皮膚疾病就醫行為及臨床處方與氣象因子相關分析初探－以東部某醫院中醫門診為例

A preliminary study on the correlation analysis between medical treatment behaviors and clinical prescriptions of skin diseases and meteorological factors-Take the TCM clinic of a hospital in the eastern Taiwan as an example

謝明穎(Ming-Ying Hsieh) ； 鄒牧帆(Mu-Fan Tsou) ； 何宗融(Tsung-Jung Ho) ； 葉明憲(Ming-Hsien Yeh) ； 陳怡真(Yi-Chen Chen)

《中西整合醫學雜誌》 24卷1期 (2022/06) Pp. 19-33

摘要

本文回溯2015年11月至2018年11月間，東部某醫院中醫部門診皮膚疾病（ICD9：690－698）就診人次與氣象因子之關聯，以相關係數及逐步回歸分析進行統計，發現當平均相對濕度越高時，因皮膚疾病為主診斷就診病人數占率越高（p＜0.05）。臨床用藥分析中，複方前十名有五項與化濕作用有關，單味藥最常被使用則為枳實，次為大黃，兩者均可幫助腸胃蠕動以及大便排出，而大便的排出是人體藉以排出體內水濕的重要方式之一。因此不論在複方或單味藥的使用上均可見祛濕為處理皮膚疾病的常用處方。中醫治病注重因人因時因地制宜，未來或可將研究範圍擴大至全台灣，以進一步探究台灣各地不同氣象因子與皮膚疾患的關聯，提供臨床醫師作為三因制宜皮膚疾患的精準醫療參考。

關鍵字

皮膚疾病 ； 氣象因子 ； 就醫行為 ； 用藥分析

並列摘要

This article traced back to the relationship between the number of patients with skin diseases (ICD9:690-698) and meteorological factors in the traditional Chinese medicine department of a hospital in eastern Taiwan from November 2015 to November 2018. Based on the correlation coefficient and stepwise regression analysis, it was found that when the average relative humidity is higher, the proportion of patients with skin diseases as the main diagnosis is higher (p <0.05). In drug analysis, five of the top ten compound prescriptions are related to the dehumidification effect. On the other hand, the most commonly used of single-medicine is poncirus trifoliata, followed by rhubarb, both of which can help gastrointestinal peristalsis and excretion of stool, and stool is one of the important ways to discharge dampness in the body. Therefore, no matter in the use of compound or single-medicine, it can be seen that dispelling dampness is a common prescription for treating skin diseases. Traditional Chinese medicine (TCM) treatments focus on three indexes, that are individual, time, and local conditions. In the future, the research scope may be expanded to the whole of Taiwan for further exploring the relationship among different meteorological factors and skin diseases in various parts of Taiwan, and providing clinicians a reference for precision medical therapeutic strategy for skin diseases based on these three factors.

並列關鍵字

Skin diseases ； meteorological factors ； medical treatment behavior ； medication analysis

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