CAJ | 학술논문

目的：归纳活动期溃疡性结肠炎（ AUC）中医证型的季节分布规律。方法按发病季节统计、分析沈阳军区总医院收治的441例14～87岁AUC住院患者的资料，归纳出各中医证型的季节分布规律。结果大肠湿热证、脾胃气虚证和肝郁脾虚证在不同季节出现的比例差异有统计学意义（P均＜0．05），其中大肠湿热证以夏季所占比例最高（35．89％），脾胃气虚证以秋季所占比例最高（35．85％），肝郁脾虚证以夏季所占比例最高（58．82％）；而脾肾阳虚证、阴血亏虚证、气滞血瘀证的出现与季节无明显相关性，但脾肾阳虚证以秋季所占比例最高（36．11％），阴血亏虚证以夏季所占比例为最高（39．13％），气滞血瘀证以冬、春季节所占比例最高（各占30．00％）。各季节AUC 的发病率之间比较差异无统计学意义（ P＞0．05）。结论 AUC中医证型的分布规律有明显的季节相关性，大肠湿热证、肝郁脾虚证、阴血亏虚证主要分布于夏季，脾胃气虚证与脾肾阳虚证主要分布于秋季，气滞血瘀证主要分布于冬、春季节。
목적：귀납활동기궤양성결장염（ AUC）중의증형적계절분포규률。방법안발병계절통계、분석침양군구총의원수치적441례14～87세AUC주원환자적자료，귀납출각중의증형적계절분포규률。결과대장습열증、비위기허증화간욱비허증재불동계절출현적비례차이유통계학의의（P균＜0．05），기중대장습열증이하계소점비례최고（35．89％），비위기허증이추계소점비례최고（35．85％），간욱비허증이하계소점비례최고（58．82％）；이비신양허증、음혈우허증、기체혈어증적출현여계절무명현상관성，단비신양허증이추계소점비례최고（36．11％），음혈우허증이하계소점비례위최고（39．13％），기체혈어증이동、춘계절소점비례최고（각점30．00％）。각계절AUC 적발병솔지간비교차이무통계학의의（ P＞0．05）。결론 AUC중의증형적분포규률유명현적계절상관성，대장습열증、간욱비허증、음혈우허증주요분포우하계，비위기허증여비신양허증주요분포우추계，기체혈어증주요분포우동、춘계절。
Objective It is to find out seasonal distribution rules of TCM syndrome type of active ulcerative colitis ( AUC) .Methods The information of 441 cases of 14 to 87 years old hospitalized patients with AUC diagnozed and treated in General Hospital of Shenyang Military Area Command were analyzed according to the onset seasons to find out theseasonal dis -tribution rules of TCM syndrome type .Results There were significant differences in the emergence of percentage in different seasons among large intestine damp heat syndrome , spleen and stomach Qi deficiency syndrome and liver depression and spleen deficiency syndrome (P<0.05), in which large intestine damp heat syndrome had the highest percentage (35.89%) in summer, spleen and stomach Qi deficiency syndrome had the highest proportion (35.85%) in autumn,liver depression spleen deficiency had the highest percentage (58.82%) in summer.The appearing of spleen kidney Yang deficiency syn-drome, Yin and blood deficiency syndrome , Qi and blood stasis had no significant correlation with season (P>0.05), but the proportion of spleen and kidney Yang deficiency syndrome was the highest (36.11%) in autumn, that of Yin and blood defi-ciency syndrome was the highest in summer (39.13%), that of Qi and blood stasis in winter and spring season was the highest ( both were 30.00%).The incidence of AUC in each season had no significant difference (P>0.05).Conclusion AUC of TCM syndrome type distribution has obvious seasonal correlation .Large intestine damp heat syndrome , liver depression spleen deficiency , Yin and blood deficiency syndrome mainly distributed in summer , spleen and stomach Qi deficiency syndrome and spleen kidney Yang deficiency are mainly distributed in autumn , Qi and blood stasis is mainly distributed in winter and spring .