| 500例慢性阻塞性肺疾病中医证型规律探讨 |
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| 引用本文： | 陈凯佳,梁直英,刘小虹.500例慢性阻塞性肺疾病中医证型规律探讨[J].现代中西医结合杂志,2002,11(18):1755-1757. |
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| 作者姓名： | 陈凯佳 梁直英 刘小虹 |
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| 作者单位： | 1. 广东省中医院呼吸科,广州市,510120
2. 广州中医药大学第一附属医院,广东省,510405 |
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| 摘 要： | 目的 :探讨慢性阻塞性肺疾病 (COPD)中医证型的规律性。方法 :采用LogisticforwardLR回归分析法分析 50 0例COPD患者的肺功能、血常规、生化指标与证型的相关性 ,然后对各指标进行两两比较的t检验。结果 :Logistic回归得出的五条方程显示痰热壅肺型与WBC正相关 ,与红细胞体积分布宽度 (RDW)负相关 ;阳虚水泛型与Hb正相关 ,与MEF75(剩余肺活量的 75 %时的呼气流速 )、PEF(呼气流量峰值 )、MCH(红细胞平均血红蛋白量)负相关 ;脾虚型与MEF2 5,NMO(粒细胞百分含量 )负相关 ;肾虚型与RDW正相关 ,与K+负相关。结论 :NMO ,WBC ,Hb,MCH ,MEF75 ,MEF2 5,K+对COPD具有较好的辨证分型价值
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| 关 键 词： | COPD 证型 多元回归 |
Study of traditional Chinese medical typing regular with 500 COPD patients |
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| Chen Kaijia Traditional Chinese Medical Hospital of Guangdong,Guangzhou ,Guangdong,China Liang Zhiying,Liu Xiaohong First Hospital Affiliated to Guangzhou Traditional Medical University,Guangzhou ,Guangdong,China.Study of traditional Chinese medical typing regular with 500 COPD patients[J].Modern Journal of Integrated Chinese Traditional and Western Medicine,2002,11(18):1755-1757. |
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| Authors: | Chen Kaijia Traditional Chinese Medical Hospital of Guangdong Guangzhou Guangdong China Liang Zhiying Liu Xiaohong First Hospital Affiliated to Guangzhou Traditional Medical University Guangzhou Guangdong China |
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| Institution: | Chen Kaijia Traditional Chinese Medical Hospital of Guangdong,Guangzhou 510120,Guangdong,China Liang Zhiying,Liu Xiaohong First Hospital Affiliated to Guangzhou Traditional Medical University,Guangzhou 510404,Guangdong,China |
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| Abstract: | Objective: It is to study the regularity of typing and diagnose of chronic obstructive pulmonary disease (COPD). Methods: Five hundred patients with COPD were analyzed. General information, pulmonary function, blood analysis and biochemistry of these patients were determined and the relativity between these indexes above-mentioned and typing was analyzed with Logistic forward regression analysis and liner multiple regression analysis, then these indexes undertaken independent-sample t test. Results: As result of analysis, five equations indicated that phlegm-heat in the lung symptoms positively correlated to white blood cell count (WBC) and negative correlated to red cell distribution width (RDW), retention of fluid caused by yang-deficiency negatively correlated to mean cell hemoglobin (MCH) and positively correlated to expiratory flow-rate when 75 percent forced lung capacity were exceeded (MEF75), peak expiratory flow-rate (PEF) and hemoglobin (HGB), spleen-asthenia negatively correlated to MEF25 and NMO. Conclusion: NMO, WBC, Hb, MCH, MEF75 and MEF25 is valuable for typing of COPD. |
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| Keywords: | COPD typing multiple regression analysis |
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