摘要
目的分析过敏性鼻炎合并哮喘患者的体质及中医证型分布特点,为其中西医结合治疗提供依据。方法全部病例资料均来源于2020年1月至2024年5月在“云上三院”过敏微信小程序中经过敏中医体质辨识初筛,并于中山大学附属第三医院过敏科接受多学科诊疗的过敏性鼻炎合并哮喘等的过敏共病患者。采用回顾性分析的方法,收集患者的性别、年龄等基本信息以及中医体质、中医证型等数据。根据该院过敏科团队提出的“过敏的5A分级诊疗”新理念,将患者分为3组,分别是2A患者(过敏性鼻炎合并哮喘)、3A患者(过敏性鼻炎合并哮喘及特应性皮炎、过敏性结膜炎或食物过敏中任一疾病)和4A或5A患者(过敏性鼻炎合并哮喘及特应性皮炎、过敏性结膜炎或食物过敏中任意2种或3种疾病)。结果2A患者42例,其中男18例、女24例,年龄(26.4±16.6)岁;3A患者40例,其中男19例、女21例,年龄(25.0±15.5)岁;4A或5A患者8例,其中男5例、女3例,年龄(15.5±13.2)岁。2A患者常见的体质依次是阳虚质(17例)、气虚质(14例)、特禀质(11例),3A患者常见的体质依次是气虚质(23例)、特禀质(16例)、阳虚质(9例),4A或5A患者则以气虚质(6例)、特禀质(4例)多见,阳虚质、气虚质在各组患者中的分布存在差异(P均<0.05)。2A患者常见的中医证型依次为寒凝阳虚证(10例)、风寒夹湿证(8例)、肺脾气虚证(7例),3A患者常见的中医证型依次为肺脾气虚证(12例)、寒凝阳虚证(7例)、脾虚湿阻证(6例),4A或5A患者最常见的中医证型为肺脾气虚证(5例),3组患者的中医证型分布存在差异(P<0.05)。2A患者与4A或5A患者比较差异则有统计学意义(P<0.001);3A患者与4A或5A患者比较差异有统计学意义(P<0.001)。结论过敏性鼻炎合并哮喘患者常见的体质为阳虚质、气虚质、特禀质,常见的中医证型为寒凝阳虚证、风寒夹湿证和肺脾气虚证。过敏共病不同级别
Objective To analyze the distribution characteristics of constitution and traditional Chinese medicine syndrome of allergic rhinitis patients complicated with asthma,aiming to provide basis for integrated traditional Chinese and western medicine treatment for allergic rhinitis complicated with asthma.Methods After preliminary screening of traditional Chinese medicine constitution identification of allergic patients in the allergic WeChat applet of Gamma on Cloud,patients with allergic rhinitis complicated with asthma or other allergic diseases receiving multi-disciplinary diagnosis and treatment of Department of Allergy of the Third Affiliated Hospital of Sun Yat-sen University from January 2020 to May 2024 were selected.General data such as gender and age,constitution of traditional Chinese medicine and traditional Chinese medicine syndrome of allergic rhinitis patients complicated with asthma were collected and retrospectively analyzed.According to the new concept of“allergic 5A grading diagnosis and treatment”proposed by the team from Department of Allergy,all patients were divided into three groups:2A patient group(allergic rhinitis complicated with asthma),3A patient group(allergic rhinitis complicated with asthma,and any of atopic dermatitis,allergic conjunctivitis or food allergy)and 4A or 5A patient group(allergic rhinitis complicated with asthma,and any two or three of atopic dermatitis,allergic conjunctivitis or food allergy).Results There were 42 patients in the 2A group,18 males and 24 females,aged(26.4±16.6)years old,40 patients in the 3A patient group,19 males and 21 females,aged(25.0±15.5)years old,and 8 patients in the 4A or 5A patient group,5 males and 3 females,aged(15.5±13.2)years old,respectively.In the 2A patient group,the most frequent constitutions were yang-deficiency constitution(n=17),qi-deficiency constitution(n=14)and inherited special constitution(n=11).In the 3A patient group,the most common constitutions were qi-deficiency constitution(n=23),inherited special constitution(n=1
作者
张晋韬
李跃
杨钦泰
杨宏志
周琪琳
陈鸿杰
柯千山
王晓鹰
戴敏
ZHANG Jintao;LI Yue;YANG Qintai;YANG Hongzhi;ZHOU Qilin;CHEN Hongjie;KE Qianshan;WANG Xiaoying;DAI Min(Department of Traditional Chinese Medicine,the Third Affiliated Hospital of Sun Yat-sen University Zhaoqing Hospital,Zhaoqing 526000,China;Department of Traditional Chinese Medicine,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Department of Allergy,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Research&Development Room,Gamma on Cloud,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)
出处
《新医学》
CAS
2024年第10期810-817,共8页
Journal of New Medicine
基金
国家自然科学基金(U20A20399)
广东省中医药重点学科建设项目(20220104)
全国名老中医药专家传承工作室建设项目(140000020162)。
关键词
过敏性鼻炎合并哮喘
5A分级诊疗
中医体质
中医证型
Allergic rhinitis complicated with asthma
5A grading diagnosis and treatment
Traditional Chinese medicine constitution
Traditional Chinese medicine syndrome
