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弥漫性肺间质疾病中医证候及其临床特征分析
引用本文:李亚,李素云,李建生,王明航,王海峰,邓丽,赵栋梁,田燕歌,姜素丽,杨小静. 弥漫性肺间质疾病中医证候及其临床特征分析[J]. 中华中医药杂志, 2011, 0(12): 2852-2855
作者姓名:李亚  李素云  李建生  王明航  王海峰  邓丽  赵栋梁  田燕歌  姜素丽  杨小静
作者单位:河南中医学院第一附属医院呼吸病研究室;河南中医学院老年医学研究所;
基金项目:河南省高校新世纪优秀人才支持计划(No.2006HANCET-05)~~
摘    要:
目的:通过对住院病例的回顾性调查,探讨弥漫性肺间质疾病中医证候及其临床症状特征,以指导中医临床辨证。方法:根据对弥漫性肺间质疾病中医临床研究的流行病学调查要求,制订《弥漫性肺间质疾病回顾性研究调查表》,并据其建立弥漫性肺间质疾病证候研究数据库,采用SPSS 13.0 For Windows统计软件进行统计描述、Logistic回归分析和聚类分析进行数据处理。结果:共收集到合格病例475例,中医证候诊断出现频率较高的证候为痰热壅肺证(37.47%)、痰瘀阻肺证(32.00%)、肺肾气虚证(31.58%)、痰湿(浊)阻肺证(17.89%)、气阴两虚证(14.32%)等;根据各主要证候的症状特征构建的Logistic回归方程,对证候的判别准确率达74%以上;结合专业知识对主要症状进行聚类分析,得到痰瘀阻肺证、痰湿(浊)阻肺证、痰热壅肺证、肺肾气虚证、气阴两虚证5个基本类别。结论:弥漫性肺间质疾病主要证候有痰瘀阻肺证、痰湿(浊)阻肺证、痰热壅肺证、肺肾气虚证、气阴两虚证等,可作为进一步开展弥漫性肺间质疾病中医证候研究参考和依据。

关 键 词:弥漫性肺间质疾病  中医证候  回顾性调查

Study on TCM syndromes and clinical features of diffuse interstitial lung disease
LI Ya,LI Su-yun,LI Jian-sheng,,WANG Ming-hang,WANG Hai-feng,DENG Li,ZHAO Dong-liang,TIAN Yan-ge,JIANG Su-li,YANG Xiao-jing. Study on TCM syndromes and clinical features of diffuse interstitial lung disease[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2011, 0(12): 2852-2855
Authors:LI Ya  LI Su-yun  LI Jian-sheng    WANG Ming-hang  WANG Hai-feng  DENG Li  ZHAO Dong-liang  TIAN Yan-ge  JIANG Su-li  YANG Xiao-jing
Affiliation:LI Ya1,LI Su-yun1,LI Jian-sheng1,2,WANG Ming-hang1,WANG Hai-feng1,DENG Li2,ZHAO Dong-liang2,TIAN Yan-ge2,JIANG Su-li2,YANG Xiao-jing1(1Respiratory Institute of the First Affiliated Hospital of Henan University of TCM,Zhengzhou 450000,China,2Geriatric Institute of Henan University of TCM,Zhengzhou 450008,China)
Abstract:
Objectives: To investigate the basic syndrome types and their main symptom features of diffuse interstitial lung disease(DILD) through the retrospective investigation of hospitalized cases,for guiding TCM differentiation.Methods: Based on the requirements of TCM epidemiological investigation of DILD clinical research,Diffuse Interstitial Lung Disease Retrospective Study Questionnaire was set up,and also the database of TCM essential elements and syndromes.SPSS 13.0 For Windows software was adopted for stati...
Keywords:Diffuse interstitial lung disease(DILD)  TCM syndromes  Retrospective study  
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