广州中医药大学学报2026，Vol.43Issue(2)：299-304,6.DOI:10.13359/j.cnki.gzxbtcm.2026.02.003
强直性脊柱炎不同中医证候类型的分布规律及影响因素研究
Distribution Patterns and Influencing Factors of Different TCM Syndromes in Ankylosing Spondylitis
摘要
Abstract
Objective To investigate the distribution patterns of different traditional Chinese medicine(TCM)syndromes and their related influencing factors in patients with ankylosing spondylitis(AS).Methods A retrospective analysis was conducted on 116 AS patients admitted to the Rheumatology Department of Taihe Traditional Chinese Medicine Hospital Affiliated to Anhui University of Chinese Medicine between June 2022 and March 2024.Clinical data and socio-demographic information were collected and organized using Excel software.The distribution patterns of TCM syndromes in AS patients were summarized,and differences in initial symptoms as well as potential influencing factors across different TCM syndrome types were explored.Results(1)Regarding gender distribution,among the 116 patients,80 were male(68.96%)and 36 were female(31.04%).In terms of dietary habits,55 patients(47.41%)reported excessive consumption of spicy,fatty,sweet,and greasy foods,while 24 patients(20.69%)reported excessive consumption of raw and cold foods.Twenty-five patients(21.55%)had a history of smoking,and 14 patients(12.07%)had a history of alcohol consumption.The mean age of onset was(30.06±12.68)years,with the highest proportion(40.52%,47/116)in the 21-30 years age group.(2)Regarding syndrome distribution,the most common TCM syndrome type was kidney deficiency with damp-heat syndrome,accounting for 84.48%(98/116),while kidney deficiency with governor vessel cold syndrome was less common,accounting for only 15.52%(18/116).(3)Regarding initial symptoms,85 patients(73.28%)primarily presented with axial joint pain,of which there were 76 cases(89.41%)of kidney deficiency with damp-heat syndrome and 9 cases(10.59%)of kidney deficiency with governor vessel cold syndrome;23 patients(19.83%)primarily presented with both axial and peripheral joint pain,of which there were 15 cases(65.22%)of kidney deficiency with damp-heat syndrome and 8 cases(34.78%)of kidney deficiency with governor vessel cold syndrome.Statistically significant differences were observed in the initial symptoms across different syndrome types(P＜0.05 or P＜0.01).(4)Regarding influencing factors,no statistically significant differences were found in age,gender,history of alcohol consumption,smoking history,or excessive consumption of raw and cold foods among patients with different TCM syndrome types(P＞0.05).However,statistically significant differences were observed in the consumption of spicy,fatty,sweet,and greasy foods and exercise habits among patients with different TCM syndrome types(P＜0.05).Conclusion AS predominantly affects young and middle-aged adults,with kidney deficiency with damp-heat syndrome being the most common TCM syndrome type.The initial symptoms vary among patients with different TCM syndrome types,which may be related to dietary habits and exercise habits.关键词
强直性脊柱炎/中医证候类型/肾虚湿热证/肾虚督寒型/首发症状/影响因素/饮食习惯/运动情况Key words
ankylosing spondylitis/TCM syndrome types/kidney deficiency with damp-heat syndrome/kidney deficiency with governor vessel cold syndrome/initial symptoms/influencing factors/dietary habits/exercise habits分类
医药卫生引用本文复制引用
张晓莉,马伟伟,陈梦真,韩双,王青松..强直性脊柱炎不同中医证候类型的分布规律及影响因素研究[J].广州中医药大学学报,2026,43(2):299-304,6.基金项目
安徽省科学技术厅临床医学研究转化专项基金项目(编号:202304295107020116) （编号:202304295107020116）
安徽中医药大学科研基金资助项目(编号:2021LCTH39,2023LCTH46) （编号:2021LCTH39,2023LCTH46）
