郭晓庆　朱任良　罗秋兰

摘要 目的：研究變应性鼻炎（AR）患者体质和证型的分布规律并探索二者间的相关性。方法：选取2018年7月至2018年12月广东省中医院收治的AR患者283例作为研究对象，采用横断面调查的方法判定其体质及证型，研究体质与证型间的相关性。结果：AR患者其体质类型分布以特禀质、阳虚质及气虚质为多;中医证候类型分布以脾气虚弱证、肺脾气虚证及肺经伏热证为多。部分中医体质与中医证型间密切相关：气虚质与肺气虚寒证密切相关，阳虚质与肾阳不足证密切相关;阴虚质与肺经伏热证密切相关;痰湿质与脾气虚弱证及肺脾气虚证密切相关;湿热质与肺经伏热证密切相关;特禀质与肺经伏热证密切相关;气郁质、血瘀质与各中医证型间无明显相关性。结论：中医体质与中医证型间密切相关，研究二者相关性为AR的预防、诊治和预后调护提供了新思路。

关键词 变应性鼻炎;鼻鼽;横断面研究;中医体质;中医证型;分布规律;相关性研究;特禀质;脾气虚弱证;肺脾气虚证

Study on the Correlation between Chinese Medicine Constitution and Chinese Medicine Syndromes in 283 Patients with Allergic Rhinitis

GUO Xiaoqing1，ZHU Renliang2，LUO Qiulan2

（1 Guangzhou University of Chinese Medicine，Guangzhou 510405，China; 2 Guangdong Hospital of Traditional Chinese Medicine，Guangzhou 510120，China）

Abstract Objective：To study the distribution regularity of Chinese Medicine（CM） constitution and CM syndromes in patients with allergic rhinitis and explore the correlation between them.Methods：A total of 283 patients with allergic rhinitis who visited Guangdong Hospital of Traditional Chinese Medicine from July 2018 to December 2018 were enrolled.The cross-sectional study were applied to analyze their CM constitution and CM syndromes and the correlation between them was explored.Results：The main constitutional types of patients with allergic rhinitis are allergic constitution、yang deficiency constitution and qi deficiency constitution，while the main CM syndromes are spleen-qi deficiency syndrome，lung-spleen-qi deficiency syndrome and lung-meridian-accumulated-heat syndrome.Some CM constitutions are closely related to CM syndromes：qi deficiency constitution is closely related to lung-qi deficiency and cold syndrome，yang deficiency constitution is closely related to kidney-yang deficiency syndrome，yin deficiency constitution is closely related to lung meridian heat accumulation syndrome，phlegm dampness constitution is closely related to spleen-qi deficiency syndrome and lung-spleen-qi deficiency syndrome，dampness heat constitution is closely related to lung meridian heat accumulation syndrome，and allergic constitution is closely related to lung-meridian-accumulated-heat syndrome.There was no significant correlation between qi-depression constitution，blood-stasis constitution and CM syndromes.Conclusion：CM constitutions are closely related to CM syndromes.The study of the correlation between them provides a new idea for the prevention，treatment and prognosis care of allergic rhinitis.

Keywords Allergic rhinitis; Biqiu; Cross-sectional study; Constitution; Syndrome types; Distribution regularity; The study of relevance; Allergic constitution; Spleen-qi deficiency; Lung-qi deficiency

中图分類号：R276.1文献标识码：Adoi：10.3969/j.issn.1673-7202.2020.15.027

变应性鼻炎（Allergic Rhinitis，AR）是指机体暴露于变应原后，主要由IgE介导而发生于鼻黏膜的非感染性慢性炎性疾病[1]，该病起病症状主要表现为鼻痒、打喷嚏、鼻塞及流清涕。随着工业化程度的提高，人口分布逐渐密集化，自然环境污染的日益加剧，居住环境及条件的改变等因素，人体接触到异气异味及变应原的机会增多，使得AR的发病率呈现上升趋势。据相关研究报道，其在全球范围内的发病率约为10%～40%[2]，而在中国地区的发病率可高达17.6%[3]。……