4435例口腔黏膜病临床及中医辨治分析  

Analysis on the clinical and traditional Chinese medicine syndrome differentiation and treatment of 4435 cases of oral mucosal diseases

作　　者：罗茫 刘一平[1] 李元聪[1] 陈世娟[1] LUO Mang;LIU Yiping;LI Yuancong;CHEN Shijuan(The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Hunan,Changsha 410007,China)

机构地区：[1]湖南中医药大学第一附属医院,湖南长沙410007 [2]湖南中医药大学

出　　处：《中国医药科学》2020年第4期3-6,共4页China Medicine And Pharmacy

基　　金：湖南省名老中医药专家传承工作室建设项目(湘中医药[2017]68号);湖南省教育厅科学研究项目(16C1225)。

摘　　要：目的探讨湖南省常见口腔黏膜病的发病特点、分布规律以及中医辨治情况,为口腔黏膜病的诊治提供临床依据。方法收集2017年9月~2019年9月就诊于湖南中医药大学第一附属医院口腔黏膜专科的口腔黏膜病初诊患者,对其性别、年龄、诊断等进行回顾性分析统计。结果(1)收集的口腔黏膜病患者共4435例,共24种,男2166例,女2269例,男女比例为1∶1.05,以40~50岁患者多见,居于前5位的分别是复发性口腔溃疡(36.17%)、口腔扁平苔藓(16.10%)、口腔黏膜下纤维化(12.67%)、灼口综合征(8.91%)、口腔癌术后(5.50%)。(2)本病中36~50岁年龄段占比最高,21~35岁年龄段其次,51~70岁年龄段占比最低;本病在湖南省北方地区患者占比较南方地区更多;本病2019年患者数量较2018、2017年更多,整体呈逐年增多趋势。结论复发性口腔溃疡是最好发的口腔黏膜病,口腔黏膜下纤维化是湖南省男性最好发的口腔黏膜病。Objective To investigate the onset characteristics and distribution of common oral mucosal diseases,as well as the syndrome differentiation and treatment under traditional Chinese medicine in Hunan,and to provide clinical reference for the diagnosis and treatment of oral mucosal diseases.Methods Patients initially diagnosed with oral mucosal diseases at the Department of Oral Mucosa of The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from September 2017 to September 2019 were selected,and retrospective statistical analysis was conducted on their gender,age and diagnosis.Results(1)A total of 4435 patients with oral mucosal diseases(24 types in total)were collected,including 2166 males and 2269 females,with a male to female ratio of 1:1.05,most of whom were aged between 40 and 50;the top five types of the studied disease were recurrent oral ulceration(36.17%),oral lichen planus(16.10%),oral submucous fibrosis(12.67%),burning mouth syndrome(8.91%),and postoperative oral cancer(5.50%),respectively.(2)In this disease,the group aged between 36 and 50 occupied the highest proportion,the group aged between 21 and 35 followed,and the group aged between 51 and 70 occupied the lowest proportion;in terms of regional distribution,the patients with this disease accounted for more proportion in the northern region than in the southern region of Hunan;in terms of time distribution,the number of patients with the disease in 2019 was higher than that in 2018 and 2017,showing an overall trend of increase year by year.Conclusion Recurrent oral ulceration is the most common oral mucosal disease,and oral submucous fibrosis is the most common oral mucosal disease in male in Hunan.

关 键 词：口腔黏膜病 复发性口腔溃疡 口腔黏膜下纤维化 口腔扁平苔藓 中医 

分 类 号：R276.8[医药卫生—中医五官科学]