摘要
目的:探讨紫癜肾患者中医体质的分布规律及各影响因素与中医体质的相关性。方法:对177例符合纳入标准的紫癜肾患者,进行中医体质的问卷调查,运用统计学方法进行分析,探讨不同体质类型影响因素的特点。结果:在177例患者中,以平和质(11.9%)、气虚质(20.9%)、阴虚质(36.7%)、特禀质(18.6%)所占比例较高。中医体质类型与紫癜性肾炎的证候相关,其中平和质者多为血热妄行证(85.7%),气虚质和阴虚质多为气阴两虚证(76.5%),特禀质多为气阴两虚证(78.8%)。其他体质与平和质比较发现,气虚质和阴虚质好发于年龄较大的患者中;气虚质、阴虚质和特禀质好发于饮食不规律且缺乏锻炼的人群,好发于城市,多发于冬季,多无明显诱因。气虚质和阴虚质的紫癜肾患者多好发于喜食素食者中,而特禀质者多发于喜食热食者中。结论:紫癜肾患者存在体质易感性,体质类型与症候相关。中医体质与性别、文化程度无关,与发病季节、年龄、饮食嗜好、居住环境及生活方式有关。
Objective, To discuss the distribution of Chinese medical constitution in patients with Henoch-Schonlein purpura nephritis（HSPN）, and to explore the correlation of influencing factors of HSPN with Chinese medical constitution. Methods, A survey of Chinese medical constitution was carried out in HSPN patients who met the inclusion criteria, and then statistical analysis methods were used for the exploration of influencing factors of the constitution. Results= Among the 177 patients, the predominant constitution types were harmony（11.9%）, Qi deficiency（20.9%）, yin deficiency （36.7%）, special intrinsic quality （18.6%）. CM constitution types were correlated with the syndrome patterns of HSPN： harmony constitution was dominated by the syndrome of hemorrhage due to blood-heat （85.7%）, Qi deficiency constitution and yin deficiency constitution were dominated by Qi-yin deficiency syndrome （76.5%）, and special intrinsic quality constitution was dominated by the syndrome of Qi deficiency（78.8% ）. Compared the harmony constitution, the incidences of Qi deficiency constitution and yin deficiency constitution were higher in the elderly patients, and the incidences of Qi deficiency constitution, yin deficiency constitution and special intrinsic quality constitution were higher in the city population having irregular diet and being lack of exercise mainly in the winter, showing no obvious remote causes. The vegetarian HSPN patients usually had yin deficiency constitution and Qi deficiency constitution, while patients with preference to hot food usually had special intrinsic quality constitution. Conclusion：The symptoms of HSPN patients are associated with their constitution types. Chinese medical constitution has nothing to do with gender and educational level, but is correlated with the onset season, age, eating habits, living environment and lifestyle.
出处
《新中医》
CAS
2015年第7期89-91,共3页
New Chinese Medicine
基金
山西省自然科学基金项目(2012011044-3)
关键词
紫癜肾
中医体质
影响因素
Henoch-Schonlein purpura nephritis
Chinese Medicine constitution
Influencing factors
