慢性咽炎患者的中医证型分布规律及相关性研究  

Study on distribution pattern and correlation of traditional Chinese medicine syndrome types in patients with chronic pharyngitis

作　　者：杨素娟[1] 洪冬冬 刘沁东 岑经途 杨龙[1] 阮岩[2] 郭绍举[1] 刘元献[1] Yang Sujuan;Hong Dongdong;Liu Qindong;Cen Jingtu;Yang Long;Ruan Yan;Guo Shaoju;Liu Yuanxian(Shenzhen TCM Hospital,Shenzhen,Guangdong,518033;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong,510405)

机构地区：[1]深圳市中医院,广东深圳518033 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《中医眼耳鼻喉杂志》2025年第1期24-25,60,共3页Journal of Chinese Ophthalmology and Otorhinolaryngology

基　　金：深圳市基础研究专项(自然科学基金)面上项目(JCYJ20210324111205016);深圳市“医疗三名工程”(SZZYSM202311005)。

摘　　要：目的研究慢性咽炎患者流行病学及中医证型分布规律,并分析其相关性。方法选取深圳地区慢性咽炎患者476例,总结中医证型分布特点,分析证型与患者一般资料的相关性。结果慢性咽炎患者证型分布中,肺肾阴虚证112例(23.53%),脾气虚弱证120例(25.21%),脾肾阳虚证58例(12.18%),痰瘀互结证186例(39.08%)。不同证型患者的年龄和病程具有差异,脾肾阳虚证者年龄最高,痰瘀互结证者病程最长。证型分布与性别及饮酒史具有相关性,与吸烟史不具有相关性,其中男性以痰瘀互结证最多见,女性以肺肾阴虚证最多见,吸烟及饮酒者均以痰瘀互结证最多见。结论痰瘀互结证是深圳地区慢性咽炎患者最常见的中医证型,年龄、病程、性别及饮酒史对该地区慢性咽炎的中医证型分布均有影响。Objective To study the epidemiology and distribution pattern of traditional Chinese medicine(TCM)syndrome types in patients with chronic pharyngitis and analyze their correlation.Methods A total of 476 eligible patients with chronic pharyngitis were selected and their age,disease course,genders,smoking and drinking history,and TCM syndrome types were statistically analyzed.The correlation between the patients’general information and distribution of TCM syndrome types were explored.Results The average age of the 476 patients with chronic pharyngitis was(35.47±10.89)years old,and the average disease duration was(2.87±1.69)years.There were 266 male patients(55.88%)and 210 female patients(44.12%).There were 144 patients(30.25%)with a history of smoking and 217 patients(45.59%)with a history of drinking.In terms of syndrome distribution,there were 112 patients(23.53%)of lung-kidney Yin deficiency,120 patients(25.21%)of spleen Qi deficiency,58 patients(12.18%)of spleen-kidney Yang deficiency,and 186 patients(39.08%)of phlegm and static blood binding syndrome.There were significant differences in age and disease course among patients of different syndromes(P<0.001).Patients of spleen-kidney Yang deficiency syndrome were the oldest(P<0.001),and patients of phlegm and static blood binding syndrome had the longest disease course(P<0.001).The distribution of syndrome types was correlated with gender(P<0.001).The most common syndrome among the male patients was phlegm and blood stasis binding syndrome(48.12%),while the most common syndrome among the female patients was lung-kidney Yin deficiency syndrome(37.62%).The distribution of syndrome types was not correlated with smoking history(P>0.05),but was correlated with drinking history(P<0.001).The most common syndrome was phlegm and blood stasis binding in both smoking and drinking patients(45.83%,53.00%).Conclusion Phlegm and blood stasis binding syndrome is the most common TCM syndrome type in patients with chronic pharyngitis.Age,disease course,gender and drinking hist

关 键 词：慢性咽炎 中医证型 流行病学 相关性 痰瘀互结证 

分 类 号：R766[医药卫生—耳鼻咽喉科]