摘要
目的:探讨银屑病患者并发糖脂代谢稳态失衡的中医证型分布特征。方法:本文选取本科室近年来收治的银屑病并发糖代谢稳态失衡和脂代谢稳态失衡患者共495例进行分析,收集受试对象相关指标和信息,根据中医四诊,本研究中归纳四种占比例最多的证型:血燥证型、血热证型、血瘀证型以及风热证型,其他少数均归为其他证型中,在此基础上讨论证型分布特点。使用SPSS 16.0统计软件进行组间比较等分析,计数资料以例数和百分比例衡量,计量资料以均数和标准差衡量,组间比较使用的统计学方法包括卡方检验和方差分析,统计学检验水准以p=0.05为准。结果:本研究中,并发糖脂代谢稳态失衡的银屑病患者以血燥中医证型患者所占比例最高,其次分别为血热证型、血瘀证型以及风热证型,另有33例患者为其他证型;常见的这四种中医证型中男女患者中寻常型、关节型、脓疱型以及红皮病型银屑病的分布均没有统计学差异;此外,现代医学中属于寻常型银屑病的男女患者四种常见中医证型的分布不存在统计学差异,在关节型、脓疱型以及红皮病型的男女患者中也同样未见统计学差别。总体来说,四种常见中医证型的患者BMI指数、HDL-C水平、LDL-C水平、TG水平以及FBG水平你没有明显统计学差异;WHR水平在不同证型间存在差别,血燥证型患者的WHR最高;血热证型患者的TC水平、P2BG水平以及收缩压舒张压水平也都高于其他证型患者;冠心病、脑血管疾病现病史以及既往吸烟饮酒的构成比例在四种证型间无差别,A型性格的构成比例也无统计学差别。血燥中医证型的患者中BMI指数水平、LDL-C水平、FBG和P2BG水平均表现为男性稍高;TC水平则是女性稍高。血瘀中医证型的患者中男性WHR水平与男性的脑血管疾病现病史也高于女性。血热中医证型的患者中男性既往吸烟比例高于女性,而�
Objective： To investigate the distribution characteristic of patients of psoriasis complicated with metabolic disor- ders with different Traditional Chinese Medicine syndrome types. Methods： 495 cases of patients of psoriasis complicated with metabolism homeostasis in the hospital recently were selected for the analysis, according to four diagnostic in this study were sum- marized four kinds proportion accounted for most syndromes： dryness syndromes, blood heat syndromes of blood stasis type and wind-heat syndrome type, syndromes distribution characteristics discussed on this basis. SPSS 16. 0 statistical software was used for the statiscical analysis, and comparison among groups were discussed, statistical methods include chi-square test and variance analysis were conducted in this manuscript and P = 0. 05 was used as the significance criteria. Results： In this study, dryness syndrome type patients with psoriasis homeostasis of glucose and lipid metabolism obtained the highest proportion, followed by the type of blood heat syndrome, blood stasis syndrome type and wind-heat syndrome type, and another 33 patients for other syn- dromes; four vulgaris, joint, pustular and erytbrodermic psoriasis distribution were not significantly different in male and female patients with TCM syndromes in common; moreover, male and female patients with psoriasis vulgaris belong to the four common TCM syndrome distribution showed no significant difference, pustular and erythrodermic patients of men and women were also showed no statistical difference. The BMI levle, HDL-C levels, LDL-C levels, TG levels and FBG level had statistically signifi- cant difference; WHR level were differences between different syndromes, dryness syndrome type patients were detected to have the highest WHR; heat syndromes patients obtained higher TC blood levels, P2BG systolic and diastolic blood pressure levels were also higher than other syndromes ; as for the history of coronary heart disease, cerebrovascular disease, and previous smoking and dr
出处
《四川中医》
2017年第2期66-70,共5页
Journal of Sichuan of Traditional Chinese Medicine
关键词
银屑病
糖脂代谢稳态失衡
中医证型
Psoriasis
Metabolism homeostasis
Traditional Chinese medicine syndrome type
