瘢痕疙瘩患者的中医证型分布规律研究

A Study on Distribution of TCM Syndromes in Patients with Keloids

目的:探讨瘢痕疙瘩的中医证型分布规律,为中医辨证施治提供依据。方法:根据中医证型诊断标准及皮损表现的界定,对187例瘢痕疙瘩患者进行问诊、查体并填写调查表,分析中医证型的分布状况及与临床表现的关系。结果:单一证型、两证复合证型、三证复合证型、四证复合证型分别占病例总数的17.65%、70.59%、10.70%、1.07%,血瘀证、湿热证、痰湿证为主要证型。证属血瘀者的比例随年龄的增加而增高,女性及四肢部有皮损并证属血瘀者比例较高,男性、15～30岁、下颌部、胸部有皮损及皮损炎症明显并证属湿热者比例较高。结论:瘢痕疙瘩证型多样、分布复杂,多以血瘀、湿热、痰湿、气滞及/或气虚证相兼存在;瘢痕疙瘩的中医证型与临床表现间存在着一定的相关性。

Objective To investigate the distribution of TCM syndromes in the patients with keloids. Methods A total of 187 patients with keloids were researched according to diagnostic criteria of TCM syndromes and defined lesions. The data were analyzed about the incidence of the syndromes as well as the correlation between the syndromes and the clinical manifestations. Results The constituent ratios of simple syndrome, both syndromes,three syndromes and four syndromes in patients with keloids were 17.65%,70.59%,10.70% and 1.07% respectively, in which blood-stasis,damp- heat and phlegm-wetness types were main syndromes.There was a rising trend of occurrence rate of blood-stasis type along with the extension of the age. The percentage of blood-stasis type increased significantly in the female patients, in the group with keloid on the limbs,so did the percentage of wet-heat type in male, at the 15-30 years of age, in the group with keloid on the chest and submaxilla area or in the group with conspicuous inflamed keloid. Conclusion TCM syndromes of keloid being diverse and complex, more patients have syndromes intermingled with blood-stasis, damp-heat, phlegm-wetness,qi-stagnancy and/or qi-deficiency type.TCM syndrome of keloid is related to clinical manifestations.