摘要
目的:探讨寻常型银屑病中医体质与辨证分型的相关性。方法:按照中西医相关标准,确诊患者为寻常型银屑病并对其进行辨证分型、银屑病面积和严重程度指数(PASI)评分。按《中医9种基本体质分类量表》的分类标准对患者进行中医体质分类。结果:对97名患者进行中医辨证分型发现,血热型最多,占调查总数的45.4%;血燥型占29.9%;血瘀型占24.7%。对患者进行PASI评分,血热型最高,血燥型最低,其统计学差别有显著性意义(P<0.05)。对所有患者的中医体质分类中,平和质、湿热质、气郁质人数较多,共占总数的67.1%。平和质PASI评分最低,与其他体质比较,统计学差异均有显著性意义(P<0.05)。结论:湿热质、气郁质患寻常型银屑病的机率较其他体质类型高,且发病时多表现为血热型,病情较重。平和质虽也可患病,但多表现为血燥型,病情较轻。体质类型对于疾病的转归具有一定程度的影响。
Objective： To study the relationship between TCM constitution and differentiation of signs and symptoms for syndrome classification in patients with psoriasis vulgaris. Methods： According to associated standard in traditional and western medicine, psoriasis vulgaris patients were identified, the syndrome differentiation and PASI were performed. Results： Among 97 cases of psoriasis vulgaris, blood-heat syndrome was 45.4%, blood-dryness was 29.9%, blood stasis was 24.7%, the PASI of blood-heat was significantly more than that of blood-dryness （P〈0.05）. As far as PASI of TCM constitution, the sum of pinghezhi, shirezhi and qiyuzhi was 71.1%. PASI of Pinghezhi is significantly less than that of others＇ （P〈0.05）. Conclusion： Shirezhi and pinghezhi were apt to have psoriasis vulgaris, and blood-heat syndrome was the common seen type with serious condition. Pinghezhi appeared with blood-dryness and light condition. The type of constitution can influence the turnover of disease.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2009年第6期823-825,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
寻常型银屑病
中医体质
辨证分型
Psoriasis vulgatis
Constitution of TCM
Differentiation of signs and symptoms for syndrome classification
