62例并发血脂异常的血热证白疕患者临床分析

Clinical Analysis of 62 Patients with White Scar of Blood Heat Syndrome Complicated with Dyslipidemia

目的 探讨并发血脂异常的血热证白疕患者的临床相关性。方法 收录2020年1月—2022年12月在辽宁中医药大学附属医院皮肤科住院治疗的并发血脂异常的血热证白疕患者的相关资料,包括一般资料、伴随症状、中医舌脉情况、皮损严重程度,运用SPSS 26.0统计学软件进行分析。结果 本次研究中最常见舌象为舌红苔黄腻,最常见脉象为滑脉。甲损伤组PASI评分高于无甲损伤组,甲损伤组高密度脂蛋白水平低于无甲损伤组,差异有统计学意义(P<0.05)。结论 白疕和血脂异常可能存在共同致病因素,或与痰湿相关,中医治疗上需兼顾祛痰化湿。临床中需警惕伴有甲损伤的患者出现高密度脂蛋白降低的风险。

Objective To retrospectively study the medical records of the inpatients with white scar of blood heat syndrome complicated with dyslipidemia.The analysis of its clinical features,traditional Chinese medicine tongue and pulse manifestations,etc.provides reference for the discovery and treatment of white scar of blood heat syndrome.Methods Clinical data of hospitalized patients with white scar of blood heat syndrome complicated with dyslipidemia from January 2020 to December 2022 in Dermatology Department Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were retrospectively analyzed.Results The most common tongue was red tongue with yellow and greasy fur.The most common pulse is smooth pulse.The PASI score in the group with A lesion was higher than that in the group without A lesion,and the HDL level in the group with a lesion was lower than that in the group without A lesion.Conclusion There may be common pathogenic factors between white and dyslipidemia,which is related to mixed phlegm-dampness in traditional Chinese medicine.Patients with nail damage have an increased risk of dyslipidemia.