1327例突发性聋的中医证型分布特点  

Characteristics of Distribution of Traditional Chinese Medicine Syndrome Types in 1327 Cases of Sudden Hearing Loss

作　　者：张丹慧 刘蓬[2] 肖琪 何伟平[2] 徐慧贤 刘春松[2] 王培源[2] ZHANG Dan-Hui;LIU Peng;XIAO Qi;HE Wei-Ping;XU Hui-Xian;LIU Chun-Song;WANG Pei-Yuan(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Dept.of Otolaryngology,the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院耳鼻喉科,广东广州510405

出　　处：《广州中医药大学学报》2024年第2期285-290,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(编号:82274590,81974581);广东省传承发展中医药事业专项资金2020年阮岩省名中医传承工作室建设项目(编号:2100600145)。

摘　　要：【目的】通过大样本分析探讨突发性聋的证型分布规律,为突发性聋的中医辨证提供参考。【方法】对广州中医药大学第一附属医院收治的1 327例突发性聋住院患者的临床资料进行回顾性分析,统计各证型分布比例,并分析不同证型患者的性别、年龄、伴随症状、听力曲线类型及耳聋程度等有无差异,总结其证型分布规律及临床特点。【结果】(1)按中医辨证分型标准,1 327例突发性聋患者的证型分布频次由高到低依次为气血亏虚证(75.4%)、痰火郁结证(13.8%)、气滞血瘀证(5.3%)、肝火上扰证(2.8%)、风热侵袭证(1.5%)、肾精亏损证(1.3%)。(2)气血亏虚证女性占比多于男性(P<0.05),而痰火郁结证及其他证型则男性占比多于女性(P<0.05)。(3)痰火郁结证伴眩晕比例较高(P<0.05),而其他伴随症状及年龄、听力曲线类型、耳聋程度等方面,不同证型间比较差异均无统计学意义(P>0.05)。【结论】突发性聋以气血亏虚证最为常见,其次为痰火郁结证,其他证型相对少见,性别及是否伴眩晕对于辨证可能有一定参考意义。Objective To explore the distribution pattern of traditional Chinese medicine(TCM)syndrome types in sudden hearing loss(SHL)through large-sample analysis,and to provide reference for the TCM syndrome differentiation of SHL.Methods The clinical data of 1327 patients with SHL admitted to the First Affiliated Hospital of Guangzhou University of Chinese Medicine were retrospectively analyzed.The proportion of each syndrome was counted,and the differences of gender,age,concomitant symptoms,types of hearing curves,and degree of deafness in patients with various syndrome types were analyzed to explore the pattern of syndrome distribution and clinical characteristics.Results(1)The TCM syndrome differentiation results showed that the syndrome types in 1327 patients with SHL in descending order of occurrence frequency were qi and blood deficiency syndrome(75.4%),phlegm and fire accumulation syndrome(13.8%),qi stagnation and blood stasis syndrome(5.3%),upward disturbance of liver fire syndrome(2.8%),wind-heat invasion syndrome(1.5%),and depletion of kidney essence syndrome(1.3%).(2)Qi and blood deficiency syndrome was frequently seen in the female patients(P<0.05),while phlegm and fire accumulation syndrome and other syndrome types were more common in the male patients(P<0.05).(3)Patients with phlegm and fire accumulation syndrome had the higher incidence of the complication of vertigo(P<0.05),while no statistically significant differences were presented in the other accompanying symptoms,age,type of hearing curve,and degree of deafness among various syndrometypes(P>0.05). Conclusion SHL is frequently differentiated as qi and blood deficiency syndrome,followed byphlegm and fire accumulation syndrome, and the other syndromes are relatively rare. The gender and thecomplication of vertigo may have some reference to the syndrome differentiation of SHL.

关 键 词：突发性聋 证型分布 气血亏虚证 痰火郁结证 性别 眩晕 

分 类 号：R271.6[医药卫生—中医妇科学]