新昌县寻常痤疮中医临床辨证分型调查分析

The epidemiological investigation of TCM clinical syndrome type for acne vulgaris in Xinchang county

目的探讨新昌县寻常痤疮中医证治规律。方法对1 429例寻常痤疮门诊患者进行中医临床特征资料收集和分析。结果各年龄段构成比之间差异有统计学意义(P<0.01),构成比随年龄增加而呈下降的趋势;性别构成比之间差异有统计学意义(P<0.05),男性显著多于女性。不同年龄段性别比差异有统计学意义(P<0.01),≤35岁以男性为主,>35岁则以女性为主,均以油性皮肤为主。湿热质、平和质、阴虚质最常见(P<0.01),男性以实性体质为主,女性则以虚性体质为主(P<0.01)。湿热质患者皮损程度最严重(P<0.05)。以肝郁化火、肝火炽盛、肾虚火旺最常见(P<0.01)。男性以实证为主,实证患者皮损程度更为严重(P<0.01)。结论湿热内蕴是南方地区寻常性痤疮主要的病因病机,男性以实性体质和实证为主,女性以虚性体质和虚证为主。

Objective To study the epidemiological investigation of TCM clinical for acne vulgaris in Xinchang county. Methods A total of 1 429 cases of acne vulgaris outpatient TCM clinical features of data collection and analysis. Results Of all ages than the difference between the statistically significant （P 〈 0.01 ）, constitute the downward trend increased with age; gender composition than the difference between the statistically significant （P 〈 0.05） for men than women. Different ages sex difference was statistically significant （P 〈 0.01 ）, ≤ 35 years old male-dominated, 〉 35 years old while female-dominated, and oily skin were most. Hot and humid nature, gentleness, yin deficiency was the most common（P 〈 0.01 ）, and male solid physique, the females were imaginary constitution-based（P 〈 0.01 ）. Of damp-heat skin lesions of patients with the most serious（P 〈 0.05）. To the stagnation of the fire, flaming anger, kidney Huo was the most common（P 〈 0.01 ）. The men of evidence-based, empirical skin lesions of patients and severity （P 〈 0.01 ）. Conclusion The dampness in the south the etiology and pathogenesis of vulgaris acne, and male solid physical and empirical women to virtual constitution and deficiency.