300例女性寻常痤疮患者中医体质类型分析

Analysis on Types of Traditional Chinese Medicine Constitution of 300 Female Patients with Acne Vulgaris

目的 :探讨女性寻常痤疮患者发病与中医体质类型的关系。方法 :在中医皮肤科医生指导下对300例女性寻常痤疮患者进行调查,分析不同年龄段、痤疮级别、中医证型和中医体质类型之间的关系,并进行统计学分析。结果 :女性寻常痤疮患者多数(87.00%)为兼夹体质,中医体质类型中湿热质所占的比例(28.30%)最大,其次依次为气郁质、痰湿质、阳虚质、阴虚质、血瘀质、气虚质、平和质和特禀质。不同年龄段患者中平和质(P=0.000)、气虚质(P=0.000)、阳虚质(P=0.000)、湿热质(P=0.011)、血瘀质(P=0.001)和气郁质(P=0.001)分布有显著差异。其中平和质(P=0.000)、气虚质(P=0.000)、血瘀质(P=0.000)、气郁质(P=0.000)和特禀质(P=0.004)与年龄变化显著相关。不同痤疮分级患者中平和质(P=0.000)、阳虚质(P=0.018)、阴虚质(P=0.020)、湿热质(P=0.000)、气郁质(P=0.034)和特禀质(P=0.001)分布有显著差异。其中平和质(P=0.009)、气郁质(P=0.003)和特禀质(P=0.003)与痤疮严重程度显著相关。各中医证型中除气虚质外其余体质类型分布差异均有显著性。结论 :湿热质是女性寻常痤疮患者的主要体质类型,年龄、痤疮严重程度、中医分型与中医体质类型有密切关系。

Objective:To investigate the relationship between the onset of acne vulgaris in female patients and the types of traditional Chinese medicine(TCM) constitution. Methods:With the assistance of TCM professional investigators, 300 female patients with acne vulgaris completed Decision Table to record the general information. The distribution of TCM constitutions was analyzed statistically with the factors of age, acne severity and TCM types. Results: Most(87.00%) of the female patients with acne have mixed constitution. Dampness-heat constitution is most common in the patients(28.30%), followed by Qi-stagnation constitution, phlegm-dampness constitution, Yang-deficiency constitution, Yin-deficiency constitution, blood stasis constitution, Qi-deficiency constitution, normal constitution and allergic constitution. There were significant differences in distributions of normal constitution(P=0.000), Qi-deficiency constitution(P=0.000), Yang-deficiency constitution(P=0.000), dampness-heat constitution(P=0.011), blood stasis constitution(P=0.001) and Qi-stagnation constitution(P=0.001) in various age groups. Normal constitution(P=0.000), Qi-deficiency constitution(P=0.000), blood stasis constitution(P=0.000), Qi-stagnation constitution(P=0.000) and allergic constitution(P=0.004) were significantly related to age. There were significant differences in the distributions of normal constitution(P=0.000), Yangdeficiency constitution(P=0.018), Yin-deficiency constitution(P=0.020), dampness-heat constitution(P=0.000), Qi-stagnation constitution(P=0.034) and allergic constitution(P=0.001) in patients with acne of various severities. Normal constitution(P=0.009), Qi-stagnation constitution(P=0.003) and allergic constitution(P=0.003) were significantly related to the severity of acne. In addition to that of Qi-deficiency constitution, the distributions of various types of TCM constitutions showed significant difference. Conclusion:The main type of TCM constitution of female patients with acne vulgaris is dampness-heat constitution. Age, acne severity and TCM type are closely related to the type of TCM constitution.