国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2013年
7期
580-582
,共3页
类风湿关节炎%辨证分型
類風濕關節炎%辨證分型
류풍습관절염%변증분형
Rheumatoid arthritis%Syndrome differentiation
目的 结合类风湿关节炎患者的症状、体征进行辨证分型,分析青岛地区类风湿关节炎患者的中医证型分布情况.方法 选取2010年10月1日至2012年1月1日于山东青岛中西医结合医院就诊的类风湿关节炎患者共656例,结合症状、体征进行中医辨证分型.结果 青岛地区类风湿关节炎患者证型多以寒湿痹阻证、肝肾亏虚证为主,其次为风寒痹阻证、气血亏虚证、湿热痹阻证.血沉(ESR)、C反应蛋白(CRP)的积分水平以湿热痹阻证[分别为(56.23±13.87) mm/h、(69.49±21.56) mg/L]最高,与寒湿痹阻证、风寒痹阻证、肝肾亏虚证、气血亏虚证[ESR分别为(35.02±21.63) mm/h、(32.13±19.54) mm/h、(38.14±18.63) mm/h、(33.63±17.23) mm/h;CRP分别为(46.49±21.56) mg/L、(41.67±19.66) mg/L、(44.63±19.78) mg/L、(41.23±18.24) mg/L]比较,差异有显著性意义(P＜0.05).类风湿因子、免疫球蛋白IgG、IgA、IgM各证型间无明显统计学差异(P＞0.05).肝肾亏虚证的年龄、病程[年龄为(59.3±12.15)岁,病程为(7.98±3.76)年]、气血亏虚证[年龄为(52.5±11.5)岁,病程为(6.56±3.12)年]大于寒湿痹阻证、湿热痹阻证、风寒痹阻证[年龄分别为(46.2±11.12)岁、(45.8±11.60)岁、(43.5±12.50)岁；病程分别为(5.56±2.76)年、(5.78±2.98)年、(5.12±2.32)年](P＜0.05).结论 青岛地区类风湿关节炎患者以寒湿痹阻证、肝肾亏虚证为主,其次为风寒痹阻证、气血亏虚证、湿热痹阻证.类风湿关节炎患者中,肝肾亏虚证、气血亏虚证患者的年龄偏高、病程较长.
目的 結閤類風濕關節炎患者的癥狀、體徵進行辨證分型,分析青島地區類風濕關節炎患者的中醫證型分佈情況.方法 選取2010年10月1日至2012年1月1日于山東青島中西醫結閤醫院就診的類風濕關節炎患者共656例,結閤癥狀、體徵進行中醫辨證分型.結果 青島地區類風濕關節炎患者證型多以寒濕痺阻證、肝腎虧虛證為主,其次為風寒痺阻證、氣血虧虛證、濕熱痺阻證.血沉(ESR)、C反應蛋白(CRP)的積分水平以濕熱痺阻證[分彆為(56.23±13.87) mm/h、(69.49±21.56) mg/L]最高,與寒濕痺阻證、風寒痺阻證、肝腎虧虛證、氣血虧虛證[ESR分彆為(35.02±21.63) mm/h、(32.13±19.54) mm/h、(38.14±18.63) mm/h、(33.63±17.23) mm/h;CRP分彆為(46.49±21.56) mg/L、(41.67±19.66) mg/L、(44.63±19.78) mg/L、(41.23±18.24) mg/L]比較,差異有顯著性意義(P＜0.05).類風濕因子、免疫毬蛋白IgG、IgA、IgM各證型間無明顯統計學差異(P＞0.05).肝腎虧虛證的年齡、病程[年齡為(59.3±12.15)歲,病程為(7.98±3.76)年]、氣血虧虛證[年齡為(52.5±11.5)歲,病程為(6.56±3.12)年]大于寒濕痺阻證、濕熱痺阻證、風寒痺阻證[年齡分彆為(46.2±11.12)歲、(45.8±11.60)歲、(43.5±12.50)歲；病程分彆為(5.56±2.76)年、(5.78±2.98)年、(5.12±2.32)年](P＜0.05).結論 青島地區類風濕關節炎患者以寒濕痺阻證、肝腎虧虛證為主,其次為風寒痺阻證、氣血虧虛證、濕熱痺阻證.類風濕關節炎患者中,肝腎虧虛證、氣血虧虛證患者的年齡偏高、病程較長.
목적 결합류풍습관절염환자적증상、체정진행변증분형,분석청도지구류풍습관절염환자적중의증형분포정황.방법 선취2010년10월1일지2012년1월1일우산동청도중서의결합의원취진적류풍습관절염환자공656례,결합증상、체정진행중의변증분형.결과 청도지구류풍습관절염환자증형다이한습비조증、간신우허증위주,기차위풍한비조증、기혈우허증、습열비조증.혈침(ESR)、C반응단백(CRP)적적분수평이습열비조증[분별위(56.23±13.87) mm/h、(69.49±21.56) mg/L]최고,여한습비조증、풍한비조증、간신우허증、기혈우허증[ESR분별위(35.02±21.63) mm/h、(32.13±19.54) mm/h、(38.14±18.63) mm/h、(33.63±17.23) mm/h;CRP분별위(46.49±21.56) mg/L、(41.67±19.66) mg/L、(44.63±19.78) mg/L、(41.23±18.24) mg/L]비교,차이유현저성의의(P＜0.05).류풍습인자、면역구단백IgG、IgA、IgM각증형간무명현통계학차이(P＞0.05).간신우허증적년령、병정[년령위(59.3±12.15)세,병정위(7.98±3.76)년]、기혈우허증[년령위(52.5±11.5)세,병정위(6.56±3.12)년]대우한습비조증、습열비조증、풍한비조증[년령분별위(46.2±11.12)세、(45.8±11.60)세、(43.5±12.50)세；병정분별위(5.56±2.76)년、(5.78±2.98)년、(5.12±2.32)년](P＜0.05).결론 청도지구류풍습관절염환자이한습비조증、간신우허증위주,기차위풍한비조증、기혈우허증、습열비조증.류풍습관절염환자중,간신우허증、기혈우허증환자적년령편고、병정교장.
Objective Combined with the patients arthritis symptoms and signs,TCM syndrome differentiation of rheumatoid arthritis was undertaken to investigate TCM syndrome distribution.Methods A total of 656 patients of rheumatoid arthritis from October 1st 2010 to January 1st 2012 hospitalized in Shandong Qingdao Combine Traditional Chinese and Western Medicine hospital were untaken TCM syndrome differentiation according to their symptoms and signs.Results The main syndromes of rheumatoid arthritis patients were cold-dampness blockage syndrome and liver and kidney deficiency syndrome,followed by cold-wind blockage syndrome,deficiency of Qi and blood syndrome,and dampness-heat blockage syndrome.The highest scores of ESR and C reactive protein appeared in dampness-heat blockage syndrome group,with ESR being (56.23 ± 13.87) ram/h,CRP being (69.49± 21.56) mg/L.These values showed significant difference than other syndrome group (P ＜ 0.05).There was no significant difference of rheumatoid factor,immunoglobulin IgG,IgA,IgM values among these syndrome groups (P＞0.05).Comparison of age,course of disease showed the liver and kidney deficiency syndrome group (age was 59.3± 12.15,duration was 7.98 ± 3.76)and Qi and blood deficiency syndrome group (age was 52.5± 11.5,duration was 6.56±3.12) were significant higher than cold-dampness blockage syndrome,damp-heat blockage syndrome group and cold-wind blockage syndrome group with the age of (46.2± 11.12) and (45.8± 11.60),(43.5± 12.50) respectively and course of (5.56±2.76),(5.78±2.98),(5.12±2.32) respectively (P＜0.05).Conclusion The main TCM syndromes of rheumatoid arthritis patients in Qingdao area were cold-dampness syndrome,liver and kidney deficiency syndrome,followed by cold-wind blockage sydrome,Qi and blood deficiency syndrome,damp-heat blockage syndrome.Among all syndromes,relatively high age and disease course of patients appeared in liver and kidney deficiency syndrome and Qi and blood deficiency syndrome.
