新疆慢性阻塞性肺疾病继发骨质疏松症中医证候研究

目的通过对新疆慢性阻塞性肺疾病（COPD）继发骨质疏松症（OP）患者进行中医证候临床调查,初步得出该病的中医证候表现及其在新疆的主要证型和特殊证型。方法选择男性COPD继发OP患者110例,同时进行中医证候规律临床研究问卷调查,内容包括人口学调查、既往史、个人习惯史、体格检查、西医临床症状和中医四诊,并进行病情程度分级,结合患者体质、证候,分析COPD继发OP的中医证候特征和分型。结果 110例男性COPD继发OP患者的证型依次为肾虚血瘀证（35例,31.8%）、脾气虚弱证（18例,16.4%）、肝肾阴虚证（17例,15.5%）、阳虚湿阻证（12例,10.9%）、肾精不足证（10例,9.1%）、肾阳虚衰证（9例,8.2%）、气血两虚证（5例,4.5%）,其他证型（4例,3.6%）。结论新疆COPD继发OP患者的中医证候以肾虚血瘀证为主,其次为脾气虚弱证、肝肾阴虚证和阳虚湿阻证。

TCM Syndromes of Osteoporosis Secondary to Chronic Obstructive Pulmonary Disease in Xinjiang

Objective To investigate TCM syndromes of chronic obstructive pulmonary disease(COPD) secondary osteoporosis(OP) patients in Xinjiang,thus find out the performance of TCM syndrome,the main and special type in Xinjiang.Methods One hundred and ten male patients with COPD secondary OP were selected and investigated with TCM syndromes clinical research questionnaire,including demographic survey,past history,the history of personal habits,physical examination,western medicine clinical symptoms and Chinese medicine four diagnostic information.The severity of disease was classified.Combined with constitution and syndrome,the features and types of TCM syndromes of COPD secondary OP were analyzed.Results The syndrome types of these cases were kidney deficiency and blood stasis syndrome(35 cases,31.8%),spleen-qi deficiency syndrome(18 cases,16.4%),yin deficiency syndrome of liver and kidney(17 cases,15.5%),yang deficiency and damp retention syndrome(12 cases,10.9%),kidney essence deficiency syndrome(10 cases,9.1%),kidney yang deficiency syndrome(9 cases,8.2%),qi-blood deficiency syndrome(5 cases,4.5%) and other types(4 cases,3.6%).Conclusion The main syndrome types of COPD secondary OP patients in Xinjing is kidney deficiency and blood stasis syndrome,followed by spleen-qi deficiency syndrome,yin deficiency syndrome of liver and kidney,and yang deficiency and damp retention syndrome.