摘要
目的通过对迟发性痤疮患者进行面部皮损程度、皮损分布特点及中医体质、中医证型分布进行调查,总结迟发性痤疮皮损面部皮损分布特点及规律。方法连续纳入迟发性痤疮患者235例,记录痤疮分级、中医证型、面部皮损分布,填写体质调查表等,对结果进行统计分析。结果皮损严重程度分布不均(P<0.05),I、Ⅱ级皮损与其他皮损差异有统计学意义(P<0.0083),主要分布于分候法中的肾、肝、肺区(P<0.005)。迟发性痤疮体质湿热质、阳虚质、痰湿质、平和质、阴虚质、气虚质体质与其他体质相比差异有统计学意义(P<0.00139),证型方面以湿热证、冲任失调证为主(P<0.0083),所占比例分别是34.0%、29.4%。病程、肺区分布与湿热证呈负相关(P<0.05),皮损程度与湿热证呈正相关(P<0.05);皮损程度与冲任失调证呈负相关(P<0.05)。结论迟发性痤疮主要分布于分候法中的肾、肝、肺区。体质的研究中,迟发性痤疮以湿热质、阳虚质、痰湿质、平和质、阴虚质、气虚质体质为主;迟发性痤疮以湿热证、冲任失调证为主,湿热证患者平均病程较短,以Ⅱ级皮损为主,主要分布于肾区、肝区为主;冲任失调证患者平均病程相对较长,以Ⅰ、Ⅱ级皮损为主,主要分布于肾区、肝、肺区为主;湿热证与冲任失调证患者体质均以湿热质最多,湿热证与病程、肺区分布呈负相关,与皮损程度呈正相关,冲任失调证与皮损程度呈负相关。
Objective To summarize the distribution characteristics and regularities of facial lesions in patients with delayed acne by investigating the extent and distribution characteristics of facial lesions,and the patients’TCM constitutions and TCM syndrome types.Methods A total of 235 patients with delayed acne were continuously enrolled in the study.The grades of acne,TCM syndromes,and distributions of facial lesions were recorded,and a constitution questionnaire was filled in,and the results were statistically analyzed.Results The severity of skin lesions was unevenly distributed(P<0.05),and the differences between grade I,II skin lesions and other skin lesions were statistically significant(P<0.0083),which were mainly distributed in the kidney,liver,and lung areas in the classification method(P<0.005).Compared with the other physical constitutions,there was statistically significant difference in constitutions of dampness heat,yang deficiency,phlegm dampness,calmness,yin deficiency,and qi deficiency in delayed acne(P<0.00139).In terms of syndrome types,dampness heat syndrome and Chong Ren disorder syndrome were the main ones(P<0.0083),accounting for 34.0%and 29.4%respectively.The course of disease and the distribution of lung area were negatively correlated with dampness heat syndrome(P<0.05),while the degree of skin lesions was positively correlated with dampness heat syndrome(P<0.05),and the degree of skin lesions was negatively correlated with Chong Ren disorder syndrome(P<0.05).Conclusion Delayed acne is mainly distributed in the kidney,liver,and lung areas in the classification method.In terms of constitution,the constitution of delayed acne is mainly composed of dampness heat,yang deficiency,phlegm dampness,calmness,yin deficiency,and qi deficiency constitutions.It is mainly characterized by dampness heat syndrome,Chong Ren disorder syndrome.Patients with dampness heat syndrome have an average short course of disease,and are mainly characterized by grade II skin lesions,which are mainly distributed in the kidney and liver regions.Patients with the syndrome of Chong Ren disorder have an average relatively long course of disease,and are mainly characterized by grade I and II skin lesions,which are mainly distributed in the kidney,liver,and lung areas.The constitution of patients with dampness heat syndrome and Chong Ren disorder syndrome is mostly dampness heat.The dampness heat syndrome is negatively correlated with the course of disease and the distribution of lung area,and is positively correlated with the degree of skin lesions.The syndrome of Chong Ren disorder is negatively correlated with the degree of lesions.
作者
翟烨
张丰川
王羽侬
林玮华
吴美超
Zhai Ye;Zhang Fengchuan;Wang Yunong;Lin Weihua;Wu Meichao(Department of Dermatology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Department of Dermatology,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Department of Dermatology,the Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Department of Dermatology,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou 362000,China;Department of Dermatology,the Second Affiliated Hospital of Xingtai Medical College,Xingtai 054000,China)
出处
《长春中医药大学学报》
2021年第3期606-610,共5页
Journal of Changchun University of Chinese Medicine
基金
北京市科委生物医药与生命科学创新培育项目(z151100003915087)。
关键词
迟发性痤疮
中医证型
体质
皮损分候图
delayed acne
syndrome type of traditional Chinese medicine
constitution
skin lesion classification chart
