283例变应性鼻炎患者中医体质与证型相关性研究
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国家自然科学基金青年基金项目(81603667)——基于NF-κB信号通路对肺脾气虚变应性鼻炎大鼠鼻黏膜水通道蛋白5表达的影响探讨“培土生金”法干预机制;广东省中医院中医药科学技术研究专项青年临床项目(YN2016QL07)——变应性鼻炎和鼻咽癌的相关性的病例对照研究


Study on the Correlation between Chinese Medicine Constitution and Chinese Medicine Syndromes in 283 Patients with Allergic Rhinitis
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    目的:研究变应性鼻炎(AR)患者体质和证型的分布规律并探索二者间的相关性。方法:选取2018年7月至2018年12月广东省中医院收治的AR患者283例作为研究对象,采用横断面调查的方法判定其体质及证型,研究体质与证型间的相关性。结果:AR患者其体质类型分布以特禀质、阳虚质及气虚质为多;中医证候类型分布以脾气虚弱证、肺脾气虚证及肺经伏热证为多。部分中医体质与中医证型间密切相关:气虚质与肺气虚寒证密切相关,阳虚质与肾阳不足证密切相关;阴虚质与肺经伏热证密切相关;痰湿质与脾气虚弱证及肺脾气虚证密切相关;湿热质与肺经伏热证密切相关;特禀质与肺经伏热证密切相关;气郁质、血瘀质与各中医证型间无明显相关性。结论:中医体质与中医证型间密切相关,研究二者相关性为AR的预防、诊治和预后调护提供了新思路。

    Abstract:

    To study the distribution regularity of Chinese Medicine(CM) constitution and CM syndromes in patients with allergic rhinitis and explore the correlation between them.Methods:A total of 283 patients with allergic rhinitis who visited Guangdong Hospital of Traditional Chinese Medicine from July 2018 to December 2018 were enrolled.The cross-sectional study were applied to analyze their CM constitution and CM syndromes and the correlation between them was explored.Results:The main constitutional types of patients with allergic rhinitis are allergic constitution、yang deficiency constitution and qi deficiency constitution,while the main CM syndromes are spleen-qi deficiency syndrome,lung-spleen-qi deficiency syndrome and lung-meridian-accumulated-heat syndrome.Some CM constitutions are closely related to CM syndromes:qi deficiency constitution is closely related to lung-qi deficiency and cold syndrome,yang deficiency constitution is closely related to kidney-yang deficiency syndrome,yin deficiency constitution is closely related to lung meridian heat accumulation syndrome,phlegm dampness constitution is closely related to spleen-qi deficiency syndrome and lung-spleen-qi deficiency syndrome,dampness heat constitution is closely related to lung meridian heat accumulation syndrome,and allergic constitution is closely related to lung-meridian-accumulated-heat syndrome.There was no significant correlation between qi-depression constitution,blood-stasis constitution and CM syndromes.Conclusion:CM constitutions are closely related to CM syndromes.The study of the correlation between them provides a new idea for the prevention,treatment and prognosis care of allergic rhinitis.

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郭晓庆,朱任良,罗秋兰.283例变应性鼻炎患者中医体质与证型相关性研究[J].世界中医药,2020,(15).

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  • 收稿日期:2019-03-19
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  • 在线发布日期: 2020-08-14
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