1.中国中医科学院广安门医院口腔科,北京 100053
2.中国中医科学院望京医院口腔科,北京 100102
朱丽美娜,女,27岁,硕士研究生。研究方向:中医药治疗口腔黏膜病。
贾莉,E-mail:2350706986@qq.com
收稿:2025-02-20,
纸质出版:2026-01-25
移动端阅览
朱丽美娜,路松璋,贾莉.基于中医体质分析口腔扁平苔藓与女性三联征的关系[J].北京中医药,2026,45(1):22-25.
ZHU Limeina,LU Songzhang,JIA Li.Correlation between oral lichen planus and female triad based on TCM constitution[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(01):22-25.
朱丽美娜,路松璋,贾莉.基于中医体质分析口腔扁平苔藓与女性三联征的关系[J].北京中医药,2026,45(1):22-25. DOI: 10.16025/j.1674-1307.2026.01.005.
ZHU Limeina,LU Songzhang,JIA Li.Correlation between oral lichen planus and female triad based on TCM constitution[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(01):22-25. DOI: 10.16025/j.1674-1307.2026.01.005.
目的
2
探讨口腔扁平苔藓患者女性三联征的发病情况及中医体质类型,推动对口腔扁平苔藓患者开展女性三联征早期筛查和诊治工作。
方法
2
选择2024年1月—2024年12月就诊于中国中医科学院广安门医院口腔科的口腔扁平苔藓女性患者187例为观察组,同期就诊的其他口腔疾病女性患者160例为对照组。统计比较2组患者的结节患病情况及中医体质类型。
结果
2
观察组甲状腺结节、乳腺结节、乳腺增生、子宫肌瘤、女性三联征发病率均高于对照组(
P
<
0.05),多处结节或增生性病变的发生率亦高于对照组(
P
<
0.05)。糜烂型口腔扁平苔藓患者女性三联征发病率为28.6%,非糜烂型口腔扁平苔藓患者为34.4%,差异无统计学意义(
P
>
0.05)。观察组气郁质、痰湿质、血瘀质体质比例高于对照组(
P
<
0.05)。
结论
2
口腔扁平苔藓患者甲状腺结节、乳腺增生、子宫肌瘤及女性三联征的发病率高,且患者体质以气郁质、痰湿质、血瘀质为主。
Objective
2
To investigate the incidence of the female triad and the types of traditional Chinese medicine (TCM) constitution in patients with oral lichen planus (OLP), providing a basis for treating OLP with the methods of promoting
qi
circulation, activating blood, and resolving phlegm to disperse nodules, and to promote early screening and diagnosis of the female triad in OLP patients.
Methods
2
A total of 187 female patients with OLP who visited the Department of Stomatology at Guang'anmen Hospital, China Academy of Chinese Medical Sciences from January 2024 to December 2024 were enrolled and assigned to the observation group. During the same period, 160 female patients with other stomatological diseases were assigned to the control group. The incidence of nodules and the types of TCM constitution were compared and analyzed between the two groups.
Results
2
The incidence of thyroid nodules, breast nodules or hyperplasia, uterine fibroids, and the female triad in the observation group was higher than in the control group (
P
<
0.05). The incidence of multiple nodules or hyperplastic lesions was also higher in the observation group (
P
<
0.05). Among the observation group, the incidence of the female triad in patients with erosive OLP was 28.6%, and in patients with non-erosive OLP was 34.4%; the difference was not statistically significant (
P
>
0.05). The proportions of
qi
-stagnation, phlegm-dampness, and blood-stasis constitutions were higher in the observation group than in the control group (
P
<
0.05).
Conclusion
2
Patients with OLP have a higher incidence of thyroid nodules, breast hyperplasia, uterine fibroids, and the female triad, and their TCM constitutions are predominantly
qi
-stagnation, phlegm-dampness, and blood-stasis.
楼雨菲 , 余土根 . 余土根治疗口腔扁平苔藓的临床经验 [J ] . 浙江中医药大学学报 , 2024 , 48 ( 5 ): 632 - 636 .
李玲玲 , 梁伟腾 , 后珉红 . 口腔扁平苔藓患者血清miR-155-5p、SOCS1mRNA水平与病损程度及Th17/Treg失衡的关系 [J ] . 山东医药 , 2024 , 64 ( 13 ): 26 - 29,35 .
黄小瑾 , 张招娣 , 李佳霖 , 等 . 260例口腔扁平苔藓患者的中医体质学研究 [J ] . 中医临床研究 , 2018 , 10 ( 29 ): 11 - 13 .
李韬芝 . “女性三联征”患者“病-证-象”临床观察与分析 [D ] . 北京 : 北京中医药大学 , 2022 .
王翰飞 , 潘孜文 , 朱向东 , 等 . 仝小林从异病同治辨治“女性三联征”的思路和经验探讨 [J ] . 辽宁中医杂志 , 2020 , 47 ( 3 ): 63 - 66 .
资艳 , 陈顺琪 , 何菲妤 , 等 . 从中医体质学角度探究多病共存的防治 [J ] . 中华中医药杂志 , 2024 , 39 ( 11 ): 5801 - 5804 .
中华口腔医学会口腔黏膜病学专业委员会 , 中华口腔医学会中西医结合专业委员会 . 口腔扁平苔藓诊疗指南(修订版) [J ] . 中华口腔医学杂志 , 2022 , 57 ( 2 ): 115 - 121 .
汤怡倩 , 佟庆 , 富斌 , 等 . 甲状腺结节合并乳腺结节和子宫肌瘤患者体质分析及与甲状腺功能、糖脂代谢的关系探讨 [J ] . 北京中医药 , 2024 , 43 ( 5 ): 555 - 558 .
黄杨 , 黄立芳 . 黄立芳从郁论治口腔扁平苔藓经验 [J ] . 江西中医药 , 2021 , 52 ( 12 ): 21 - 22 .
袁志健 . 甲状腺结节、乳腺增生、子宫肌瘤的中医五志问卷调查及三病相关性探讨 [D ] . 成都 : 成都中医药大学 , 2021 .
马胜南 , 张萱 , 孙占学 , 等 . 基于气机升降理论运用升降散治疗孔窍部位皮肤病经验 [J ] . 北京中医药 , 2025 , 44 ( 1 ): 106 - 109 .
韩晓晴 . 清藓饮治疗湿热内蕴型口腔扁平苔藓代谢组学研究 [D ] . 哈尔滨 : 黑龙江中医药大学 , 2022 .
王聪慧 , 张丽萍 , 姜旻 , 等 . 基于气机的圆运动探讨围绝经期女性三联征 [J ] . 中国性科学 , 2024 , 33 ( 10 ): 129 - 132 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备 11010102006710号