246例变应性鼻炎患者的中医体质分布规律调查研究

Investigation on the distribution of traditional Chinese medicine constitution in 246 patients with allergic rhinitis

关键词:  变应性鼻炎  中医体质  体质辨识  体病相关

Key words:  allergic rhinitis  traditional Chinese medicine constitution  physical identification  body disease related

摘要:

[目的] 基于246例变应性鼻炎患者的病史和体质因素进行横断面调查，对其发病状况及中医体质分布进行探究。[方法] 依照纳排标准选取于2020年门诊就诊的246例变应性鼻炎患者，对其进行病史采集和中医体质辨识。采用Pearson-χ²对各项数据间差异性进行分析，P<0.05为差异具有统计学意义。[结果] 246例变应性鼻炎患者主体质分布较多的为平和质、阳虚质和特禀质。3种最常见的中医体质为：特禀质120例（占18.8%）、阳虚质107例（16.7%）、湿热质89例（占13.9%），这3种体质共占49.4%。男性变应性鼻炎患者分布较多的中医体质是特禀质49例（占20.0%）、湿热质45例（占18.4%）、气虚质34例（占13.9%），这3种体质共占52.3%；女性变应性鼻炎患者分布较多的中医体质是阳虚质76例（占19.2%）、特禀质71例（占18.0%）、湿热质44例（占11.1%），这3种体质共占48.3%，差异具有统计学意义（P<0.05）。北方地区变应性鼻炎患者的中医体质分布前3位的分别是：阳虚质、特禀质和湿热质；南方地区变应性鼻炎患者的中医体质分布前3位的分别是：特禀质、阳虚质和湿热质；西北地区变应性鼻炎患者的中医体质分布最多的是特禀质，差异无统计学意义（P>0.05）。[结论] 变应性鼻炎较常见的中医体质类型为特禀质、阳虚质和湿热质。不同性别的变应性鼻炎患者中医体质分布具有差异性，不同地区的变应性鼻炎患者中医体质分布不存在明显差异性。

Abstract:

[Objective] To investigate the pathogenesis and distribution of traditional Chinese medicine constitution in 246 patients with allergic rhinitis through cross-sectional investigation of their medical history and constitutional factors.[Methods] 246 patients with allergic rhinitis who visited our outpatient department in 2020 were selected according to the admittance standard,and the medical history was collected and the constitution of Traditional Chinese medicine was identified. Pearson-χ² was used to analyze the differences among the data,and P<0.05 was considered to be significant and statistically significant.[Results] Among the 246 patients with allergic rhinitis,most of the subjects were mild,Yang-deficient and specific. The three most common TCM constitutions are:120 cases of special constitutions (18.8%),107 cases of Yang-deficiency constitutions (16.7%),and 89 cases of dampness-heat constitutions (13.9%),which account for 49.4% in total. The TCM constitutions of male allergic rhinitis patients with more distribution were special innate qualities (49 cases),accounting for 20.0%,hot and humid (45 cases),18.4%,34 cases (13.9%),and the three constitutions accounted for 52.3% in total. The traditional Chinese medicine constitutions of female allergic rhinitis were Yang deficiency substance 76 cases (19.2%),special substance 71 cases (18.0%),hot and humid substance 44 cases (11.1%),and these three constitutions accounted for 48.3% in total. The difference was statistically significant(P<0.05). The top three constitutions of traditional Chinese medicine in patients with allergic rhinitis in northern China are Yang-deficiency substance,special essence and hot and humid substance. The top three constitutions of traditional Chinese medicine in allergic rhinitis patients in Southern China are:special intrinsic quality,Yang-deficiency quality and hot and humid quality;the most common TCM constitutions in patients with allergic rhinitis in Northwest China are the special essence. There was no statistical significance(P>0.05).[Conclusion] The common TCM constitutions of allergic rhinitis are special intrinsic quality,Yang-deficiency quality and damp-heat quality. The distribution of TCM constitutions in allergic rhinitis patients of different genders is different,but there is no obvious difference in the distribution of TCM constitutions in allergic rhinitis patients of different regions.