体质对变应性鼻炎局部体征影响的临床观察

目的观察不同体质对变应性鼻炎局部体征的影响。方法将变应性鼻炎患者按体质分类,详细记录体征变化的时间和特点,应用频次统计及χ2检验比较不同体质的患者出现体征变化的特点。结果晦涩质和燥红质主要表现为鼻腔黏膜颜色黯红,2组比较差异无统计学意义(χ2=0.597,P0.05);腻滞质主要表现为下鼻甲前端明显肥大以及合并出现鼻息肉,分别占同体质的76.32%(58/76)和17.11%(13/76);迟冷质下鼻甲后端肥大者占51.53%(84/163),合并鼻息肉者占15.95%(26/163);倦质中主要表现为下鼻甲前端和后端肥大,分别占42.50%(17/40)和32.50%(13/40);正常质中均是常态表现。结论 6种体质变应性鼻炎患者局部体征共有5种基本变化,不同体质引起的变应性鼻炎局部体征具有不同特点,有助于指导临床预防和治疗。

Clinical Observation on Signs in Nasal Cavity of Allergic Rhinitis Caused by Constitutions

Objective To observe and summarize the influence of difference constitutions on signs in nasal cavity of allergic rhinitis. Methods The patients were divide into 6 constitutions, and the data of signs were recorded and analyzed by percentage and x^2 analysis. Results Nasal mucosa was dark red in Huise and Zaohong constitutions, with no difference （x^2= 0.597, P 〉 0.05）. Fore-end inferior turbinate hypertrophy （76.32%, 58/76） or combined with nasal polyps （17.11%, 13/76） were in Nizhi constitution. Rear-end inferior turbinate hypertrophy （51.53%, 84/163） or combined with nasal polyps （15.95%, 26/163） were in Chileng constitution. Fore-end inferior turbinate hypertrophy （42.50%, 17/40） and rear-end inferior turbinate hypertrophy （32.50%, 13/40） were in Juanhuang constitution. All changes were normality in normal constitution. Conclusions There are 5 basic changes of signs in nasal cavity in all 6 constitutions. Significant difference is noted on signs in nasal cavity of allergic rhinitis with difference constitutions, which are helpful to the prevention and treatment.