150例慢性荨麻疹患者中医体质类型分析

Analysis of TCM constitution types in 150 cases of chronic urticaria

目的:初步探讨慢性荨麻疹发病与中医体质学的相关性,为慢性荨麻疹的治疗和预防提供新的思路。方法:收集150例慢性荨麻疹患者,由2名中医专业医师对其进行体质类型判定及体质相关因素调查。结果:9种体质类型中,慢性荨麻疹患者以阳虚质最为多见,各型的分布比率依次为:阳虚质28.7%,特禀质17.3%,气虚质10.0%,气郁质9.3%,阴虚质8.7%,平和质8.7%,湿热质8.0%,血瘀质5.3%,痰湿质4.0%;体质类型的分布在性别、年龄、饮食偏嗜、性格、体型方面的差异具有统计学意义(P<0.05),在吸烟、饮酒、睡眠习惯方面的差异不具有统计学意义。结论:慢性荨麻疹患者的偏颇体质主要以阳虚质、特禀质、气虚质为主;慢性荨麻疹患者体质类型的分布与性别、年龄、饮食偏嗜、性格、体型相关,与吸烟、饮酒、睡眠无明显相关性。

Objective： To investigate the relationship between chronic urticaria and traditional Chinese medicine（TCM） constitution types, to provide new ideas for the treatment and prevention of chronic urticaria. Methods： Gathering 150 cases of chronic urticarial patients, and classify their types of constitution and survey the related constitutional factors by two 2 doctors of TCM. Results： Of 150 patients, yang deficiency type took the largest proportion, the ratio of each type are as follows： the yang deficiency type was 28.7%, specific endowment 17.3%, qi deficiency 10.0%, qi stagnation 9.3%, yin deficiency 8.7%, normal constitution 8.7%, dampness-heat 8.0%, blood-stasis 5.3%, phlegm-dampness 4%; the distribution of constitution types has statistical significance in gender, age, diet, personality and body shapes（P〈0.05）, has no statistical significance in smoking, alcohol drinking and sleep habits. Conclusion： Yang deficiency, qi deficiency and specific endowment are the main constitution types in patients with chronic urticaria; The distribution of constitution types in patients with chronic urticaria is related to gender, age, diet, personality and body shapes, and there is no significant correlation between smoking, alcohol drinking and sleep habits.