变应性鼻炎证型与临床特点的相关性研究  

Study on Correlativity of Syndrome Types of Allergic Rhinitis with Their Clinical Characteristics

作　　者：邱宝珊[1] 王士贞[1] 钟艳萍[2] 慕容仪[1] 

机构地区：[1]广州中医药大学附属第一医院耳鼻喉科,广州市机场路10号510405 [2]广东省佛山市中医院耳鼻喉科

出　　处：《中医杂志》2004年第5期373-375,共3页Journal of Traditional Chinese Medicine

基　　金：广东省中医药管理局资助课题(98351)

摘　　要：目的:探讨变应性鼻炎各型的临床特点。方法:对256例确诊为变应性鼻炎的患者进行辩证分型,采用调查问卷的形式记录其发病情况并由专科医生专人进行中医辨证分型,行鼻分泌物嗜酸细胞检测和血清免疫球蛋白的检测。结果:变应性鼻炎临床以肺气虚弱及脾气虚弱型较多见;肺气虚弱型以季节性发病为多见,鼻痒、打喷嚏及鼻塞的症状较明显;脾气虚弱型患者年龄较小,鼻塞及鼻粘膜水肿程度较重;肾阳虚型患者病程较长,以常年性发病多见,流涕较多,血清IgE尤其高;虚证鼻粘膜色泽以苍白或淡红为主;肺经伏热型流涕较少,鼻粘膜色泽以红为主。结论:不同证型变应性鼻炎发病情况及临床表现有其相应的特点。Objective: To Study clinical characteristics of different types of allergic rhinitis. Methods: TCM syndrome differentiation in 256 cases of allergic rhinitis were carried out by questionaire and state of illness, acidophil of nasal secretion and serum immunoglobulin were determned. Results: Clinically. lung-Qi and spleen-Qi deficiency types of allergic rhinitis were common: lung-Qi deficiency type was mostly seasonal onset, with obvious rhinocnesmus. sneezing and nasal obstruction. Patients of spleen-Qi deficiency type were younger with more severe nasal obstruction and edema of nasal mucosa; patients of kidney Yang-deficiency type had longer duration of disease mostly with perennial onset, more nasal discharge, high serum IgE; patients of deficiency syndrome had mostly pale or reddish nasal mucosa: patients of the type of latent heat in the lung channel had less nasal discharge with red nasal mucosa as main. Conclusion: Allergic Rhinitis of Different syndrome types have corresponding characteristics in state of illness and clinical manifestations.

关 键 词：变应性鼻炎 临床特点 辨证分型 中医 肺气虚弱型 脾气虚弱型 

分 类 号：R276.1[医药卫生—中医五官科学]