COPD患者中医辨证分型与有关指标相关性分析

目的：观察COPD患者的中医辨证分型与肺通气、灌注血流和呼吸肌力、驱动指标的相关性，并与正常人对照，探讨其规律性。方法：选择就诊及住院的COPD患者68例，入选病例均由资深中医师进行辨证诊断，并接受了放射性核素和肺功能检查。结果：各组间呼吸肌力和驱动指标比较中，COPD总体样本和不同中医证型COPD患者的大部分Pmip、PmEp和P0.1等指标均明显低于对照组。结论：各中医证型COPD患者常有肺通气、灌注血流和呼吸肌力、驱动指标减退表现，特别是脾阳虚证和肾阳虚证患者，肺气虚证损害较轻。

Dependability Analysis between Traditional Chinese Medicine Differentiation of Symptoms and Signs for Classification of Syndrome of Patients with COPD and Hung Function Respiratory Force and Drive Index

Objective:To investigate dependablity analysis between traditional Chinese medicine differentiation of symptoms and signs for classification of syndrome of patients with COPD and bung function,respiratory muscle force and drive index.Methods:Selected 68 patients with COPD,the examination of routine lung function,respiratory force and drive index of patients were dialectical diagnosed by senior traditional Chinese physician.Results:In the comparison of respiratory muscle force and drive index,the index of Pmip,PmEp and P_(0.1) in total sample of COPD and different traditional Chinese medicine pattern of syndrome COPD patients are all obvious lower than that of control group.Conclusion:In every traditional Chinese medicine pattern of syndrome COPD patients often have hugn function,pespiratory muscle force and drive index decrescence manifestation,especially in syndrome of insufficiency of spleen-YANG and syndrome of deficiency of kidney-YANG.But damage in the patients with Syndrome of insufficiency of lung-QI is light.