中西医对白癜风病因的对比分析

发布时间：2018-03-11 17:37

本文选题：白癜风　切入点：中医诊断　出处：《辽宁中医杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的:从中西医两方面探讨白癜风发病发展的原因。方法:根据中国中西医结合学会皮肤性病专业委员会色素病学组制定的白癜风临床诊断标准,选择35例白癜风患者为A组,健康体检者12例为B组,采用统一制定的流行病学调查表,调查员对白癜风患者就其性别、年龄、职业、最近一次白斑变化与情绪相关性等情况进行调查,并由专业中医师对A,B两组进行中医分型诊断;由专业西医师采用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)对A、B两组进行精神因素评分。结果:中医方面,A组35例白癜风患者中,肝气郁结型患者15(43%)例,肝胃不和型患者8(17%)例。西医方面,A组22例(62.9%)可能存在焦虑状态,其中5例(14.2%)肯定有焦虑状态,6例(17.1%)肯定有明显焦虑状态。B组中,仅1例(0.08%)可能存在焦虑状态;A组13例(37.1%)可能存在抑郁状态,其中6例(17.1%)肯定有抑郁状态,B组无人存在抑郁状态;经统计学分析白癜风患者中医分型诊断和焦虑抑郁精神因素之间有极显著相关性(P0.01)。结论:西医的精神因素在中医表现为肝气郁结,从中西医两方面分析,精神因素是反应白癜风发生与发展的主要因素之一。
[Abstract]:Objective: to explore the causes of vitiligo from two aspects of traditional Chinese and western medicine. Methods: according to the clinical diagnostic criteria of pigmentology group of the Committee of Dermatology and venereal Diseases of the Chinese Society of Integrated Chinese and Western Medicine, 35 patients with vitiligo were selected as group A. In group B, 12 healthy persons were examined by using a unified epidemiological questionnaire. The investigators investigated the sex, age, occupation, the most recent change of leukoplakia and the correlation between emotion and other factors in patients with vitiligo. And the two groups were diagnosed by traditional Chinese medicine. The scores of mental factors in group A were evaluated by using Hamilton anxiety scale (Hama) and Hamilton Depression scale (Hamd). Results: of 35 patients with vitiligo in group A, 1543 were patients with stagnation of liver-qi. There may be anxiety in group A (22 cases, 62.9%), of which 5 cases (14.2%) must have anxiety state, 6 cases (17.1), and there must be obvious anxiety state in group B. There were 13 patients with anxiety in group A (37.1).) there were probably depression in group A, and there were no depression in group B (6 cases with 17. 1). There was a significant correlation between TCM typing diagnosis of vitiligo patients and mental factors of anxiety and depression (P 0.01). Conclusion: the mental factors of western medicine are characterized by stagnation of liver-qi in TCM, which is analyzed from two aspects of TCM and Western medicine. Mental factors are one of the main factors that respond to the occurrence and development of vitiligo.
【作者单位】：中国药科大学新药筛选中心;江苏省中药评价与转化重点实验室;东南大学附属中大医院中医内科;
【基金】：“十一五重大新药创制”(2009ZX09102-119)
【分类号】：R758.41

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