Khảo sát các đặc điểm thể chất y học cổ truyền trên bệnh nhân vảy nến mảng

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Tác giả: Bảo Lưu Lê, Trần Anh Thư Nguyễn, Khánh Huy Tăng

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam 2023

Mô tả vật lý: 292-296

Bộ sưu tập: Metadata

ID: 409522

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Vảy nến là một bệnh lý viêm da mạn tính phổ biến, trong đó vảy nến thể mảng là phổ biến nhất. Bệnh vảy nến gây ảnh hưởng nghiêm trọng tới tâm lý và đời sống người bệnh (NB), tuy nhiên lại chưa có thuốc điều trị đặc hiệu. Thể chất theo Y học cổ truyền (YHCT) đặt nền tảng cho việc chẩn đoán, điều trị và phòng ngừa bệnh tật, điều chỉnh thể chất có thể làm cải thiện tình trạng bệnh ở NB vảy nến. Đề tài này thực hiện để tìm tỉ lệ các dạng thể chất YHCT ở người bệnh vảy nến mảng và mối liên hệ giữa thể chất YHCT với các yếu tố liên quan đến bệnh vảy nến mảng. Đối tượng và phương pháp nghiên cứu: Nghiên cứu cắt ngang phân tích được tiến hành thông qua khảo sát NB vảy nến mảng bằng bảng câu hỏi Constitution in Chinese Medicine Questionnaire (CCMQ) đã được chuẩn hóa. Số liệu sau khi thu thập sẽ được xử lý bằng mô hình hồi quy logistic để xác định mối liên hệ giữa thể chất YHCT và các yếu tố liên quan bệnh vảy nến mảng. Kết quả: Nghiên cứu khảo sát trên 384 NB vảy nến mảng, kết quả cho thấy thể chất Khí hư chiếm tỉ lệ cao nhất (38,54%), kế tiếp là thể chất Đặc biệt (25,26%) và Khí uất (18,49%), thể chất Trung tính chiếm tỉ lệ thấp nhất. Thể chất Đàm thấp tương quan thuận với thời gian mắc bệnh, thể chất Dương hư và thể chất Khí hư có tương quan thuận với yếu tố kích hoạt là nhiễm trùng, thể chất Khí uất có tương quan thuận với yếu tố kích hoạt là stress. Kết quả nghiên cứu cho thấy trên NB vảy nến thường gặp 3 dạng thể chất YHCT là Khí hư, Đặc biệt và Khí uất. Trong đó, thể chất Đàm thấp tương quan thuận với thời gian mắc bệnh, thể chất Dương hư và Khí hư có tương quan thuận với yếu tố kích hoạt là nhiễm trùng, thể chất Khí uất có tương quan thuận với yếu tố kích hoạt là stress., Tóm tắt tiếng anh, Psoriasis is a prevalent chronic inflammatory skin disease, with vulgaris psoriasis accounting for most cases. Psoriasis has a negative impact on patients' psychology and lives, but there is no specific treatment. The body constitution of traditional medicine offers the framework for disease diagnosis, treatment, and prevention, and has been demonstrated to alleviate conditions in individuals with psoriasis. This study aimed to establish the proportion of body constitution types in plaque psoriasis patients, as well as the link between body constitution types and factors connected to vulgaris psoriasis. Subjects and Methods: A standardized Constitution in Chinese Medicine Questionnaire (CCMQ) was used to interview individuals with vulgaris psoriasis for the cross-sectional investigation. Following data collection, multivariate logistic regression was used to examine the connection between constitutional classifications of traditional medicine and factors associated with vulgaris psoriasis. Results: The results of a study on 384 individuals with vulgaris psoriasis revealed that the Qi-deficiency type had the most significant rate (38.54%), followed by the Inherited-special type (25.26%), and the Qi-depression type (18.49%), the Neutral type having the lowest incidence. Phlegm-dampness type is associated with disease duration, the Yang-deficiency type, and Qi-deficiency type are associated with infection, and the Qi-depression type is associated with stress. Conclusion: According to the study's findings, there are three body constitution types of vulgaris psoriasis in traditional medicine: Qi-deficiency, Inherited-special, and Qi-depression. In this study, Phlegm-dampness is positively correlated with disease duration, Yang-deficiency and Qi-deficiency are correlated with infection, and Qi-depression is correlated with stress.

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