银屑病中医证候分布规律研究

Study on the Rule of Distribution of TCM Syndromes of Psoriasis

目的探讨银屑病中医证候分布规律。方法收集门诊寻常型银屑病患者205例,填写病例调查表,按照中医证候诊断标准进行统一证候判断,研究证候与调查临床资料的相关性。结果 205例银屑病患者主要证候有血热证、血瘀证、血燥证、血热血瘀证、血热血燥证及血瘀血燥证。这6个主要证候在不同年龄组、不同病期和不同现病程组间的分布差异有统计学意义(P<0.01)。结论银屑病进行期以血热证为主,常兼血瘀、血燥;静止期最多见的是血热血瘀证;消退期以血燥证多见,故不能简单地以西医分期代替中医辨证分型来论治银屑病。

Objective To discuss the rule of distribution of TCM syndromes of Psoriasis （Ps）.Methods The 205 Ps vulgaris outpatients were investigated and the case research forms were filled in.Based on the diagnosis standard of TCM syndromes,the patients were differentiated into different syndromes.The correlation between the syndromes and clinical materials were discussed.Results The main TCM syndromes of Ps were blood heat,blood stasis,blood dryness,blood heat-stasis,blood heat-dryness and blood stasis-dryness.The distribution of these six main syndromes in different ages,disease stages,and recurrent time in different groups was significantly different （P0.01）.Conclusion In the progressive stage of Ps,the blood heat syndrome accompanied with blood stasis and blood dryness is the main manifestation.In the resting stage,it is mostly manifested as blood heat-stasis syndrome.In the regressive stage,the blood dryness syndrome is commonly seen.Therefore the treatment not only depending on the disease stages of modern medicine but also following the TCM syndromes should be adopted in practice.