复发性口腔溃疡影响因素及证型临床调查研究  

Clinical Investigation on Influencing Factors and Syndrome Types of Recurrent Oral Ulcer

作　　者：俞婧 田蓓文[2] 梁岩[3] YU Jing;TIAN Beiwen;LIANG Yan(Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China;The First People s Hospitalof Yinchuan,Yinchuan 750000,China;Ningxia Medical University,Yinchuan 750000,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]银川市第一人民医院,宁夏银川750000 [3]宁夏医科大学,宁夏银川750000

出　　处：《陕西中医药大学学报》2022年第6期54-57,共4页Journal of Shaanxi University of Chinese Medicine

基　　金：国家自然科学基金项目(81960365)。

摘　　要：目的 分析探究复发性口腔溃疡发病的影响因素,并通过临床流行病学调查初步研究其中医证型分布规律,为临床提供参考。方法 收集符合中、西医诊断的复发性口腔溃疡病例102例,采用流行病学调查及统计学分析,初步探索复发性口腔溃疡的影响因素及中医证型分布规律。结果 提示复发性口腔溃疡多发于中年人群,与饮食偏好有密切关系。发病的诱因以情志不畅为主,其次为饮食不节和劳累过度,中医证候分布以阳虚浮火证、湿热上蒸证为主。结论 通过客观呈现复发性口腔溃疡临床证型的分布特征及相关影响因素,分析其核心病机为“火郁”,为中医病因病机研究和辨证治疗提供了临床资料。Objective To analyze and explore the influencing factors of recurrent oral ulcer,and preliminarily study the distribution of TCM syndrome types through clinical epidemiological investigation,so as to provide reference for clinical practice.Methods 102 cases of recurrent aphthous ulcer diagnosed by Chinese and western medicine were collected.Epidemiological investigation and statistical analysis were used to preliminarily explore the influencing factors of recurrent aphthous ulcer and the distribution of TCM syndrome types.Results The results suggested that recurrent aphthous ulcer mainly occurred in middle-aged people and was closely related to diet preference.The main inducement of the disease is poor emotions,followed by poor diet and overwork.The TCM syndrome distribution is mainly Yang deficiency and floating fire syndrome,and damp heat and steaming syndrome.Conclusion The results of this study objectively present the distribution characteristics of clinical syndrome types of recurrent oral ulcer and related influencing factors.The analysis of its core pathogenesis is “fire depression”,which provides clinical data for the study of etiology and pathogenesis of traditional Chinese medicine and the treatment of syndrome differentiation.

关 键 词：复发性口腔溃疡 中医证型 分布规律 口疮 源流 

分 类 号：R781.5[医药卫生—口腔医学]