儿童期异位性皮炎的发病与中医体质的关系-中医外科学专业论文.docx

中 文 摘 要 目的：观察分析儿童期异位性皮炎的发病与中医小儿体质类型及体质因素的关 系，初步探讨中医体质理论在异位性皮炎防治中的运用。 方法：收集 128 例异位性皮炎患儿，根据现权威体质分型法[5]对患者进行体质分 型和相关体质因素的调查。并对测评所得结果分别根据饮食、性格、遗传过敏史、 性别等进行统计，分析各种体质类型及体质因素与异位性皮炎发病的关系，提出 儿童期异位性皮炎的防治原则。 结果：调查结果提示：①异位性皮炎患儿的体质类型大体可分为正常型、脾肾I 型、脾肾II型、肺脾I型、肺脾II型五种体质类型。其中，脾肾型患者人数最多。 ②异位性皮炎的发病与先天禀赋、饮食、性格等体质因素关系密切。从饮食及情 志方面看，不正常饮食习惯及急躁易怒性格的患者发病比例偏高，在一定程度上 反应了饮食及情志不调对异位性皮炎发病的影响。③另外，小儿时期的生理、病 理特征也与异位性皮炎的发病密切相关。 结论：将中医体质理论应用于儿童期异位性皮炎的研究，为探讨异位性皮炎的发 病及防治开创了新思路。 关键词：异位性皮炎 中医体质分型 体质因素 Abst r act Objective: To observed and analyze the relationship between the onset of atopic dermatitis of children and physical theory of TCM as well as between the onset of this disease and the factors affecting the physical constitution, then，to take advantage of this doctrine to prevent and treat this disease primarily. Methods: Gathering 218 cases of AD，to classify their constituents and survey the related constitutional factors according to the authoritative method of constitutional differentiation. Then, to analyze the results statistically in such aspects as diet, temper, familial allergy- history, gender etc. and the relationship among constitutional types, factors and onset of AD. To put forward the principle of prevention and treatment. Results: It suggested that the constitution of children suffering from AD embraced five types: normal, spleen-lung I, spleen-lung II, spleen-kidney I, spleen-kidney II type. Among those, spleen- kidney type took the most important role. Meanwhile, the onset of AD of children was closely correlated to congenital, diet customs, temper and so on. In terms of diet and emotional survey, patients who had abnormal diet habits and irritable temper consisted of the most proportion. It implicated, to some extent, that diet habit and temper did make contributions to the onset of AD. By the way, the pathologic and physiologic character in childhood was also related to the onset. Conclusions: It has Created a new situation in studying the onset，prevention and treatment of ato