【摘要】： 目的 本文通過對女性青春期后痤瘡臨床表現(xiàn)的觀察,了解其在不同發(fā)展階段的辯證特點,以及影響疾病發(fā)展的各種因素,尋找臨床辨證的規(guī)律性,以便對其發(fā)展有更為深刻和全面的認識,希望可以為臨床治療提出新的思路和依據(jù)。 方法 本課題采用流行病學方法,設計統(tǒng)一的流行病調查表,收集武漢市第一醫(yī)院每周痤瘡�？崎T診的青春期后女性痤瘡患者的資料,采用醫(yī)學統(tǒng)計方法對調查對象的年齡、皮膚類型、精神狀態(tài)、睡眠狀態(tài)、月經情況、月經與痤瘡的關系以及中醫(yī)辨證分型進行統(tǒng)計學分析,最后得出結論。 結果 1.我們總共收入了320例女性青春期后痤瘡患者,年齡25-49歲,平均年齡30.7歲；其中25-35歲236例(74%),36-45歲84例(26%),46-49歲3例(1%)。 2.皮疹僅限于面部者208例,面部及胸背部均存在者112例。按Pillsbury分類法,Ⅰ度46例(14%),Ⅱ度151例(47%),Ⅲ度89例(28%),Ⅳ度34例(11%)。 3.月經規(guī)律者249例(78%),月經不規(guī)律者69例(22%),閉經者2例(0.01%),經前加重者198例(62%)。 4.持續(xù)性痤瘡219例(68%),遲發(fā)性痤瘡101例(32%)。 5.油性皮膚221例,中性皮膚74例,混合性皮膚16例,干性皮膚9例。 6.精神因素導致病情加重者89例(27%)；刺激性食物加重者167例(52%)；飲酒加重者116例(36%)；日曬加重者76例(24%)。 7.與季節(jié)因素有關的患者107例(33%)。 8.睡眠差者87例；一般者124例；良好者109例； 9.在320例青春期后女性痤瘡患者中,濕熱蘊結型78例(24%),肝腎陰虛型64例(20%),肝郁血熱型63例(20%),肝郁脾虛型41例(13%),肺經風熱型38例(12%),痰瘀結聚型36(11%)。其中與月經關系密切的有肝腎陰虛型、肝郁血熱型和肝郁脾虛型。 結論 1.320例青春期后女性痤瘡患者中以持續(xù)性痤瘡患者為主,年齡多集中在25-35歲之間。 2.大部分患者經前加重,精神壓力、飲食、睡眠、季節(jié)等成為誘發(fā)因素。 3.辯證分型中與月經的關系密切的為肝腎陰虛型、肝郁血熱型和肝郁脾虛型,而濕熱蘊結型、非經風熱型和痰瘀互結型與月經關系不大。
[Abstract]:Objective to observe the clinical manifestations of female postpubertal acne and to find out the dialectical characteristics of acne in different stages and the factors affecting the development of the disease, so as to find out the regularity of clinical syndrome differentiation. In order to have a more profound and comprehensive understanding of its development, hope to provide new ideas and basis for clinical treatment. Methods the epidemiological method was used to design a unified epidemiological questionnaire to collect the data of postpubertal female acne patients in the weekly acne specialist outpatient clinic of the first Hospital of Wuhan City. The age, skin type, mental state, sleep state, menstruation, the relationship between menstruation and acne and TCM syndrome differentiation were statistically analyzed by medical statistical method. Result 1. A total of 320 female patients with postpuberty acne were enrolled, aged 25-49 years, with an average age of 30.7 years, of which 236 cases (74%) were aged 25-35 years, 84 cases (26%) were aged 36-45 years, and 3 cases (1%) were aged 46-49 years. Skin rash was limited to 208 cases of face, 112 cases of facial and thoracic back. According to Pillsbury classification, 46 cases (14%) were of grade 鈪，

本文編號：2127193