[1]马俊峰,谢鑫,张博达,等.68例肺部占位纤维支气管镜下特点与中医证型的相关性研究[J].西部中医药,2023,36(05):72-74.[doi:10.12174/j.issn.2096-9600.2023.05.16]
　MA Junfeng,XIE Xin,ZHANG Boda,et al.The Correlation Study between the Characteristics of Fiberoptic Bronchoscope in 68 Patients with Pulmonary Space-occupying Diseases under Bronchfiberscope and TCM Patterns[J].Western Journal of Traditional Chinese Medicine,2023,36(05):72-74.[doi:10.12174/j.issn.2096-9600.2023.05.16]
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68例肺部占位纤维支气管镜下特点与中医证型的相关性研究
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年05期
页码:
72-74
栏目:
出版日期:
2023-05-15

文章信息/Info

Title:
The Correlation Study between the Characteristics of Fiberoptic Bronchoscope in 68 Patients with Pulmonary Space-occupying Diseases under Bronchfiberscope and TCM Patterns
作者:
马俊峰1, 谢鑫1, 张博达2, 牛彩琴2
1.川北医学院，四川 南充 637000
2.川北医学院附属医院，四川 南充 637000
Author(s):
MA Junfeng1, XIE Xin1, ZHANG Boda2, NIU Caiqin2
1.North Sichuan Medical University, Nanchong 637000, China
2.Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China
关键词:
肺部占位性疾病; 纤维支气管镜; 中医证型
Keywords:
pulmonary space-occupying disease; bronchfiberscope; TCM patterns
分类号:
R273
DOI:
10.12174/j.issn.2096-9600.2023.05.16
文献标志码:
A
摘要:
目的研究肺部占位患者中医证型与纤维支气管镜下活检结果及纤维支气管镜下征象的关系。 方法回顾纳入完成纤维支气管镜活检的肺部占位患者的病历数据，进行统计分析。 结果共纳入68例肺部占位患者，经纤维支气管镜活检后确诊为肺癌49例：其中鳞癌患者以气滞血瘀及痰湿瘀阻证为主，气阴两虚次之；腺癌患者中各中医证型相近；小细胞癌患者以气滞血瘀证为主。中医证型与纤维支气管镜下直接所见病变特征分布差异有统计学意义（P=0.011）：其中气滞血瘀及痰湿瘀阻证患者肺部占位以增生性多见，气阴两虚证以浸润性多见，痰热郁肺证患者浸润性与增生性结果相近；各证型在纤维支气管镜下的间接征象均以炎症改变为主，差异无统计学意义（P=0.659）。 结论肺部占位患者纤维支气管镜活检癌检出率高，癌病分类与中医证型有一定相关性；中医证型与纤维支气管镜下直接所见病例特征存在分布差异。
Abstract:
ObjectiveTo study the relationship between TCM patterns of pulmonary space-occupying disease, biopsy results and the signs of bronchfiberscope. MethodsClinical data of the patients who finished the biopsy of bronchfiberscope was reviewed, and statistically analyzed. ResultsAll 68 patients were included, and 49 ones diagnosed with lung cancer after the biopsy of bronchfiberscope: among them, squamous carcinoma is mainly characterized by Qi stagnation and blood stasis and phlegm-dampness stasis, followed by deficiency of both Qi and Yin, TCM patterns were similar in squamous carcinoma; small cell carcinoma is mainly characterized by Qi stagnation and blood stasis. The difference had statistical meaning in TCM patterns and the distribution of directly visible lesions under bronchfiberscope (P=0.011): among them, the patients of Qi stagnation and blood stasis, phlegm-dampness stasis pattern were mostly proliferative, the patients with Qi and Yin deficiency pattern were mostly infiltrative, and the results of infiltrative and proliferative were similar in patients with phlegm-heat stagnating in lung pattern; the indirect signs of different patterns under bronchfiberscope were mainly inflammatory changes, and the difference had no statistical meaning (P=0.659). ConclusionHigher detection rate of lung cancer in patients with pulmonary space-occupying disease is found in the biopsy of bronchfiberscope, and the classification of cancer has a certain correlation with TCM patterns; the difference exists in the distribution of the features of the cases directly seen by fiberoptic bronchoscopy, and TCM patterns.

相似文献/References:

[1]田雅文,余德美,刘 政,等.无痛纤支镜治疗空洞型肺结核的临床护理[J].西部中医药,2012,25(10):112.
　TIAN Ya-wen,YU De-mei,LIU Zheng,et al.Nursing for Painless Fibrobronchoscopy in Treating Cavernous Pulmonary Tuberculosis[J].Western Journal of Traditional Chinese Medicine,2012,25(05):112.

备注/Memo

备注/Memo:
马俊峰（1995—），男，硕士学位。研究方向：肺系疾病的中西医结合诊治。四川省南充市市校合作项目（22SXQ70150）。
更新日期/Last Update: 2023-05-15