【目的】 回顾性分析岭南地区皮肤溃疡病例的临床资料，探讨其中医证型分布特点及相关影响因素。【方法】 收集2012年 8月至2022年7月在广东省中医院皮肤科住院治疗的241例皮肤溃疡患者的临床资料，分析其临床特点和中医证型分布规律。 【结果】（1）临床特点方面，241例皮肤溃疡患者的发病年龄从10岁到98岁不等，其中70～79岁的年龄段是发病的高发区间； 病程从 1周到 20余年不等，而且大部分患者的病程在 1～5年之间；241例皮肤溃疡患者中，以男性为主，男女患病比例为 1.62∶1；皮肤溃疡发病率最高的部位为下肢200例（82.99%）， 其次为躯干17 例（7.05%）、全身多发 13例（5.39%）、上肢9 例 （3.73%）、头面部 2 例（0.83%）。其不同性别病变部位分布比较，差异无统计学意义（P＞0.05）。（2）中医证型分布方面， 241例皮肤溃疡患者中，以湿热瘀阻证最为常见（46.89%），其他按百分比由高到低依次为脾虚湿盛证（27.39%）、气虚血瘀证 （14.11%）、气阴两虚证（11.62%）。4种中医证型的性别分布比较，差异无统计学意义（P＞0.05），但其发病年龄段分布比较， 差异有统计学意义（P＜0.05）。【结论】 岭南地区皮肤溃疡患者的发病年龄、性别、部位和病程分布等均存在一定差异，中医 证型分布以湿热瘀阻证占比最多。

Objective To retrospectively analyze the clinical data of skin ulcer patients in Lingnan area，and to explore the distribution of traditional Chinese medicine（TCM）syndrome types and their related influencing factors. Methods The clinical data of 241 patients with skin ulcer who were hospitalized in the Department of Dermatology， Guangdong Provincial Hospital of Chinese Medicine from August 2012 to July 2022 were collected， and their clinical characteristics and distribution of TCM syndrome types were analyzed. Results（1）The analysis of clinical characteristics showed that the age of the 241 patients with skin ulcers ranged from 10 years old to 98 years old， and the patients aged 70-79 years had the high incidence；the course of disease ranged from one week to more than 20 years，and most of the patients had the course of disease being 1-5 year（s）；most of the patients were male， and the ratio of male to female was 1.62∶1；a total of 200 cases（82.99%）suffered skin ulcers in the lower limbs， 17 cases（7.05%）suffered skin ulcers in the trunk，13 cases（5.39%）suffered multiple skin ulcers in the whole body，9 cases（3.73%）suffered skin ulcers in the upper limbs，and 2 cases（0.83%）suffered skin ulcers in the head and face. There was no significant difference in the gender and foci of the patients（P＞0.05）.（2）The distribution of TCM syndrome types showed that among the 241 patients with skin ulcers，damp-heat and stasis obstruction syndrome was the most common（46.89%），followed by spleen deficiency with predominant dampness syndrome（27.39%），qi deficiency and blood stasis syndrome（14.11%），and qi and yin deficiency syndrome （11.62%）. There was no significant difference in the gender among the four TCM syndrome types（P＞0.05），but there was significant difference in the age of the patients（P＜0.05）. Conclusion There were certain differences exert in the distribution of the age，gender，foci and course of disease in the patients with skin ulcers in Lingnan area，and the damp-heat and stasis obstruction syndrome is the most common type of the patients.

R275.9

国家中医药管理局中医学术流派传承工作室建设项目-岭南皮肤病流派传承工作室（编号：LP0119045）；国家中医药管理局禤国维 国医大师传承工作室（国中医药办人教发 〔2015〕 24 号）；佛山市“十四五”医学培育专科项目（编号：FSPY145205）