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饮食性味偏好与过敏性鼻炎症  文件类型:PDF/Adobe Acrobat   文件大小:字节
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饮食性味偏好与过敏性鼻炎症饮食性味偏好与过敏性鼻炎症 严重 之关 初探
Exploring the Relationship Between the Character of Diet and the
Severity of Clinical Symptoms in Allergic Rhinitis
中文摘要
近 传统中医发展蓬勃,实证中医药的研究报告持续增加,一般人对於中医的
接受 提高,但中医治 疾病时常常需要相关性味的饮食配合,此种 法却多
未经证实.因此本研究之目的在探讨过敏性鼻炎患者接受中医治 时,偏好摄取
寒性食物与过敏性鼻炎症 严重 间之关 ,以做为日后过敏性鼻炎中医 床治
及卫教之依据.研究中采横断式调查研究法,以方 取样台湾 区某私 医学
中心之中医门诊,符合取样标准之197位过敏性鼻炎患者为研究对象,采结构式
问卷收集资 .
研究结果显示,兄弟姊妹间排 第一位之个案 患过敏性鼻炎的机 较高,兄弟
姊妹人 愈多症 愈轻,有过敏性疾病史的个案, 床症 得分与血清IgE总
及 床症 严重 与血清IgE总 高低都明显较高,而男性血清IgE总 则明显
高於 性(p=.007).过敏性鼻炎个案的血清IgE总 随著 龄的增长而 低(r
=-.22),症 得分也会随著 龄的增长而 低(r=-.164).个案摄取寒性食
物摄取比 值愈高,血清IgE总 愈高(r=.178),寒性食物摄取比 值每增加
1%,过敏性鼻炎重 床表徵增加1.047倍的机 (p=.006),肺脾气虚型个案
寒性食物摄取比 值每增加1%,会增加过敏性鼻炎重 床表徵1.109倍的机
(p=.023),寒性食物摄取比 值每增加1%,高血清IgE总 提高1.037倍
的机 (p=.023).寒性食物摄取比 值,个案过敏疾病史及过去曾经接受中医
治 经验等三项解释变项,最能解释过敏性鼻炎 床症 严重 的变 (R2
=10.8%). 龄,寒性食物摄取比 值,个案过敏疾病史及性别等四项解释变
项最能解释过敏性鼻炎个案血清IgE总 高低的变 (R2=13.1%).因此研
究结果发现过敏性鼻炎个案偏好寒性食物摄取者,有较严重的过敏性鼻炎 床症
表现及较高的血清IgE总 .
英文摘要
Traditional Chinese medicine has been widely used and accepted in the Chinese
society for many years, more and more reports of Chinese medicine have been
published with evidence-based studies in recent years. Though the concept of suitable
dietary control under the treatment of Chinese medicine is taught and practiced, but its
validity is not proven yet. The purpose of this study is to explore the relationship
between the predilection of cold type diet and the severity of clinical symptoms in
allergic rhinitis, in the hope of leading to a new concept of dietary control in the
treatment of allergic rhinitis by traditional Chinese medicine. A cross-sectional study
was conducted using convenience sampling with a structured questionnaire. 197
subjects were enrolled through the out patient department of Chinese medicine in a
private medical center of north Taiwan.
The results of this study showed that the elder sibling of family suffered higher
incidence of allergic rhinitis as compared with other members of the families,
nevertheless, more number of siblings in the family suffered less clinical symptom of
allergic rhinitis in this study. The patients with allergic history got more higher
symptomatic score; total serum IgE level and severe clinical symptom as compared
with non-allergic history, and male patients had higher total serum IgE level than
female (p=.007) and inversely total serum IgE level (r=-.22) and symptomatic score
(r=-.164) were related with age. Serum IgE level was also related with the ratio of
cold character diet that patients took in their diets (r=.178), we found the cold
character of diet can increase 1.047 times of all patients (p=.006) and 1.109 times of
the patients belongs to the group of lung-spleen qi vacuity (p=.023) in the seriousness
of clinical symptom, and 1.037 times of total serum IgE levels of all patients
(p=.023).
In this study we found the ratio of cold character diet intake; history of allergic
diseases and the experience of treatment by Chinese medicine could explain the
response variable of the severity of clinical symptom (R2=10.8%); the ratio of cold
character diet intake; sex; age and history of allergic diseases could explain the
response variable of the severity of serum IgE level (R2=13.1%), so we concluded,
the patients of allergic rhinitis suffered more severe clinical symptom and higher total
serum IgE level when they took higher ratio of cold character food in their diets.
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