天津地区支气管哮喘发作期中医证候及证候要素的临床流行病学调查

目的:初步明确天津地区支气管哮喘发作期中医证候及证候要素分布的基本情况。方法:采用流行病学横断面调查方法,以整群分层随机抽样技术按医院等级分层,调查抽样选中医院两年内门诊和住院的支气管哮喘发作期患者四诊信息,应用Epidata3.0建立数据库并进行两次录入核对,运用SPSS13.0对证候及证候要素进行统计分析。结果:①共调查哮喘发作期患者894例,其证型分布情况为热哮(44.9%)>风哮(25.4%)>冷哮(15.3%)>虚哮(14.4%)。②证候要素提取结果:病位要素占前5位的是:肺(99.7%)>脾(58.3%)>肝(29.1%)>大肠(26.1%)>胃(23.4%);病性要素占前5位的是气郁(94.3%)>痰(93.3%)>风(73.7%)>热(62%)>气虚(47.2%)。结论:①哮喘发作期证候类型以热哮、风哮为主,病位主要涉及肺、脾、肝,病机以气郁、痰阻为特征;②证候要素的应用是对以综合判断为特征的传统辨证方法的有益补充。

Clinical Epidemiology Investigation of Syndrome and Important Element of Syndrome on Period of Onset of Bronchial Asthma

Objective:Finding out the fundamental distribution of Syndrome and Important Element of Syndrome on period of onset of bronchial asthma in territory of Tianjin. Methods:Adopting cross-sectional study of epidemiology,randomization referring to the rank of hospital with technique of cluster and stratify ,Investigating the information of four methods of examination about bronchial asthma patients in elect hospitals,making use of Epidata3.0 to set up database and analysising the data of syndrome and important e...