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原发性干燥综合征合并肺间质病变中医证候与高分辨CT特征的研究

刘洋 董振华 郝伟欣

北京中医药大学学报2016,Vol.39Issue(7):610-613,4.
北京中医药大学学报2016,Vol.39Issue(7):610-613,4.DOI:10.3969/j.issn.1006-2157.2016.07.016

原发性干燥综合征合并肺间质病变中医证候与高分辨CT特征的研究

Relationship between TCM patterns and high-resolution CT imaging fea-tures of primary Sjogren ’ s syndrome patients with interstitial lung disease

刘洋 1董振华 2郝伟欣2

作者信息

  • 1. 北京积水潭医院 北京100035
  • 2. 中国医学科学院北京协和医学院
  • 折叠

摘要

Abstract

Objective To analyze the relationship between the clinical manifestations of TCM patterns and high-resolution CT (HRCT) imaging features in primary Sjogren’s syndrome (pSS) patients with in-terstitial lung disease ( pSS-ILD) .Methods A retrospective study on 75 cases with pSS-ILD was con-ducted to analyze the distribution of TCM patterns and chest HRCT staging and their correlation . Results Among 75 cases , there were three principal TCM patterns , which were deficiency pattern , ex-cess pattern and deficiency-excess complex pattern .They could be further divided into 8 patterns in which and lung qi and yin deficiency pattern were the most frequent (29.3%), lung qi and yin deficiency with phlegm obstructing lung pattern (28%) .Correlation analysis showed that the more severe the lesion de-gree of HRCT imaging was, the more frequent the lung qi and yin deficiency pattern was (85.7%, P=0.020) .Conclusion TCM pathogenesis of pSS-ILD is a deficiency-excess complex pattern with a defi-ciency root and excess manifestation .There is certain relevance between TCM pattern and the lesion de-gree in HRCT imaging .

关键词

干燥综合征/间质性肺病/中医证候/胸部高分辨CT

Key words

Sjogren’ s syndrome/interstitial lung disease/TCM patterns/chest high-resolution CT

分类

医药卫生

引用本文复制引用

刘洋,董振华,郝伟欣..原发性干燥综合征合并肺间质病变中医证候与高分辨CT特征的研究[J].北京中医药大学学报,2016,39(7):610-613,4.

基金项目

北京市自然科学基金资助项目 ()

北京中医药大学学报

OA北大核心CSCDCSTPCD

1006-2157

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