慢性阻塞性肺疾病稳定期中医证型分布规律研究

[目的]通过对403例COPD稳定期患者的中医证型分布特点的研究,从而对COPD稳定期患者的中医预防和治疗提供依据。[方法]收集2008年9月至2009年12月在新疆医科大学附属中医医院呼吸科住院及门诊COPD稳定期患者403例;记录患者一般资料、病史、诱因、证型要点等,明确中医分型、病程及吸烟之间关系。所有数据应用SPSS13.0统计软件软件处理。[结果]①403例COPD稳定期患者男女比为2.73∶1;病程在10年以下的198例,占总人数的49.13%,比例最高;危险因素中吸烟占总人数的39.45%。②中医证型出现频次依次为:肺气虚证>血瘀证>肾气虚证>脾气虚>痰热证>痰浊证。[结论]COPD稳定期患者证属本虚标实,本虚多为肺、肾、脾气虚为主,实证多为血瘀、痰浊证。这为中医防治COPD稳定期提供了一定的客观依据。

The TCM Analysis of COPD Patients from Urumqi

[Objective]To summarize distribution rule,403 cases of stable chronic obstructive pulmonary disease patients were divided into groups according to traditional Chinese medicine of syndromes and their features were studied.[Methods]403 cases of COPD patients who had been to the affiliated TCM Hospital of Sinkiang Medical University for treatment were collected.After basic information,disease history,predisposing factors and the main clinical manifestation of patients were recorded;the relationship between smoking,classification and TCM syndrome were ascertained.Then these data were processed with SPSS16.0.[Results]1) 403 cases of patients with stable COPD male to female ratio was 2.73:1;The duration of 198 patients were less than 10 years,accounting for 49.13%,it is the highest proportion;risk factors of smoking accounting for 39.45% of the total number.2) Occurrence frequency of TCM were Qi Deficiency > BSS > qi deficiency >spleen deficiency > phlegm card > phlegm.[Conclusions]Patients with stable COPD permit implementation ofthese virtual table,The virtual mainly was lung,kidney,spleen-deficiency,empirical mostly were blood stasis and phlegm.The lung function for COPD in stable syndrome type provide a reference ccording to COPD,duration of disease western medicine diagnosis.