發(fā)布時(shí)間：2018-01-08 18:34

  本文關(guān)鍵詞：河南地區(qū)尋常型銀屑病501例臨床分析　出處：《河南中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 河南 尋常型銀屑病 中醫(yī)證候

【摘要】：目的:運(yùn)用流行病學(xué)調(diào)查方法,結(jié)合中醫(yī)診療理論,對(duì)尋常型銀屑病的發(fā)病特點(diǎn)及證候分布特征、規(guī)律進(jìn)行探究,為臨床辨證及預(yù)防、診療提供依據(jù)。方法:通過(guò)查閱文獻(xiàn)及咨詢相關(guān)專家,設(shè)計(jì)臨床調(diào)查表,并進(jìn)行調(diào)查,將收集的資料建立數(shù)據(jù)庫(kù)。然后運(yùn)用SPSS 19.0統(tǒng)計(jì)軟件進(jìn)行一般描述性統(tǒng)計(jì)分析、卡方檢驗(yàn)等分析方法對(duì)尋常型銀屑病中醫(yī)臨床特征進(jìn)行分析。結(jié)果:(1)共收集病例501例,其中男性269例(54%)女性232例(46%)。男女性別之比為1.17:1。主要發(fā)病年齡集中在21~40歲(2)尋常型銀屑病影響因素中誘發(fā)因素主要為感冒、寒冷、煙酒、外傷、飲食、妊娠月經(jīng)等;加重因素依次為寒冷、精神緊張、感染、煙酒、飲食、熬夜、妊娠、月經(jīng);發(fā)病加重季節(jié)主要在冬季和春季;(3)皮損的經(jīng)絡(luò)分布陽(yáng)經(jīng)314例,陰經(jīng)152例,陰經(jīng)陽(yáng)經(jīng)都有者13例,皮損經(jīng)絡(luò)分布不明顯者22例;(4)尋常型銀屑病證型分布陽(yáng)虛外寒127例,肝經(jīng)郁熱90例,寒包火89例,血熱血瘀68例,風(fēng)熱蘊(yùn)毒入血51例,濕熱內(nèi)蘊(yùn)化火17例,血虛風(fēng)燥16例,積熱入血10例,血虛血瘀11例,血燥血瘀1例,其他證型21例;(5)證型與患者一般資料、影響因素的關(guān)系肝經(jīng)郁熱證、積熱入血證、濕熱內(nèi)蘊(yùn)化則以女性患者為主;風(fēng)熱蘊(yùn)毒入血證多在0~20歲的年齡,肝經(jīng)郁熱證、積熱入血證、濕熱內(nèi)蘊(yùn)化火證、寒包火證、陽(yáng)虛外寒證多分布在21~40歲;風(fēng)熱蘊(yùn)毒入血證、肝經(jīng)郁熱證、積熱入血證、濕熱內(nèi)蘊(yùn)化火證、寒包火證、陽(yáng)虛外寒證、血虛血瘀證的皮損分布主要在陽(yáng)經(jīng),血虛風(fēng)燥證皮損主要分布在陰經(jīng);發(fā)病季節(jié)與各證型無(wú)統(tǒng)計(jì)學(xué)意義,但是加重季節(jié)因素中,風(fēng)熱蘊(yùn)毒入血證、寒包火證、陽(yáng)虛外寒證、肝經(jīng)郁熱證多在春季和冬季加重;加重因素中感染為風(fēng)熱蘊(yùn)毒入血證的主要因素,肝經(jīng)郁熱證的主要加重因素為精神緊張,寒包火證、陽(yáng)虛外寒證的主要加重因素為寒冷。結(jié)論:(1)本次調(diào)查研究的尋常型銀屑病證候分布依次為陽(yáng)虛外寒證,肝經(jīng)郁熱證,寒包火證,血熱血瘀證,風(fēng)熱蘊(yùn)毒入血證,濕熱內(nèi)蘊(yùn)化火證,血虛風(fēng)燥證,積熱入血證,血虛血瘀證,血燥血瘀證。(2)性別、年齡、家族史、加重季節(jié)、緩解因素對(duì)尋常型銀屑病證候分布的影響有統(tǒng)計(jì)學(xué)意義。
[Abstract]:Objective: using epidemiological methods, combining the theory of TCM diagnosis and treatment of psoriasis vulgaris, syndrome distribution characteristics of pathogenesis and syndrome rules, to explore, for clinical diagnosis and prevention, provide the basis for diagnosis and treatment. Methods: through the literature and consulting experts, the design of clinical investigation and investigation, the establishment of a database of information collected. Then through descriptive statistical analysis using SPSS 19 statistical analysis software, the chi square test are used to analyze the clinical features of psoriasis vulgaris in Chinese medicine. Results: (1) 501 cases were collected, including 269 cases of male female 232 cases (54%) (46%). The ratio of male to female was mainly concentrated in the age of onset of 1.17:1. at the age of 21~40 (2) factors in psoriasis vulgaris mainly induced by cold, cold, alcohol, trauma, pregnancy diet, menstrual; aggravating factors according to the times of cold, nervous, infection, alcohol and tobacco, 楗,鐔,濡婂,鏈堢粡;鍙戠梾鍔犻噸瀛ｈ妭涓昏鍦ㄥ啲瀛ｅ拰鏄ュ;(3)鐨崯鐨勭粡緇滃垎甯冮槼緇，

本文編號(hào)：1398249