78例原发性干燥综合征患者中医证候分析

目的:初步探讨原发性干燥综合征(pSS)的中医候分布特点。方法:采用问卷调查与实验室检查相结合的方式,设计统一调查量表,收集78例pSS患者基本信息、症状体征及实验室检查指标等,并统计分析。结果:pSS中医证候以气阴两虚证最多,占52.6%,其次为阴虚血瘀证,再次为肝肾阴虚证;兼证中,血瘀证>热毒证>湿热证。结论:原发性干燥综合征以气阴两虚证多见,其病机为气阴两虚及瘀血内阻。提示临床上应以益气养阴为主,兼以活血通络。

Syndrome analysis of 78 patients of primary sjgren syndrome

Objective: To study Chinese medical pattern characteristic of primary sjgren syndrome(pSS).Methods: The questionnaire and laboratory examination were taken into this study,with a special scale designed for the research of investigating the pattern distribution.Results: Deficiency of both Qi and Yin was the most major syndrome,which accounted for 52.6%,the second was yin deficiency and blood stasis,and the third was yin deficiency of liver and kidney.The most accompanying syndrome was blood stasis,accounted to 35.2%.Conclusion: The main syndrome of pSS was deficiency of both Qi and Yin.And the main pathogenesis was deficiency of both Qi and Yin.It was supposed that we should use the method of supplementing qi and nourishing yin as a principle when treating pSS.Promoting blood circulation and remove blood stasis is an important method,too.