世界中医药Issue(3)：265-269,274,6.DOI:10.3969/j.issn.1673-7202.2014.03.001
AECOPD 呼吸衰竭中医证素、证候的分布及与胃肠功能障碍相关研究
Study about Syndrome Elements and TCM Syndromes and the Correlation between the TCM Syndromes and Gastrointestinal Dysfunction of AECOPD with Respiratory Failure
摘要
Abstract
Objective:By cross-sectional survey study of clinical cases of AECOPD with respiratory failure ,come to the Syndrome ele-ments,TCM syndromes,then further analysis the correlation between the TCM syndromes and gastrointestinal dysfunction .Methods:Try selection symptoms contribution to Syndrome elements dialectic table ,Calculate the contribution of each patient's clinical symptoms of the Syndrome elements,selected the Syndrome elements as standard to meet or exceed 20,frequency statistics of Syndrome elements ,come to the common Syndrome elements;according to the Syndrome elements combination TCM syndromes.Last analysis the correlations between TCM syndromes and gastrointestinal dysfunction.Results:1) Aspects of Syndrome elements ,Syndrome elements of disease location:Lung (100%),spleen(81.32%),heart(72.29%),kidney(71.08%);Deficiency Syndrome elements of disease nature:Qi deficiency (92.17%),Yang deficiency(72.29%),Yin deficiency(58.43%).Excess Syndrome elements of disease nature:phlegm(100%),heat (48.8%),fluid-retention(48.19%),blood stasis(47.59%),etc.Aspects of TCM syndromes:syndrome of lung spleen Qi deficiency and turbid phlegm obstructing lung ( 21.69%) , syndrome of lung kidney Qi and Yin deficiency and phlegm-heat obstructing lung (16.27%),syndrome of lung spleen kidney Yang deficiency and phlegm remain in lung (15.06%),which are the major TCM syn-dromes of AECOPD with respiratory failure.2)There are significant differences of major TCM syndromes in the incidence and severity of the gastrointestinal dysfunction (P<0.05).Syndrome of lung spleen kidney deficiency and heart spirit confused by phlegm which has the highest incidence (100%) and highest gastrointestinal dysfunction score (9.7 ±3.3).Conclusion:Phlegm ,Qi deficiency,Yang defi-ciency,Yin deficiency,heat,fluid-retention,blood stasis,which are the major Syndrome elements.Lung,spleen,heart,kidney,which are the major disease location.Syndrome of lung spleen Qi deficiency and turbid phlegm obstructing lung ,syndrome of lung kidney Qi and Yin deficiency and phlegm-heat obstructing lung ,syndrome of lung spleen kidney Yang deficiency and phlegm remain in lung ,which are the major TCM syndromes.There are significant differences of major TCM syndromes in the incidence and severity of the gastrointestinaldysfunction.关键词
慢性阻塞性肺疾病急性加重/呼吸衰竭/证素/中医证候/胃肠功能障碍Key words
AECOPD/Respiratory Failure/Syndrome elements/TCM Syndromes/Gastrointestinal Dysfunction分类
医药卫生引用本文复制引用
付跃峰,刘清泉,蔡阳平,王兰,赵红芳,江其敏..AECOPD 呼吸衰竭中医证素、证候的分布及与胃肠功能障碍相关研究[J].世界中医药,2014,(3):265-269,274,6.基金项目
973计划，“肺与大肠相表里”脏腑相关理论的应用基础研究 （）
