中国中医急症2025，Vol.34Issue(10)：1612-1616,5.DOI:10.3969/j.issn.1004-745X.2025.10.010
肺炎支原体肺炎痰热闭肺型重症风险预警研究分析
Analysis of Risk Warning for Severe Mycoplasma Pneumonia with Syndrome of Phlegm-Heat Obstructing Lung
摘要
Abstract
Objective:To investigate the impact of tongue and pulse characteristics,imaging findings,and labo-ratory indicators on the progression to severe mycoplasma pneumonia(MPP)with syndrome of phlegm-heat ob-structing lung,providing reference for early identification of severe cases in clinical practice.Methods:A retro-spective analysis was conducted on 200 MPP patients(144 mild cases and 56 severe cases).Chi-square tests and multivariate logistic regression analysis were used to compare differences in tongue quality,tongue coating,pulse condition,imaging features,and laboratory indicators between the two groups,identifying risk factors associated with severity.Results:There were no significant differences in gender and age between the two groups(P>0.05).Tongue and pulse characteristics:In the severe group,red tongue quality was more common(P<0.05),thick yel-low greasy tongue coating was predominant(P<0.05),and slippery rapid pulse was frequently observed(P<0.05).Imaging findings:Pulmonary consolidation was more common in the severe group(P<0.05),but the positive rates of tree-in-bud sign and ground-glass opacity were lower(both P<0.05).Laboratory indicators:The proportion of elevated lactate dehydrogenase(LDH)was significantly higher in the severe group than in the mild group(P<0.05).Conclusion:Red tongue quality,thick yellow greasy tongue coating,slippery rapid pulse,pulmonary consol-idation,and elevated LDH may be associated with the progression to severe MPP with syndrome of phlegm-heat obstructing lung,which may serve as potential early predictive indicators.关键词
支原体肺炎/痰热闭肺证/舌脉/重症肺炎/预警Key words
Mycoplasma pneumonia/Syndrome of phlegm-heat obstructing lung/Tongue and pulse/Severe pneumonia/Early warning分类
医药卫生引用本文复制引用
林长华,廖木兰,邓丽珠,田丽,廖良忠,张鹏,陈曦,宋连英..肺炎支原体肺炎痰热闭肺型重症风险预警研究分析[J].中国中医急症,2025,34(10):1612-1616,5.基金项目
北京中医药大学教育科学研究课题(XJY22074) （XJY22074）
北京中医药大学教育教学改革专项课题(XJYZ25020) （XJYZ25020）
