80例支气管哮喘患者中医体质分布特点及其与证候的关系

目的 调查80例支气管哮喘患者中医体质类型,研究体质类型与证候分型的关系,为支气管哮喘的中医防治提供依据.方法 对80例支气管哮喘患者采用中医体质问卷进行中医体质调查,并按照王琦分型法分析诊断体质,以进行体质和证候的相关分析.结果 80例支气管哮喘患者体质分布多属于偏颇体质,其中痰湿质占25.0%、气虚质占22.5%、特禀质占17.5%、湿热质占11.2%,为其主要体质类型;肺虚证、脾虚证、兼痰浊证为支气管哮喘患者的主要证候特点,肺虚证与痰湿质、气虚质、特禀质显著相关;脾虚证痰湿质、气虚质、特禀质显著相关;肾虚证与痰湿质、特禀质显著相关;兼痰浊证与痰湿质、气虚质显著相关;兼瘀血证与血瘀质显著性相关.结论 痰湿质、气虚质和特禀质为支气管哮喘患者的常见体质类型,支气管哮喘患者的体质类型与中医证候相密切相关.

Distribution characteristics of TCM constitutional types in 80 patients with bronchial asthma and relationships between these characteristics and syndromes

Objective To explore the characteristics of TCM constitution of 80 patients with bronchial asthma and study the relation between constitutions and syndromes,to provide basis for preventing and treating bronchial asthma.Methods Constitution questionnaires and coronary angiography were used to survey 80 patients withbronchial asthma.Constitutions were analyzed and diagnosed based on WANG Qi’s Constitutional Classification.The correlation between constitution and syndrome was analyzed.Results In 80 bronchial asthma cases,the pathological constitutional types are mostly phlegm-dampness constitution,followed by Qi deficiency constitution,allergic constitution,dampness-heat constitution,Yang deficiency constitution.Yin deficiency constitution,Qi stagnation constitution,blood stasis constitutionin sequence.The syndrome types are mostly Lung deficiency Syndrome,Spleen Deficiency Syndrome and phlegm-dampness Syndrome,Lung deficiency Syndrome was correlated significantly to phlegm-dampness constitution,Qi deficiency constitution,allergic constitution;Spleen Deficiency Syndrome was correlated significantly to phlegm-dampness constitution,Qi deficiency constitution,allergic constitution;Spleen Deficiency Syndrome was correlated significantly to phlegm-dampness constitution,allergic constitution;with phlegm-dampness Syndrome was correlated significantly to phlegm-dampness constitution,Qi deficiency constitution,blood stasis Syndrome was correlated significantly to blood stasis constitution.Conclusion The most common constitutions are phlegm-dampness constitution,Qi deficiency constitution,allergic constitution.There is close correlation between TCM constitution and syndrome of patients with bronchial asthma.