探讨女性青春期后痤疮的影响因素及其中医辩证特点
发布时间：2018-07-16 18:03
【摘要】： 目的 本文通过对女性青春期后痤疮临床表现的观察,了解其在不同发展阶段的辩证特点,以及影响疾病发展的各种因素,寻找临床辨证的规律性,以便对其发展有更为深刻和全面的认识,希望可以为临床治疗提出新的思路和依据。 方法 本课题采用流行病学方法,设计统一的流行病调查表,收集武汉市第一医院每周痤疮专科门诊的青春期后女性痤疮患者的资料,采用医学统计方法对调查对象的年龄、皮肤类型、精神状态、睡眠状态、月经情况、月经与痤疮的关系以及中医辨证分型进行统计学分析,最后得出结论。 结果 1.我们总共收入了320例女性青春期后痤疮患者,年龄25-49岁,平均年龄30.7岁；其中25-35岁236例(74%),36-45岁84例(26%),46-49岁3例(1%)。 2.皮疹仅限于面部者208例,面部及胸背部均存在者112例。按Pillsbury分类法,Ⅰ度46例(14%),Ⅱ度151例(47%),Ⅲ度89例(28%),Ⅳ度34例(11%)。 3.月经规律者249例(78%),月经不规律者69例(22%),闭经者2例(0.01%),经前加重者198例(62%)。 4.持续性痤疮219例(68%),迟发性痤疮101例(32%)。 5.油性皮肤221例,中性皮肤74例,混合性皮肤16例,干性皮肤9例。 6.精神因素导致病情加重者89例(27%)；刺激性食物加重者167例(52%)；饮酒加重者116例(36%)；日晒加重者76例(24%)。 7.与季节因素有关的患者107例(33%)。 8.睡眠差者87例；一般者124例；良好者109例； 9.在320例青春期后女性痤疮患者中,湿热蕴结型78例(24%),肝肾阴虚型64例(20%),肝郁血热型63例(20%),肝郁脾虚型41例(13%),肺经风热型38例(12%),痰瘀结聚型36(11%)。其中与月经关系密切的有肝肾阴虚型、肝郁血热型和肝郁脾虚型。 结论 1.320例青春期后女性痤疮患者中以持续性痤疮患者为主,年龄多集中在25-35岁之间。 2.大部分患者经前加重,精神压力、饮食、睡眠、季节等成为诱发因素。 3.辩证分型中与月经的关系密切的为肝肾阴虚型、肝郁血热型和肝郁脾虚型,而湿热蕴结型、非经风热型和痰瘀互结型与月经关系不大。
[Abstract]:Objective to observe the clinical manifestations of female postpubertal acne and to find out the dialectical characteristics of acne in different stages and the factors affecting the development of the disease, so as to find out the regularity of clinical syndrome differentiation. In order to have a more profound and comprehensive understanding of its development, hope to provide new ideas and basis for clinical treatment. Methods the epidemiological method was used to design a unified epidemiological questionnaire to collect the data of postpubertal female acne patients in the weekly acne specialist outpatient clinic of the first Hospital of Wuhan City. The age, skin type, mental state, sleep state, menstruation, the relationship between menstruation and acne and TCM syndrome differentiation were statistically analyzed by medical statistical method. Result 1. A total of 320 female patients with postpuberty acne were enrolled, aged 25-49 years, with an average age of 30.7 years, of which 236 cases (74%) were aged 25-35 years, 84 cases (26%) were aged 36-45 years, and 3 cases (1%) were aged 46-49 years. Skin rash was limited to 208 cases of face, 112 cases of facial and thoracic back. According to Pillsbury classification, 46 cases (14%) were of grade 鈪，
本文编号：2127193
[Abstract]:Objective to observe the clinical manifestations of female postpubertal acne and to find out the dialectical characteristics of acne in different stages and the factors affecting the development of the disease, so as to find out the regularity of clinical syndrome differentiation. In order to have a more profound and comprehensive understanding of its development, hope to provide new ideas and basis for clinical treatment. Methods the epidemiological method was used to design a unified epidemiological questionnaire to collect the data of postpubertal female acne patients in the weekly acne specialist outpatient clinic of the first Hospital of Wuhan City. The age, skin type, mental state, sleep state, menstruation, the relationship between menstruation and acne and TCM syndrome differentiation were statistically analyzed by medical statistical method. Result 1. A total of 320 female patients with postpuberty acne were enrolled, aged 25-49 years, with an average age of 30.7 years, of which 236 cases (74%) were aged 25-35 years, 84 cases (26%) were aged 36-45 years, and 3 cases (1%) were aged 46-49 years. Skin rash was limited to 208 cases of face, 112 cases of facial and thoracic back. According to Pillsbury classification, 46 cases (14%) were of grade 鈪，
本文编号：2127193
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