中国银屑病患者的中医证候:人口统计学和临床变量的贡献

Zehui He, Chuanjian Lu, A. Ou
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摘要

本文旨在探讨人口统计学、医学和心理变量对银屑病中医证候的具体贡献。对不同地区7家中医院的银屑病患者进行了横断面调查。对671例银屑病患者进行临床评估,包括中医证候辨证和银屑病严重程度(用银屑病面积和严重程度指数PASI评估)。患者还完成了人口统计数据和生活质量量表(皮肤病生活质量指数,DLQI)的问题。3个主要中医证型包括:风热型354例(52.8%),血瘀型161例(24.0%),血燥型156例(23.2%)。在不同性别、年龄、慢性疾病、银屑病病程、PASI和DLQI评分的患者亚组中分布不同。中医证候与患者的人口学特征和临床条件密切相关。中医临床治疗应兼顾银屑病的证候特点和人口学变量。
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The Traditional Chinese Medicine syndromes of psoriasis in Chinese patients: Contribution of demographic and clinical variables
This article was to examine the specific contribution of demographic, medical and psychological variables to the Traditional Chinese Medicine (TCM) Syndromes of psoriasis. A cross-sectional survey of psoriasis patients was conducted at 7 hospitals of TCM of different regions. In all, 671 psoriasis patients underwent a clinical assessment including differentiation of TCM syndromes and psoriasis severity (assessed by Psoriasis Area and Severity Index, PASI). Patients also completed questions on demographic data and a quality of life scale (Dermatology Life Quality Index, DLQI). The three main TCM syndromes were included: 354 patients with Wind-heat (52.8%), 161 with Blood-stasis (24.0%), and 156 with Blood-dryness (23.2%). They distributed differently in subgroups of patients with different gender, age, chronic disease, duration of psoriasis, PASI, and DLQI score. The TCM syndromes were close related to demographic and clinical conditions of patients. TCM clinical treatment should consider both characteristics of syndrome and demographic variables of psoriasis.
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