河南地区寻常型银屑病501例临床分析

发布时间：2018-01-08 18:34

  本文关键词：河南地区寻常型银屑病501例临床分析　出处：《河南中医药大学》2016年硕士论文　论文类型：学位论文

  更多相关文章： 河南 寻常型银屑病 中医证候

【摘要】：目的:运用流行病学调查方法,结合中医诊疗理论,对寻常型银屑病的发病特点及证候分布特征、规律进行探究,为临床辨证及预防、诊疗提供依据。方法:通过查阅文献及咨询相关专家,设计临床调查表,并进行调查,将收集的资料建立数据库。然后运用SPSS 19.0统计软件进行一般描述性统计分析、卡方检验等分析方法对寻常型银屑病中医临床特征进行分析。结果:(1)共收集病例501例,其中男性269例(54%)女性232例(46%)。男女性别之比为1.17:1。主要发病年龄集中在21~40岁(2)寻常型银屑病影响因素中诱发因素主要为感冒、寒冷、烟酒、外伤、饮食、妊娠月经等;加重因素依次为寒冷、精神紧张、感染、烟酒、饮食、熬夜、妊娠、月经;发病加重季节主要在冬季和春季;(3)皮损的经络分布阳经314例,阴经152例,阴经阳经都有者13例,皮损经络分布不明显者22例;(4)寻常型银屑病证型分布阳虚外寒127例,肝经郁热90例,寒包火89例,血热血瘀68例,风热蕴毒入血51例,湿热内蕴化火17例,血虚风燥16例,积热入血10例,血虚血瘀11例,血燥血瘀1例,其他证型21例;(5)证型与患者一般资料、影响因素的关系肝经郁热证、积热入血证、湿热内蕴化则以女性患者为主;风热蕴毒入血证多在0~20岁的年龄,肝经郁热证、积热入血证、湿热内蕴化火证、寒包火证、阳虚外寒证多分布在21~40岁;风热蕴毒入血证、肝经郁热证、积热入血证、湿热内蕴化火证、寒包火证、阳虚外寒证、血虚血瘀证的皮损分布主要在阳经,血虚风燥证皮损主要分布在阴经;发病季节与各证型无统计学意义,但是加重季节因素中,风热蕴毒入血证、寒包火证、阳虚外寒证、肝经郁热证多在春季和冬季加重;加重因素中感染为风热蕴毒入血证的主要因素,肝经郁热证的主要加重因素为精神紧张,寒包火证、阳虚外寒证的主要加重因素为寒冷。结论:(1)本次调查研究的寻常型银屑病证候分布依次为阳虚外寒证,肝经郁热证,寒包火证,血热血瘀证,风热蕴毒入血证,湿热内蕴化火证,血虚风燥证,积热入血证,血虚血瘀证,血燥血瘀证。(2)性别、年龄、家族史、加重季节、缓解因素对寻常型银屑病证候分布的影响有统计学意义。
[Abstract]:Objective: using epidemiological methods, combining the theory of TCM diagnosis and treatment of psoriasis vulgaris, syndrome distribution characteristics of pathogenesis and syndrome rules, to explore, for clinical diagnosis and prevention, provide the basis for diagnosis and treatment. Methods: through the literature and consulting experts, the design of clinical investigation and investigation, the establishment of a database of information collected. Then through descriptive statistical analysis using SPSS 19 statistical analysis software, the chi square test are used to analyze the clinical features of psoriasis vulgaris in Chinese medicine. Results: (1) 501 cases were collected, including 269 cases of male female 232 cases (54%) (46%). The ratio of male to female was mainly concentrated in the age of onset of 1.17:1. at the age of 21~40 (2) factors in psoriasis vulgaris mainly induced by cold, cold, alcohol, trauma, pregnancy diet, menstrual; aggravating factors according to the times of cold, nervous, infection, alcohol and tobacco, 楗�椋�,鐔�澶�,濡婂��,鏈堢粡;鍙戠梾鍔犻噸瀛ｈ妭涓昏�佸湪鍐�瀛ｅ拰鏄ュ��;(3)鐨�鎹熺殑缁忕粶鍒嗗竷闃崇唬�

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