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肢端性白癜风中医证型临床分析 被引量:4

Clinical analysis of syndrome pattern of TCM for acro-facial vitiligo
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摘要 目的:探讨肢端性白癜风的中医辨证分型特点,以指导临床用药。方法:统计分析86例肢端性白癜风患者中医辨证分型及其与病程、分期、不同年龄患者的关系。结果:肢端性白癜风中医证型主要以脾胃虚弱型为主。随着病程的延长,肝肾不足、瘀血阻络、肝郁气滞型患者比例逐渐增高;风湿蕴热型和脾胃虚弱型在病程≤1年的患者中占的比例较高,其中风湿蕴热型病程≤1年和>1年者有显著性差异(P<0.05);按病程≤5年和>5年统计,不确定型的比例逐渐下降,且具有显著性差异(P<0.05)。进展期白癜风风湿蕴热型比例显著高于稳定期(P<0.05)。儿童白癜风患者(≤14岁)脾胃虚弱型比例显著高于成人(P<0.05)。结论:肢端性白癜风中医证型分布呈现出一定的规律。 Objective: To discuss the feature of syndrome pattern of TCM for acrofacial vitiligo, so that to direct the clinical medical care. Methods: For 86 cases of acrofacial vitiligo, the relationship of TCM syndrome pattern to course of disease, stage of disease, and age of patients were treated with statistical analysis. Results: The TCM syndrome pattern of acrofacial vitiligo chiefly belongs to weakness of the spleen and stomach. As course of disease prolong, the proportion of deficiency of the liver and kidney, blood stasis in collaterals and depression of liver-qi gradually enhanced. Wind-heatdampness syndrome and syndrome of weakness of sthe pleen and stomach occupies larger proportion in patients whose course of disease were less than 1 year, in which there exits significant difference between less than 1 year and more than 1 year for the wind-heat-dampness syndrome (P〈0.05). When the disease course were divided into two groups, one less than 5 years and the other more than 5 years, the number of uncertain syndrome reduces (P〈0.05). The proportion of wind-heatdampness syndrome in progression is more than those in stable (P〈0.05). But, the proportion of syndrome of weakness of the spleen and stomach in childhood vitiligo is more than those in adult vitiligo (P〈0.05). Conclusion: Syndrome pattern of TCM for acrofacial vitiligo takes on some rule.
出处 《中华中医药杂志》 CAS CSCD 北大核心 2009年第2期180-183,共4页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 浙江省中医药重点项目(No.2008ZA018)
关键词 肢端性白癜风 中医证型 辨证论治 Acrofaciai vitiligo Syndrome pattern of TCM Determination of treatment based on differentiation of symptoms and signs
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