| Purpose:Through analyzed the case history of NO.4 ward in department of dermatology of NO.7 People's Hospital in Shenyang in the past three years, sum up the incidence, the clinical features and the treatment experience of psoriasis in lalocal area, reinforce the cognition of psoriasis to make a better prevention and a better treatment against psoriasis.Material and method:Make a retrospective survey from January 2007 to December 2009, make the registration list of sex, age, occupation, duration of disease season, incentives, past history, family history, disease location, laboratory tests, skin rash, clinical classification, syndrome differentiation, treatment method, length of stay and efficacy of the psoriasis in NO.4 ward in department of dermatology of NO.7 People's Hospital in Shenyang, apply to the Statistical Methods to draw the conclusions.Results:1. General situation: In total 405 patients were treated, from 2007 to 2009, in turn are 127 cases, 129 cases, 149 cases, 233 cases were male and 172 cases were female, male to female ratio was 1.4:1. Age: 5-79 years old, and the average age of 40.08±15.8 years old, the shortest course of disease was four days, and the longest was 50 years. Average length of stay: 22.19±11.62 days.2. Occupation: Most of the psoriasis patients were unemployed, staff, workers and students.3. Pathogenesis season: The first time of this disease happens more common in winter and spring, and more common in spring and summer in recurrent disease.4. Incentives: In 367 cases we did not find the predisposingfactors, and upper respiratory infection was the predisposingfactor for another 28 cases, emotional factors was for another 10.5. Disease history: The patients had one or more of the disease history, except 333 cases deny any of that. The disease history was mainly to hyperlipidemia, hypertension, diabetes, fatty liver and other diseases.6. Personal history: 92 patients had alcohol and other bad habits.7. Family history: 24 patients had a family history of genetic psoriasis. 8. Laboratory examination: Blood hemoglobin decreased of 12 cases; white blood cell increased of 28 cases, decreased of 10 cases; 61 cases of neutrophils increased, decrease of 37 cases; lymphocyte increase of 38 cases, decrease of 56 cases; mononuclear cells increased of 21 cases; eosinophils increase of 36 cases; ESR increase of 9 cases, 24 cases of abnormal urine; A/G decrease of 150 cases, 243 patients with dyslipidemia, 93 patients with abnormal liver function, 15 cases of renal dysfunction, T cell subsets with abnormal in 29 patients, IGE positive 150 cases.9. Clinical feature: silver-white scales, thin film phenomena, petechial hemorrhage.10. Clinical typing: psoriasis vulgaris: 333 cases, psoriasis pustulosa: 26 cases, psoriatic erythroderma: 33 cases, psoriasis arthropathica: 13 cases.11. TCM syndrome-type distribution: blood heat: 259 cases, blood deficiency and dryness: 52 cases, blood stasis type: 34 cases, damp-heat: 25 cases, exuberant heat: 28 cases, qi yin and two injured: 7 cases.12. Treatment outcome: cured: 114 cases, markedly improvement: 253 cases, effective: 33 cases, ineffective: 5 cases, total effective rate: 98.8%.Conclusion:1. Psoriasis is more common in men, happens easily young adults, the course is chronic, increases in winter and spring, relieves in summer, common occupations are unemployed, staff, workers and students, morbidity in city is more than the one in countryside.2. Psoriasis etiology is not clear, but it has some connections with genetic, infectious, immune, metabolic and endocrine, etc.3. Make the differentiating syndromes by tcm and western medicine, treat the psoriasis with internal and external therapy, the effectiveness is prominent. |
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