女性成人痤疮中医证型及生存质量调查

Survey and Analysis on the TCM Syndrome Types and the Quality of Life of Patients with Female Acne

目的:调查分析不同中医证型女性成人痤疮(female acne)患者的生存质量。方法:采用痤疮伤残指数调查问卷(cardiff acne disability index,CADI)对220例不同中医证型女性成人痤疮的生存质量进行评估。结果:痰瘀互结型患者最多(40.0%)。女性成人痤疮患者生存质量中度受损,其生存质量受损维度按分值高低排序依次为外观困扰(条目4)、自我病情评估(条目5)、心理受挫(条目1)、社交关系(条目2)、娱乐生活(条目3)领域。在社交关系和病情自我评估两个维度中,各证型的CADI均分差异有统计学意义(P<0.05)。结论:女性成人痤疮患者生存质量中度受损,外观困扰对患者生存质量的影响最大。不同证型患者生存质量下降维度不同。

Objective： To survey and analysis on the different TCM syndrome types and quality of life of patients with female acne. Methods： The 220 out-patients with female acne answered the questionnaires of CA- DI （cardiff acne disability index, CADI）. The survey data was used to create a database with Microsoft data; we adopted the frequency distribution table, one-way ANOVA to analyze the statistics. Results： The syndrome of intermingled phlegm and blood stasis has the largest number of female acne, with 40% of the total. The quality of life of female acne was moderately damaged. The damaged dimension of the quality of life from high to low successively was appearance distress （item 4）, self condition assessment （item 5）, psychological frustration （item 1）, social connections （item 2）, and entertainment （item 3）. In the dimension of social connections and self condition assessment, the overall mean score of the quality of life of the different TCM syndrome types was significantly different （P〈0.05）. Conclusion： The quality of life of patients with female acne is moderately dam- aged. The dimension of appearance distress has greatest impact on the quality of life of patients with female acne. The different TCM syndrome types of female acne have the different damaged dimension.