寻常型银屑病中医证候与年龄、病程关系的研究  

Correlation among psoriasis vulgaris' traditional Chinese medicine syndromes,age and course

作　　者：陈维文[1] 王萍[1] 张广中[1] 姜春燕[1] 周冬梅[1] 孙丽蕴[1] 王莒生[1] 邓丙戌[1] 李萍[2] 赵一鸣[3] 刘瓦利[4] 瞿幸[5] 曾琳[3] 李若瑜[6] 

机构地区：[1]首都医科大学附属北京中医医院皮肤性病科,北京100010 [2]北京市中医研究所,北京100010 [3]北京大学第三医院临床流行病学研究中心,北京100191 [4]中国中医科学院广安门医院皮肤性病科,北京100053 [5]北京中医药大学东直门医院皮肤性病科,北京100700 [6]北京大学第一医院皮肤性病科,北京100034

出　　处：《首都医科大学学报》2011年第4期445-448,共4页Journal of Capital Medical University

基　　金：国家十一五科技攻关支撑计划(2007BAI20B047);北京市科技计划(D08050703550901);北京市卫生系统高级卫生技术人才项目(2011-3-057)~~

摘　　要：目的探讨寻常型银屑病发病年龄(初次发病时的年龄)、年龄(接受证候调查时的年龄)、复发次数、总病程及本次病程与中医证候的相关性。方法按照临床流行病学群体研究方法,采用现况调查、多中心、大样本的研究设计,用EPIINFO 6.0建立数据库,统计分析应用SPSS软件,对2 675例寻常型银屑病发病年龄、病程等因素与中医证候关系进行分析。结果寻常型银屑病中血热证、血燥证、血瘀证最为常见,其中血热证1 489例(55.7%),血燥证593例(22.2%)和血瘀证323例(12.1%),以上3型之间发病年龄及患者年龄差异均有统计学意义(P<0.01),其中血燥证发病年龄最小,其次为血热证,血瘀证患发病年龄最大,血热证患者平均年龄最小,其次为血燥证,血瘀证患者平均年龄最大;血热证的复发次数少于血燥证和血瘀证(P<0.01);3型之中血热证的总病程和本次病程均最短,血燥证次之,血瘀证的总病程和本次病程最长(P<0.01)。结论血热证、血燥证和血瘀证是"从血论治"银屑病的基本证候,通过临床流行病学调查发现,这3个证候间不仅存在着时相性,而且治疗的难易程度也不同。Objective To explore the correlation among psoriasis patients＇ age of onset,age,recurrence frequencies,disease course and traditional Chinese medicine（TCM） syndromes.Methods Based on the clinical epidemiologic mass survey,the study was carried out by means of a status survey,multi-center and large-sample research.The data base was set up by EPIINFO 6.0.The SPSS was used to do the statistical analyses in 2 675 cases of psoriasis vulgaris to study the correlations among patients＇ age of onset,age,recurrence frequencies,disease course and TCM syndromes.Results The TCM syndromes in psoriasis vulgaris mainly include the blood heat syndrome 1 489（55.7%）,blood dryness syndrome 593（22.2%）,and blood stasis syndrome 323（12.1%）.The sequences from young to old in age of onset and age are blood heat syndrome,blood dryness syndrome,and blood stasis syndrome（P0.01）.Blood heat＇s recurrence frequencies is the least among the 3 syndromes（P0.01）.The sequences from short to long of disease courses are blood heat syndrome,blood dryness syndrome,and blood stasis syndrome（P0.01）.Conclusion The blood heat syndrome,blood dryness syndrome,and blood stasis syndrome are the main syndromes of psoriasis vulgaris.There are not only onset sequences but also different degrees of treatment difficulty among the 3 TCM syndromes.

关 键 词：寻常型银屑病 血热证 血燥证 血瘀证 发病年龄 病程 

分 类 号：R758.63[医药卫生—皮肤病学与性病学]