光明中医2025，Vol.40Issue(16)：3385-3388,4.DOI:10.3969/j.issn.1003-8914.2025.16.004
重症患者肠功能障碍的中医证型特点和危险因素与证型的相关性
Characteristics of Traditional Chinese Medicine Syndrome Types in Critically Ill Patients with Intestinal Dysfunction and the Correlation between Risk Factors and Syndrome Types
摘要
Abstract
Objective To explore the characteristics of traditional Chinese medicine(TCM)syndrome types in critically ill patients with intestinal dysfunction and the correlation between risk factors and TCM syndrome types,so as to provide reference for clinical practice.Methods From November 2021 to May 2024,111 patients from Department of Critical Care Medicine of Yuxi Hospital of Traditional Chinese Medicine were selected and divided into an observation group(26 cases)and a control group(85 cases).The possible risk factors for gastrointestinal dysfunction and TCM syndrome types were statistically analyzed,so as to summarize the risk factors of intestinal dysfunction in critically ill patients,as well as the characteristics and correlation of TCM syndrome types.Results There was no statistically significant difference between the two groups in the proportions of qi-yin deficiency syndrome,lung-spleen deficiency syndrome,spleen deficiency with excessive dampness syndrome,yin deficiency with phlegm-heat syndrome,and phlegm-turbidity internal accumulation syndrome(P>0.05).The proportion of yang-qi deficiency syndrome in the observation group was higher than that in the control group(P<0.05).Conclusion The TCM syndromes of intestinal dysfunction are commonly qi-yin deficiency,lung-spleen deficiency,spleen deficiency with excessive dampness,yang-qi deficiency,phlegm-turbidity internal accumulation,and yin deficiency with phlegm-heat,among which patients with yang-qi deficiency syndrome may be more prone to intestinal dysfunction.Generally,the fundamental syndromes are qi deficiency and yin deficiency,while phlegm-turbidity and water-dampness are the superficial manifestations.Acute interstitial pneumonia,acute cerebrovascular accident,acute craniocerebral injury,A-aDO2 more than 440 mm Hg(1 mm Hg ≈ 0.133 kPa)and total bilirubin more than 200 µmol/L may be risk factors for intestinal dysfunction in critically ill patients.Moreover,acute interstitial pneumonia is often accompanied by yang-qi deficiency syndrome;lung diffusion dysfunction is often seen in qi-yin deficiency syndrome and lung-spleen deficiency syndrome;liver and gallbladder failure is often associated with spleen deficiency with excessive dampness syndrome;and the syndrome types of acute cerebrovascular accident and acute craniocerebral injury are relatively scattered.关键词
痞满/肠功能障碍/中医证型Key words
distention and fullness/intestinal dysfunction/traditional Chinese medicine syndrome分类
医药卫生引用本文复制引用
施燎明,杨丽萍..重症患者肠功能障碍的中医证型特点和危险因素与证型的相关性[J].光明中医,2025,40(16):3385-3388,4.基金项目
玉溪市中医医院院内科研项目(No.2021006) （No.2021006）
