【作者】 王海燕； 宣静； 周曾同；

【Author】 WANG Haiyan;XUAN Jing;ZHOU Zengtong;Department of Oral Mucosal Diseases, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine;National Clinical Research Center for Oral Diseases;Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology;

【机构】 上海交通大学医学院附属第九人民医院·口腔医学院口腔黏膜科,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所； 上海市中医医院；

【摘要】 目的:通过中医理论方法对105例口腔扁平苔藓进行辨证分型分析。方法:口腔扁平苔藓患者选自2014年11月-12月上海交通大学医学院附属第九人民医院口腔黏膜科门诊病例,共105例。根据《中医证型分型标准》和《中医证侯鉴别诊断学》所设定标准,从临床表现、舌脉像等方面对患者通过中医辨证分型。结果:根据中医辨证分型,105例OLP患者被分为湿热内阻型(两颊、舌、唇部白纹,间有形状不规则糜烂,并有黄色渗出物覆盖。局部疼痛明显,伴有口干或口苦,便溏溲赤,舌红,苔薄黄或腻,脉滑数)、阴虚内燥型(黏膜呈白色损害,表面粗糙、萎缩或増厚,无光泽。口干,乏力,失眠,舌红少津,脉细弦数)、气滞血瘀型(口腔黏膜有灰白斑网花纹,或伴有色素沉着,也可有充血糜烂,口苦咽燥,面色暗淡,腹胀纳呆,月经量少闭经或痛经,便干尿黄,舌质暗红有瘀点瘀斑,舌苔薄黄,脉弦)、气血亏虚型(口腔黏膜有白色网纹,面色苍白或萎黄,乏力,舌淡嫩,脉细弱)及肝阳上亢型(口腔黏膜充血糜烂,面红耳赤,急躁易怒,失眠多梦,腰膝酸软,头重脚轻,舌红苔少干燥,脉弦或弦细数)等五型。其中气血亏虚组44例,气滞血瘀组21例,湿热内阻组19例,阴虚内燥组16例,肝阳上亢组5例。以气血亏虚型居多。结论:口腔扁平苔藓虚实证夹杂,但以虚证居多。若能在中医分型基础上进行辨证论治,有望为临床提供新的思路。更多还原

【Abstract】 Objective: To analysis on 105 cases of oral lichen planus based on traditional Chinese medicine. Methods: 105 cases were selected from clinic of Shanghai Jiaotong University affiliated No. 9 Hospital. Results: 105 oral lichen planus patients were classified into five tupes,according to classification of traditional Chinese medicine syndromes. They were Shireneizu, Yinxuneizao, Qizhixueyu, Qixuekuixu and Ganyangshangkang. Conclusions: Clinically, OLP manifested as excess syndrome, deficiency syndrome and combination of both, mostly as deficiency syndrome. It will be helpful if syndrome differentiation and treatment is applied in OLP clinical practice.更多还原