138例慢性致纤维化性间质性肺病患者中医咳痰喘症状特点分析

目的归纳分析138例慢性致纤维化性间质性肺病(chronic fibrosing interstitial lung disease,CF-ILD)患者的中医咳痰喘症状特点。方法纳入自2016年10月—2018年12月于首都医科大学附属北京中医医院呼吸科就诊的CF-ILD患者,以填写中医症候量表的方式收集患者咳痰喘中医症状特点。结果 CF-ILD患者咳嗽特点为:冬季咳嗽重(54.62%)、遇油烟异味加重(78.46%);咳嗽常见伴随症状为:气短(53.08%)、胸闷(44.62%)、胸中发紧(23.85%);咳痰特点为:少痰(60.77%)、痰黏(56.92%)、白痰(66.15%)。喘证多表现为:活动后气短(87.69%)、呼吸浅快(75.38%)、气不够用(66.92%)。结论 CF-ILD患者咳嗽及呼吸困难具有明显异质性,临床中需加以鉴别。

Analysis on TCM characteristics of cough expectoration and asthma in 138 patients with chronic fibrotic interstitial lung disease

Objective To summarize and analyze the characteristics of cough,expectoration and asthma in 138 patients with chronic fibrotic interstitial lung disease(CF-ILD). Methods The study enrolled patients with CF-ILD who were treated in the Respiratory Department of Beijing Traditional Chinese Medicine Hospital from October 2016 to December 2018. All patients filled the TCM syndrome scale in order to collect the characteristics of TCM symptoms they had,including cough,expectoration and asthma. Results The characteristics of cough of CF-ILD patients were severe cough in winter(54.62%) and more severe when smelling oil fume odor(78.46%). The common accompanied symptoms of cough were shortness of breath(53.08%), suffocation of the chest(44.62%) and chest tightness(23.85%). The characteristics of expectoration are less sputum(60.77%), sticky phlegm(56.92%) and white sputum(66.15%). The most common manifestations of asthmatic breath were shortness of breath after exertion(87.69%), shallow and fast breathing(75.38%) and insufficient breath(66.92%). Conclusion The characteristics of cough,expectoration and asthma in patients with chronic fibrotic interstitial lung disease are significantly heterogeneous compared with other respiratory diseases,which should be identified in clinical practice.