摘要
目的探究特应性皮炎患者中医证型与年龄、性别、饮食偏好、皮损积分指标关系。方法回顾性分析我院门诊2018年1月至2019年1月86例特应性皮炎患者的一般资料,分析中医证型与年龄、性别、饮食偏好、皮损积分的关系。结果本研究确定有湿热蕴结型15例、血虚风燥型27例、脾虚湿盛型44例3种证型。评价指标对比发现:①年龄:2~16岁湿热蕴结型与脾虚湿盛型患者比重较高,但仅脾虚湿盛型对比结果具有统计学意义(P<0.05);17~30岁血虚风燥型患者比重较高(P<0.05)。②性别:男性湿热蕴结型、脾虚湿盛型证型发病较高(P<0.05);女性血虚风燥型发病较高(P<0.05)。③饮食偏好:湿热蕴藉型患者以喜肥甘、辛辣为主(P<0.05);脾虚湿盛型患者以喜肥甘、辛辣、生冷为主(P<0.05)。④皮损情况:湿热蕴结型患者红斑、丘疹、腐烂症状较为明显;血虚风燥型患者干燥情况最为突出,但其余5项皮损情况也较为明显;脾虚湿盛型患者红斑、腐烂、渗出/结痂情况最为明显,其余3项表现也较为突出(P<0.05)。结论特应性皮炎中医证型与年龄、性别、饮食偏好、皮损积分有一定相关性,可作为临床诊断依据。
Objective To explore the relationship between TCM syndromes of patients with atopic dermatitis and age,gender,dietary preference and score index of skin lesions.Methods A retrospective analysis of eighty-six patients with atopic dermatitis in the outpatient department of our hospital from January 2018 to January 2019 were performed.General information:the relationship between TCM syndrome type and four commonly used clinical evaluation indexes including age,gender,dietary preference and skin lesion score was analyzed.Results In this study,it was determined that there were three types of syndromes:dampness-heat accumulation type(n=15),blood-deficient wind-drying type(n=27),and spleen-deficient dampness-storage type(n=44).The comparison of the evaluation indexes showed that:(1)Age:2-16 years old,the proportion of patients with damp-heat accumulation type was higher than those with spleen-deficient and wet-storage type,but only the spleen-deficiency and dampness-type comparison results were statistically significant(P<0.05).The proportion of 17-30 years old patients with blood deficiency and dryness was higher(P<0.05).(2)Gender:male had higher incidence of damp-heat syndrome and dampness-deficiency syndrome(P<0.05).The incidence of blood deficiency and dryness was higher in women(P<0.05).(3)Dietary preference:the patients with hygrothermal syndrome were mainly fond of fat,sweet and spicy(P<0.05).Patients with spleen deficiency and dampness were mainly fond of fat and sweet,spicy and cold(P<0.05).(4)Skin lesions:symptoms of erythema,papules and putrefaction were more obvious in patients with damp-heat accumulation type.The dryness of the patients with blood deficiency and wind dryness was the most prominent,but the other five skin lesions were also obvious.Erythema,decay and exudation/scab were the most obvious in patients with spleen deficiency and dampness,and the other three manifestations were also prominent(P<0.05).Conclusion The TCM syndrome type of atopic dermatitis were correlated with age,gender,dietary preference and skin lesion score,which can be used as the basis for clinical diagnosis.
作者
王剑锋
WANG Jianfeng(Department of Chinese Medicine Dermatology,Qingyuan Hospital of Traditional Chinese Medicine,Qingyuan 511500,China)
出处
《中国医药指南》
2020年第22期146-148,共3页
Guide of China Medicine
关键词
特应性皮炎
临床评价指标
中医辨证
Atopic dermatitis
Clinical evaluation index
Syndrome differentiation of traditional Chinese medicine
