湿疹患者中医体质、辨证分型、西医分期的年发病次数分析

目的:通过问卷调查的方式,将湿疹患者中医体质、辨证分型、西医分期的年发病次数加以统计,得出不同中医体质、辨证分型及西医分期湿疹患者的年发病次数分布规律及特点,为湿疹的预防及治疗提供新思路及新方法。方法:参照瞿幸主编《中医皮肤性病学》、陈达灿主编《皮肤性病科专病中医临床诊治》和喻文球主编《中医皮肤性病学》,中华中医药学会标准《中医体质分类与判定自测表》和王琦体质九分法,制定此次研究的《湿疹患者中医体质分类与判定自测表》和《湿疹患者辨证分型表》,对天津市中医药研究院附属医院就诊的482例湿疹患者进行一般情况以及中医体质类型、中医辨证分型、西医分期和年发病次数等内容的调查。结果:不同体质患者的年发病次数间存在明显差异,单一体质中,痰湿质、湿热质、气郁质年发病次数较多,平和质年发病次数最少;不同中医证型患者的年发病次数存在差异,湿热浸淫证患者年发病次数多于其他证型的湿疹患者;不同西医分期患者的年发病次数存在明显差异,急性湿疹的年发病次数比亚急性、慢性湿疹年发病次数多。结论:痰湿质、湿热质、气郁质患者年发病次数多于其他体质患者,平和质患者年发病次数少于其他体质患者;湿热浸淫证患者年发病次数多于其他证型的患者;急性湿疹患者的年发病次数比亚急性、慢性湿疹患者年发病次数多,而慢性湿疹患者年发病次数少于急性、亚急性湿疹患者。

Annual Frequency in Traditional Chinese Medicine Physique, Syndrome Differentiation and Western Medicine Staging of 482 Eczema Patients

Objective:To make statistics on the annual frequency of patients with eczema by traditional Chinese medicine (TCM) physique, syndrome differentiation, and western medicine staging based on questionnaire survey, in order to infer the distribution and characteristics of the annual frequency by different TCM physique, syndrome differentiation and western medicine stage, and provide new ideas and new methods for the prevention and treatment of Eczema. Method:According to the Dermatovenerology of Traditional Chinese Medicine edited by QU Xing, and Clinical Diagnosis and Treatment of Chinese Medicine for Dermatovenerology edited by CHEN Da-can, and Traditional Chinese Medicine for Dermology edited by YU Wen-qiu, and Physique Classification and Patient Self-Testing Table formulated by China Association of Chinese Medicine and Professor WANG Qi''s nine categories of physique, the TCM Physique Classification and Patient Self-Testing Table for eczema patients and the Syndrome Differentiation and Classification Table for Eczema Patients were formulated. General conditions of 482 cases of eczema patients treated at Tianjin Academy of Traditional TCM Affiliated Hospital and their types of TCM physique, TCM syndrome differentiation, western medicine staging and annual frequency were surveyed. Result:There were significant differences in the annual frequency of patients with different physical constitutions. By single physique, Tanshi, Shire and Qiyu had more frequent occurrences every year, and Pinghe had the lowest annual frequency. There were differences in the annual occurrences among cases with different TCM syndrome types. Shire syndrome patients have more frequent annual occurrences than other types of eczema patients. There were significant differences in the annual occurrences among cases of different western medicine staging, and the annual occurrences of acute eczema were more than those of subacute and chronic eczema. Conclusion:The annual occurrences of patients with Tanshi, Shire and Qiyu physique were higher than those of other physiques. There are fewer outpatients with Pinghe physique than other physiques. The annual occurrences of Shire syndrome patients are higher than that of other types of eczema patients. The annual occurrences of acute eczema are more than those of subacute and chronic eczema. The annual occurrences of chronic eczema are less than acute and subacute eczema.