81例耳石症患者中医体质辨识及复发影响因素分析  

Analysis of TCM Constitution Identification and Recurrence Factors in 81 Patients with Otolithiasis

作　　者：周欣[1] 王永莉 汪妍[1] ZHOU Xin;WANG Yongli;WANG Yan(Preventive Department,Wuxi Traditional Chinese Medicine Hospital,Wuxi 214071,Jiangsu,China)

机构地区：[1]无锡市中医医院治未病科,江苏无锡214071

出　　处：《辽宁中医杂志》2023年第12期105-108,共4页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的分析81例耳石症患者中医体质辨识及复发影响因素。方法回顾性收集2018年8月—2021年8月无锡市中医医院收治的81例耳石症患者的临床资料,根据患者随访后是否复发将其分为复发组(25例)和未复发组(56例),统计两组耳石症患者的中医体质分型与复发率,另统计两组的一般资料并进行复发的单因素分析,采用多因素Logistic回归分析耳石症患者复发的危险因素。结果81例耳石症患者随访发现有25例复发,复发率为30.86%。经中医体质辨识,单一体质42例(51.85%),其中阳虚质31例、气虚质23例、痰湿质17例、气郁质4例、阴虚质2例、湿热质2例、平和质1例、血瘀质1例;复合体质39例(48.15%),分布主要为阳虚质、气虚质与痰湿质的夹杂。单因素分析结果显示,复发组中患有高血压病、糖尿病、复位前持续时间≥7 d、气虚质、外伤史的患者比例及血清同型半胱氨酸(homocysteine,Hcy)水平均高于未复发组,复位次数多于未复发组,年龄大于未复发组,血清25(OH)D水平低于未复发组;多因素Logistic分析结果显示,患有高血压病、糖尿病、复位前持续时间≥7 d、气虚质、外伤史、血清Hcy水平高、复位次数多、年龄大、血清25(OH)D水平低均为影响耳石症患者复发的危险因素,差异有统计学意义(OR=2.328、2.284、2.083、2.132、2.098、2.277、2.396、2.252、2.102,P<0.05)。结论耳石症患者主要为气虚质,影响其复发的危险因素包括患有高血压病、糖尿病、复位前持续时间≥7 d、气虚质、外伤史、血清Hcy水平高、复位次数多、年龄大、血清25(OH)D水平低,临床可据此对有以上特征的患者进行针对性治疗及干预,以降低复发率。Objective To analyze TCM constitution identification and recurrence factors of 81 patients with otolithiasis.Methods The clinical data of 81 patients with otolithiasis admitted to the hospital from August 2018 to August 2021 was retrospectively collected and the patients were divided into a recurrence group(25 cases)and a non-recurrence group(56 cases)according to whether the patients recurred after follow-up.The TCM constitution types and recurrence rates of the patients with otolithiasis in the two groups were counted,the general data of the two groups was collected and univariate analysis of recurrence was performed.Multivariate Logistic regression was used to analyze the risk factors of recurrence in patients with otolithiasis.Results A total of 81 patients with otolithiasis were followed up and it was found that there were 25 recurrences,and the recurrence rate was 30.86%.According to TCM constitution identification,42 cases(51.85%)had a single constitution,including 31 cases of Yang deficiency,23 cases of Qi deficiency,17 cases of phlegm-dampness,4 cases of Qi stagnation,2 cases of Yin deficiency,2 cases of damp-heat and 1 case of gentleness constitution,1 case of blood stasis constitution;39 cases(48.15%)of complex constitution,the distribution was mainly the mixture of Yang deficiency constitution,Qi deficiency constitution and phlegm-damp constitution.The results of univariate analysis showed that in the recurrence group,the proportion of patients with hypertension,diabetes mellitus,duration≥7 days before reduction,Qi deficiency,history of trauma and serum homocysteine(Hcy)levels were higher than those in the non-recurrence group,and the number of reductions was more than that in the non-recurrence group,the age was older than that in the non-recurrence group,and the serum 25(OH)D level was lower than that of the non-recurrence group.The results of multivariate Logistic analysis showed that hypertension,diabetes mellitus,duration≥7 days before reduction,Qi deficiency,history of trauma,high serum Hcy

关 键 词：耳石症 中医体质辨识 复发 影响因素 

分 类 号：R276[医药卫生—中医五官科学]