本文選題：白癜風(fēng)　切入點(diǎn)：中醫(yī)診斷　出處：《遼寧中醫(yī)雜志》2017年01期 　論文類型：期刊論文

【摘要】：目的:從中西醫(yī)兩方面探討白癜風(fēng)發(fā)病發(fā)展的原因。方法:根據(jù)中國中西醫(yī)結(jié)合學(xué)會(huì)皮膚性病專業(yè)委員會(huì)色素病學(xué)組制定的白癜風(fēng)臨床診斷標(biāo)準(zhǔn),選擇35例白癜風(fēng)患者為A組,健康體檢者12例為B組,采用統(tǒng)一制定的流行病學(xué)調(diào)查表,調(diào)查員對(duì)白癜風(fēng)患者就其性別、年齡、職業(yè)、最近一次白斑變化與情緒相關(guān)性等情況進(jìn)行調(diào)查,并由專業(yè)中醫(yī)師對(duì)A,B兩組進(jìn)行中醫(yī)分型診斷;由專業(yè)西醫(yī)師采用漢密爾頓焦慮量表(HAMA)和漢密爾頓抑郁量表(HAMD)對(duì)A、B兩組進(jìn)行精神因素評(píng)分。結(jié)果:中醫(yī)方面,A組35例白癜風(fēng)患者中,肝氣郁結(jié)型患者15(43%)例,肝胃不和型患者8(17%)例。西醫(yī)方面,A組22例(62.9%)可能存在焦慮狀態(tài),其中5例(14.2%)肯定有焦慮狀態(tài),6例(17.1%)肯定有明顯焦慮狀態(tài)。B組中,僅1例(0.08%)可能存在焦慮狀態(tài);A組13例(37.1%)可能存在抑郁狀態(tài),其中6例(17.1%)肯定有抑郁狀態(tài),B組無人存在抑郁狀態(tài);經(jīng)統(tǒng)計(jì)學(xué)分析白癜風(fēng)患者中醫(yī)分型診斷和焦慮抑郁精神因素之間有極顯著相關(guān)性(P0.01)。結(jié)論:西醫(yī)的精神因素在中醫(yī)表現(xiàn)為肝氣郁結(jié),從中西醫(yī)兩方面分析,精神因素是反應(yīng)白癜風(fēng)發(fā)生與發(fā)展的主要因素之一。
[Abstract]:Objective: to explore the causes of vitiligo from two aspects of traditional Chinese and western medicine. Methods: according to the clinical diagnostic criteria of pigmentology group of the Committee of Dermatology and venereal Diseases of the Chinese Society of Integrated Chinese and Western Medicine, 35 patients with vitiligo were selected as group A. In group B, 12 healthy persons were examined by using a unified epidemiological questionnaire. The investigators investigated the sex, age, occupation, the most recent change of leukoplakia and the correlation between emotion and other factors in patients with vitiligo. And the two groups were diagnosed by traditional Chinese medicine. The scores of mental factors in group A were evaluated by using Hamilton anxiety scale (Hama) and Hamilton Depression scale (Hamd). Results: of 35 patients with vitiligo in group A, 1543 were patients with stagnation of liver-qi. There may be anxiety in group A (22 cases, 62.9%), of which 5 cases (14.2%) must have anxiety state, 6 cases (17.1), and there must be obvious anxiety state in group B. There were 13 patients with anxiety in group A (37.1).) there were probably depression in group A, and there were no depression in group B (6 cases with 17. 1). There was a significant correlation between TCM typing diagnosis of vitiligo patients and mental factors of anxiety and depression (P 0.01). Conclusion: the mental factors of western medicine are characterized by stagnation of liver-qi in TCM, which is analyzed from two aspects of TCM and Western medicine. Mental factors are one of the main factors that respond to the occurrence and development of vitiligo.
【作者單位】： 中國藥科大學(xué)新藥篩選中心;江蘇省中藥評(píng)價(jià)與轉(zhuǎn)化重點(diǎn)實(shí)驗(yàn)室;東南大學(xué)附屬中大醫(yī)院中醫(yī)內(nèi)科;
【基金】：“十一五重大新藥創(chuàng)制”(2009ZX09102-119)
【分類號(hào)】：R758.41

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 林克義,諸葛德蘭,張宏揚(yáng),初惠亨,李文巖,高雪林,馮白英,曾爾亢,曲鐳;精神因素對(duì)老年人健康的影響[J];老年學(xué)雜志;1993年02期

2 ;長壽的精神因素[J];新疆林業(yè);1997年04期

3 周野;精神因素對(duì)藥物療效的影響[J];遼寧藥物與臨床;2001年02期

4 張，

本文編號(hào)：1599200