荨麻疹流行病学调查及中医证型研究

发布时间：2018-03-05 18:02

本文选题：荨麻疹　切入点：流行病学调查　出处：《北京中医药大学》2010年硕士论文　论文类型：学位论文

【摘要】： 研究目的：调查荨麻疹流行病学相关资料及症状分布情况,探讨影响荨麻疹发病的各因素的意义,并根据中医四诊情况,进行中医辨证分型研究,为临床辨证论治荨麻疹提供更好的依据。研究方法：制定荨麻疹流行病学调查表,对就诊于广安门医院皮肤科门诊荨麻疹患者进行相关信息采集,在导师指导下对每例患者进行中医辩证分型,全部病例收集结束后,将数据录入SPSS17.0统计软件,对各因素及辨证分型进行统计分析。研究结果： 1、女性患者发病率高于男性患者,且病程相对更长,治疗难度更大；2、95%患者病程在1年以上；3、18%荨麻疹患者有药物过敏史,青霉素等抗生素类药物为引发荨麻疹的病因之一；4、27%患者具有家族过敏性疾病史,以荨麻疹、过敏性鼻炎和湿疹居多；5、64%患者就诊时正在服用抗组胺药物,且症状难以得到控制；6、96%的患者病情严重程度为中重度,轻度患者仅占4%；7、49%患者有明显诱因,主要诱因为物理因素、食品及添加剂、精神、药物因素四类；8、69%患者发病有昼夜规律,且主要集中在夜间发病,但无明显季节规律；9、79%患者因为瘙痒影响正常工作学习,43%患者皮肤划痕症阳性；10、100例患者辨证分型为风寒型31例、风热型20例、表虚不固型15例、气血两虚型3例、风湿热蕴型14例、脾胃不和型2例、气滞血瘀型2例、阴虚内热型3例；
[Abstract]:Objectives of the study:. To investigate the epidemiological data and the distribution of symptoms of urticaria, to explore the significance of the factors affecting the occurrence of urticaria, and to study the syndrome differentiation and classification of TCM according to the four diagnoses of TCM. To provide a better basis for clinical treatment of urticaria based on syndrome differentiation. Research methods:. A questionnaire on the epidemiology of urticaria was established, and the relevant information was collected from the outpatients of the dermatology department of Guanganmen Hospital. Under the guidance of their mentors, each patient was classified according to the Chinese medicine dialectical classification, and after all the cases were collected, Data input into SPSS17.0 statistical software, statistical analysis of each factor and syndrome differentiation. Results of the study:. 1. The incidence rate of female patients was higher than that of male patients, and the course of disease was longer than that of male patients. The course of treatment was more difficult than that of 95% of the patients with urticaria. 31.8% of the patients with urticaria had a history of drug allergy. Antibiotics such as penicillin are one of the causes of urticaria. 42.7% of the patients have a family history of allergic diseases. 56% of the patients with urticaria, allergic rhinitis and eczema are taking antihistamines. 696% of the patients whose symptoms were difficult to control were moderate and severe, and only 47.49% of the mild patients had obvious inducements. The main inducements were physical factors, food and additives, mental factors and drug factors. The incidence rate of 869% patients was regular day and night. It was mainly concentrated in nocturnal diseases, but 97.9% of the patients had no obvious seasonal regularity because of the effect of pruritus on normal work learning. Among them, 10100 patients with skin scratch syndrome were classified as wind-cold type (31 cases), wind-heat type (20 cases) and superficial deficiency type (15 cases). There were 3 cases of deficiency of qi and blood, 14 cases of rheumatic heat accumulation, 2 cases of spleen and stomach disharmony, 2 cases of qi stagnation and blood stasis, 3 cases of internal heat due to yin deficiency.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2010
【分类号】：R758.24;R275.9

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