| 支气管扩张证中医辨证分型规律的研究 |
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| 引用本文： | 张惠勇,李欣,倪伟,陈凤鸣,邵长荣. 支气管扩张证中医辨证分型规律的研究[J]. 上海中医药杂志, 2005, 39(1): 16-18 |
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| 作者姓名： | 张惠勇 李欣 倪伟 陈凤鸣 邵长荣 |
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| 作者单位： | 上海中医药大学附属龙华医院,上海,200032;上海中医药大学附属龙华医院,上海,200032;上海中医药大学附属龙华医院,上海,200032;上海中医药大学附属龙华医院,上海,200032;上海中医药大学附属龙华医院,上海,200032 |
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| 摘 要： | 研究支气管扩张证中医辨证分型规律。通过文献资料系统回顾和大样本临床流行病学的前瞻性调查研究，初步总结支扩辨证分型规律，并分析支扩的证候分布规律与痰培养、影像学表现的相关性。结果：文献回顾初步认为支扩分为五型：痰热壅肺证(44．61％)、肝火犯肺证(28．55%)、肺阴虚证(16．71％)、寒痰阻肺证(4．54%)、气虚血瘀证(2．76％)；对563例支扩患者的调查显示，在临床上支扩多见四种证型，包括痰热壅肺证(45．65％)、肝火犯肺证(24．51％)、肺脾气虚证(22．38％)、气阴两虚证(7．46％)。证候分布与痰培养、影像学表现无相关性。提示较大样本的临床流行病学调查为研究支扩辨证分型规律提供了科学依据，并可通过主症判别分析法建立证候识别模式指导临床实践。
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| 关 键 词： | 支气管扩张证 辨证分型 临床流行病学 聚类分析 证候识别 |
| 文章编号： | 1007-1334(2005)01-0016-03 |
Chinese Medical Syndrome Differentiation Laws of Bronchiectasis |
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| ZHANG Hui-yong LI Xin NI Wei CHEN Feng-ming SHAO Chang-rongLonghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine. Chinese Medical Syndrome Differentiation Laws of Bronchiectasis[J]. Shanghai Journal of Traditional Chinese Medicine, 2005, 39(1): 16-18 |
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| Authors: | ZHANG Hui-yong LI Xin NI Wei CHEN Feng-ming SHAO Chang-rongLonghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine |
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| Affiliation: | ZHANG Hui-yong LI Xin NI Wei CHEN Feng-ming SHAO Chang-rongLonghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine |
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| Abstract: | This paper studies the Chinese medical syndrome differentiation laws of bronchiectasis. Retrospective data analysis and prospective epidemiological survey were conducted. Results: Phlegm heat in lungs accounted for 44.6%, liver fire invading lungs for 28.55%, lung yin deficiency for 16.71%, cold phlegm obstructing lungs for 4.54%, and qi deficiency and blood stasis for 2.76%; the syndrome differentiation was in no relation with sputum culture and X-ray results. |
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| Keywords: | Bronchiectasis syndrome differentiation clinical epidemiology |
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