湿疹与西北燥证的相关性研究

发布时间：2018-05-18 23:38

本文选题：湿疹 + 西北燥证　；参考：《新疆医科大学》2016年硕士论文

【摘要】：目的:通过调查湿疹不同分期和不同中医证型合并西北燥证的情况,探索湿疹与西北燥证之间的相关性,为湿疹的辨证论治提供临床指导意义。方法:收集新疆医科大学附属中医医院皮肤科门诊2015年1月至2015年12月的湿疹典型病例,通过调查量表调查湿疹患者的不同分期、不同中医证型,以及其合并西北燥证的情况。结果:(1)共调查符合纳入标准的湿疹患者160例,其中,急性湿疹25例,所占百分比为15.60%,亚急性湿疹83例,所占百分比为51.90%,慢性湿疹52例,所占百分比为32.50%。其中,湿热蕴肤型52例,所占比例为32.50%,脾虚湿蕴型72例,所占比例45.00%,血虚风燥型29例,所占比例18.10%,其他证型7例,所占比例为4.40%。(2)160例湿疹中,其中83例合并西北燥证,所占百分比为51.88%。有6例急性湿疹合并西北燥证;有48例亚急性湿疹合并西北燥证;有29例慢性湿疹合并西北燥证。湿疹合并西北燥证在其不同分期之间进行比较,P=0.010.05,具有统计学意义。(3)湿疹的中医证型中,有20例湿热蕴肤型合并西北燥证;有37例脾虚湿蕴型合并西北燥证;有22例血虚风燥型合并西北燥证;有4例其他证型合并西北燥证。湿疹合并西北燥证在其不同中医证型之间进行比较,P=0.0120.05,具有统计学意义。(4)160例湿疹患者中,其中先发西北燥证的有63例,后发西北燥证的有19例,同发西北燥证的有1例,不合并西北燥证的有77例。急性湿疹、亚急性湿疹、慢性湿疹三组之间西北燥证发生的先后情况进行比较,P=0.0280.05,差异有统计学意义,表明湿疹不同分期之间,西北燥证发生先后的情况有差异。结论:本次调查的160例湿疹患者中,有83例合并西北燥证,所占百分比为51.88%;在所收集的湿疹患者中亚急性湿疹合并西北燥证最多,48例,占百分比57.83%;所收集的湿疹患者中血虚风燥型合并西北燥证最多,22例,占百分比75.86%。所收集的湿疹患者中先发西北燥证的有63例,占百分比39.37%。说明湿疹与西北燥证有相关性,西北燥证可能是湿疹的诱发因素,也有可能是湿疹的病机基础。
[Abstract]:Objective: to explore the correlation between eczema and northwest dryness syndrome by investigating different stages and different TCM syndromes of eczema combined with northwest dryness syndrome, and to provide clinical guidance for syndrome differentiation and treatment of eczema. Methods: the typical eczema cases were collected from January 2015 to December 2015 in dermatology department of affiliated traditional Chinese Medicine Hospital of Xinjiang Medical University. Results among 160 eczema patients, 25 were acute eczema, 83 were subacute eczema, 52 were chronic eczema and 52 were chronic eczema, among which 25 were acute eczema with a percentage of 15.60, 83 subacute eczema, and 52 chronic eczema. Among them, 52 cases of damp-heat accumulation skin type, 72 cases of spleen deficiency and dampness accumulation type, 45.00% of them, 29 cases of blood deficiency wind dryness type, 18.10%, 7 cases of other syndrome type, the proportion is 4.40% of 160 cases of eczema, of which 83 cases are complicated with northwest dryness syndrome. The percentage was 51.88. There were 6 cases of acute eczema with northwest dryness syndrome, 48 cases of subacute eczema with northwest dryness syndrome, 29 cases of chronic eczema with northwest dryness syndrome. Comparing eczema with Northwest dryness Syndrome in different stages, there are 20 cases of eczema syndrome type combined with Northwest dryness syndrome, 37 cases of spleen deficiency and dampness accumulation type combined with Northwest dryness Syndrome, among the TCM syndromes of eczema with statistical significance. There were 22 cases of blood deficiency and wind dryness combined with northwest dryness syndrome, 4 cases of other syndromes combined with northwest dryness syndrome. Eczema combined with northwest dryness syndrome was compared among different TCM syndromes. Among 160 cases of eczema with statistical significance, 63 cases had northwest dryness syndrome, 19 cases had northwest dryness syndrome, and 1 case had northwest dryness syndrome. There were 77 cases without northwest dryness syndrome. Acute eczema, subacute eczema and chronic eczema were compared among the three groups. There were significant differences in the occurrence of northwest dryness syndrome between the three groups. The difference was statistically significant, which indicated that there were differences in the occurrence of northwest dryness syndrome among different stages of eczema. Conclusion: of the 160 eczema patients surveyed, 83 cases were associated with northwest dryness syndrome, the percentage was 51.88, and the most 48 cases were subacute eczema combined with northwest dryness syndrome in the collected eczema patients. Among the patients with eczema, 22 cases (75.86%) had blood deficiency and wind dryness syndrome combined with northwest dryness syndrome. Among the patients with eczema, 63 cases (39.37%) developed northwest dryness syndrome. It is suggested that eczema is related to northwest dryness syndrome, which may be the inducing factor of eczema, and may also be the pathogenesis of eczema.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R275.9

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