云南地区类风湿关节炎中医证候学研究

Study on TCM Syndrome Characteristics of Rheumatoid Arthritis in Yunnan Province

目的通过对云南地区类风湿关节炎患者资料的统计分析,探索云南地区类风湿关节炎的中医证候分布情况。方法对收集的1 120例患者辨证分型,归纳、探讨类风湿关节炎证候学规律,分析其中医证候在性别、年龄、病程、病情分期、地域等方面的分布情况。结果类风湿关节炎中医证候分布在性别、年龄、病程、病情活动性、地域方面差异有统计学意义。实证以风寒湿痹证为主,虚证主要表现为气血亏虚。结论云南地区类风湿关节炎中医证候呈现风寒湿热夹杂、气血阴阳亏虚、痰瘀互结的特点,活动期和疾病初期实证为常见证型,缓解期则以虚证为主,痹证日久,实证转化为虚证或虚实夹杂。

Objective To explore the distribution of TCM syndromes of rheumatoid arthritis （RA） in Yunnan province, by analyzing the data of RA patients in Yunnan province. Methods A total of 1 120 patients was syndrome differentiated, and the rules of TCM syndromes of RA were concluded to analysis the relationship between TCM syndromes and gender, age, disease duration, disease stage, area distribution, etc. Results There were significant differences in syndromes of RA at gender, age, disease duration, disease activity and area. Syndrome of wind and cold-dampness obstruction collaterals is the main excessive syndrome, deficiency of both qi and blood is the main deficiency syndrome. Conclusion The TCM syndromes of RA in Yunnan province showed a mixture of wind, cold, dampness and heat, deficiency of yin, yang, qi and blood, intergration of phlegm and stasis. The characteristic of active and early stage is excess, and remission stage is deficiency.