis might be the underlying pathogenesis of Sjogren syndrome.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2013年第2期482-485,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家中医药管理局资助项目(No.06-07JP42)
贵州省中医药管理局课题(No.2008-23)~~
关键词
干燥综合征
证候
辨证分型
辨证论治
中医证型
文献评价
Sjogren syndrome
Syndrome differentiation
Treatment based on syndrome differentiation
Syndrometype of TCM
Literature evaluation
