甘肃中医药大学学报2025，Vol.42Issue(3)：36-41,6.DOI:10.16841/j.issn1003-8450.2025.03.05
西藏日喀则市社区获得性肺炎患者中医证候分布研究
Distribution patterns of traditional Chinese medicine syndromes in community-acquired pneumonia patients in Shigatse,Xizang
摘要
Abstract
Objective To investigate the distribution characteristics of traditional Chinese medicine(TCM)syndromes in patients with community-acquired pneumonia(CAP)in the Shigatse City of Xizang Autonomous Re-gion.Methods A cross-sectional study was conducted on 174 CAP patients in Shigatse,Xizang,from August 2022 to January 2023.The distribution patterns of TCM syndromes were analyzed,including syndrome classification and frequency analysis.Factor analysis and cluster analysis were then performed on the TCM syndromes.Results The most frequently observed TCM symptoms in CAP patients included shortness of breath and fatigue,palpitations and insomnia,chest tightness and rapid breathing,excessive phlegm and wheezing,and heavy limbs.The three factors with the highest concentration of related variables were Factor 1(shortness of breath and fatigue,spontaneous swea-ting,aversion to wind,pale tongue,and thready rapid pulse),Factor 3(fever,dysphoria in chest palms-soles,palpi-tations and insomnia,thirst with preference for drinks),and Factor 6(heavy limbs,poor appetite,chest tightness and rapid breathing).The TCM syndromes were clustered into four categories,primarily characterized by cold-dampness stagnating in the lung syndrome,lung dryness and yin deficiency syndrome,phlegm-stasis mutual binding syndrome,and lung-spleen qi deficiency syndrome.Conclusion The TCM syndromes of CAP patients in the Shigatse City are mainly characterized by co-occurring dryness and dampness,cold predominating over heat,and phlegm-stasis mutual binding.Clinically,personalized treatment plans can be formulated based on the symptomatic manifestations and physical sign differences of different syndrome types,providing a TCM diagnostic and therapeutic basis for the prevention and control of high-altitude CAP.关键词
日喀则/社区获得性肺炎/中医证候/因子分析/聚类分析Key words
Shigatse/community-acquired pneumonia/traditional Chinese medicine syndromes/factor analysis/cluster analysis分类
医药卫生引用本文复制引用
陈熤,范瑞东,张哲,李丹,孙萌,王庆华,韩力..西藏日喀则市社区获得性肺炎患者中医证候分布研究[J].甘肃中医药大学学报,2025,42(3):36-41,6.基金项目
上海市卫生健康委员会中医药科研项目(2022YZ003) （2022YZ003）
西藏日喀则市级自然科学基金(联合)项目[RKZ2023ZR-016(Z)、RKZ2023ZR-019(Z)、RKZ2023ZR-021(Z)]. （联合）
