华中地区银屑病中医证候分布情况研究

Distribution of Traditional Chinese Medicine Syndromes in Psoriasis in Central China

目的探讨华中地区银屑病中医证候的分布情况。方法通过填写"银屑病中医证候调查表",采集500例华中地区银屑病患者中医证候四诊资料,确立中医证候,采用Epidata3.1软件包对调查资料进行录入、核查,再转换成SPSS11.5统计软件包进行统计,得出在不同性别、不同年龄组、不同病期、家族史及舌象方面的证候分布情况。结果银屑病以血热证、血瘀证、血燥证、血热血瘀证、血热血燥证、血瘀血燥证为主要证候,不同性别、不同年龄组、不同病期、家族史及舌质的中医证候分布不同(P<0.05),在舌苔中差异无统计学意义(P>0.05)。结论本研究进一步验证了对"血"的辨证应是银屑病的主要辨证方法,中医证候在不同性别、不同年龄组、不同病情分期、有无家族史及舌质方面分布不同,而在舌苔方面差异无统计学意义。

Objective To explore distribution of traditional chinese medicine（TCM） syndromes in psoriasis in central China.Methods By completing ＂Questionnaires syndromes of traditional Chinese medicine（TCM） with psoriasis＂,500 cases of patients with psoriasis in Huazhong area of TCM syndrome the four diagnostic material were collected and established syndromes.Epidata3.1 package was used to survey data entry and check.And then SPSS11.5 software package was used to statistics,concluded with different gender,different age groups,different disease period,family history and tongue presence of syndromes distribution.Results The main syndrome including blood-heat syndrome,blood-stasis syndrome,blood-dryness syndrome,syndrome of blood stasis and heat,syndrome of blood heat and dryness as well as syndrome of blood stasis and dryness.Distribution of TCM syndrome was different in different gender,different age groups,different disease period,family history and tongue qualitative（P 0.05）.TCM syndrome in tongue coating had no statistical significant（P 0.05）.Conclusion This study further proofs that＂blood＂ dialectical should be the main differentiation method in psoriasis differentiation TCM.TCM syndromes have different distributing in different gender,age,disease staging,family history and tongue nature.It has no statistically significant in tongue coating.