| 摘要: | 痤瘡是青少年最常見皮膚病之一。西醫將之定義為「皮膚附屬器官疾病」，多著眼於膚質、內分泌、細菌感染、生活習慣等外在因素。中醫則傾向由內而外，以中醫觀點而言，疾病的發生與體質的強弱和致病邪氣的性質密切相關。本研究之目的在探討男性大學生中醫體質與痤瘡之關係，以及痤瘡與生活型態因子之相關性。本研究之方法採橫斷式研究設計及立意取樣問卷調查方式，以南部某大學之男性大學生為收案對象，共計收取有效問卷120份。問卷內容包括研究對象基本特性、痤瘡嚴重程度、中醫體質、壓力知覺、生活型態及卡的夫痤瘡指數量表。結果顯示男性大學生中醫體質類型以含陰虛體質者居多（56.7%），多變項羅吉斯迴歸分析結果發現，陰虛體質者罹患痤瘡，為非陰虛體質者之9.49倍 (p = 0.001)，壓力知覺總分每增加一分，罹患痤瘡之勝算比增加14% (p = 0.002)。此外，痤瘡嚴重程度與飲用碳酸飲料或含糖飲料(經常相對很少之勝算比：6.31，p = 0.044）、使用防曬用品（經常相對很少之勝算比：9.99，p = 0.015）與睡眠品質（尚可相對非常好之勝算比：0.16，p = 0.032）呈顯著關係。卡的夫痤瘡指數量表得分顯示痤瘡程度越嚴重者，其生活品質受到痤瘡之影響越大 (p < 0.001)。本研究結論為男性大學生之中醫體質，以陰虛體質居多，而陰虛體質者罹患痤瘡較多。建議學生多認識自身的中醫體質狀況，根據體質的徵候，調整生活習慣，維持陰陽平衡，以達到預防痤瘡和其他疾病的發生，並同時提升生活品質。
Acne vulgaris, commonly known as acne, is one of the most common skin diseases in adolescents. In Western medicine, it is considered as a disease of the skin appendages and has mainly been focused on external factors including skin types, hormonal activities, infections, and lifestyle factors. In Chinese medicine, acne is considered as a disease originated from internal impairments. Occurrence of any diseases is strongly affected by the integrity of the body constitution and pathogens. The objective of this study is to investigate the association between Chinese body constitution and severity of acne as well as the association between acne and lifestyle factors in male university students. A cross-sectional purposive sampling study design was used to survey 120 male students in a university located in south Taiwan. The questionnaire included items on demographics, severity of acne, Chinese body constitution, perceived stress levels, lifestyle factors, and the Cardiff Acne Disability Index. Results indicated that 56.7 percent of the students were of Yin deficiency (Yin-Xu) body constitution type. Multivariate logistic regression analysis found that the odds of acne was 9.49 times (p = 0.001) in Yin deficiency students compared to those who were not non-Yin-deficiency. For every one unit of increase in perceived stress level, the odds of acne increased by 14 percent ( p = 0.002). In addition, the severity of acne was significantly associated with the use of carbonated beverages (often versus rarely, odds ratio = 6.31, p = 0.044), the use of sunscreen (often versus rarely, odds ratio = 9.99, p = 0.015), and sleeping quality (fairly good versus very good, odds ratio = 0.16, p = 0.032). Cardiff Acne Disability Index indicated that greater severity of the acne was associated with worse quality of life ( p<0.001). In conclusion, most male university students were of Yin-deficiency body constitution. Yin-deficiency body constitution was associated with greater occurrence of acne. Students should be aware of their own body constitution and adjust their lifestyle to achieve a balance in Yin and Yang. This will not only prevent the occurrence of acne and other diseases, but also improve the quality of life. |
