[1]玛丽亚,孙学健,严兴海.新疆昌吉地区238例支气管哮喘发作期患者中医证型分布[J].西部中医药,2013,26(12):63-66.
 MA Liya,SUN Xuejian,YAN Xinghai.TCM Patterns Distribution of 238 Cases of Bronchial Asthma at Exacerbation Stage in Changji of XinJiang[J].Western Journal of Traditional Chinese Medicine,2013,26(12):63-66.
点击复制

新疆昌吉地区238例支气管哮喘发作期患者中医证型分布
分享到:

《西部中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
26
期数:
2013年12期
页码:
63-66
栏目:
专题·调查分析
出版日期:
2013-12-15

文章信息/Info

Title:
TCM Patterns Distribution of 238 Cases of Bronchial Asthma at Exacerbation Stage in Changji of XinJiang
文章编号:
1004-6852(2013)12-0063-04
作者:
玛丽亚1孙学健2严兴海1
1 新疆昌吉回族自治州中医医院,新疆 昌吉 831100; 2 新疆吉木萨尔县中医医院中医内科
Author(s):
MA Liya1 SUN Xuejian2 YAN Xinghai1
1 Xinjiang Provincial Changji Hui Autonomous Prefecture TCM Hospital, Changji Hui Autonomous Prefecture 831100, China; 2 TCM Department of Xinjiang Provincial Jimusaer County TCM Hospital
关键词:
支气管哮喘中医证候证候要素
Keywords:
bronchial asthma TCM syndrome syndrome element
分类号:
R259.631
文献标志码:
A
摘要:
目的:探讨新疆昌吉地区支气管哮喘患者中医证候特点及证候要素的分布情况。方法:采用临床流行病学方法对238例支气管哮喘患者开展证候调查研究,按照现有哮喘证候诊断标准,遵循循证医学原则,应用Excel2003建立数据库,将符合纳入标准的哮喘患者的四诊信息进行二次录入核对,所有资料应用SPSS 16.0软件进行统计分析。结果:哮喘发作期出现频次最高的证候是寒哮,其次是虚哮和热哮;随着年龄及病程的增加,哮喘的中医证型分布具有显著差异;哮喘患者合并过敏性疾病的状况因证型不同存在差异;哮喘发作的诱因以外因为主;哮喘发作期出现频次前三位的病性要素是痰、风和气虚;病位要素是肺、脾和肠。结论:在哮喘的急性发作期,寒热是辨证的关键。随着年龄及病程的增加,哮喘的中医证型表现出由实证向虚证及虚实夹杂证转化。气虚是哮喘的一种基本病理状态。外因是哮喘发作的主要诱因。哮喘发作期病位以肺、脾、肠为主,病性要素则以痰、风、气虚为主。
Abstract:
Objective: To explore the distribution of syndrome elements and TCM syndrome characteristics of the patients suffering from bronchial asthma in Changji. Method: Syndromes of 238 patients with bronchial asthma were under investigation by clinical epidemic methods according to the diagnostic standard of asthma syndrome, the database was established with Excel2003 followed by the principle of evidence-based medicine. Four diagnostic information of the patient was entered, checked and analyzed statistically by software SPSS 16.0. Result: The high frequency syndrome was cold asthma at acute stage, the next were deficiency asthma and heat one; as the age and the course of the disease increased, there was significant difference in the distribution of TCM patterns; the conditions of asthma patients complicated with allergic diseases were different because of different patterns; the cause of asthma attack was mainly external one; the top three pathogens with high frequency were phlegm, wind and Qi deficiency; the disease elements were lung, spleen and the intestine. Conclusion: Cold and heat are the key points of syndrome differentiation at acute stage. As the age and the course of the disease increased, TCM patterns of asthma demonstrate the transformation from excess pattern to deficiency pattern or intermingled deficiency and excess pattern. Qi deficiency is one kind of basic pathological state of asthma. External cause is the main one leading the attack of asthma. The disease is located at lung, spleen and the intestine, the nature elements are phlegm, wind and Qi deficiency.

相似文献/References:

[1]向建华,毛良平,韩鹏凯,等.沙美特罗替卡松联合金水宝胶囊治疗中度非急性发作期支气管哮喘100例临床观察*[J].西部中医药,2013,26(05):97.
 XIANG Jianhua,MAO Liangping,HAN Pengkai,et al.Observation on Salmeterol Fluticasone Combined with JinShuiBao Capsule for 100 Cases of Moderate Bronchial Asthma during the Period of Non Acute Attack[J].Western Journal of Traditional Chinese Medicine,2013,26(12):97.
[2]王盛强.中西医结合治疗发作期支气管哮喘48例[J].西部中医药,2014,27(02):110.
 WANG Shengqiang.Treating 48 Cases of Bronchial Asthma at Attack Stage by Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2014,27(12):110.
[3]吴大斌.益气固本汤合俞募配穴敷贴治疗支气管哮喘45例[J].西部中医药,2014,27(10):127.
[4]张晔敏.川芎平喘合剂治疗慢性持续期支气管哮喘74例[J].西部中医药,2014,27(12):64.
[5]丁然,陆小左△.慢性乙型肝炎中医证候与舌象客观量化指标相关性的临床研究*[J].西部中医药,2015,28(01):56.
[6]祝伟,田浩.川芎嗪联合小剂量雷公藤治疗儿童哮喘急性发作期患儿38例[J].西部中医药,2015,28(02):102.
[7]周涛,何彪,霍利,等.不同证型冠心病患者螺旋CT冠状动脉CTA影像分析[J].西部中医药,2015,28(02):130.
[8]贾红光,罗永伟,陈超,等.对支气管哮喘患者电话随访式健康教育的效果评价[J].西部中医药,2015,28(12):115.
[9]马云飞,孙旭,杨永,等.乳腺癌的中医证型及用药规律研究[J].西部中医药,2017,30(01):46.
 MA Yunfei,SUN Xu,YANG Yong,et al.Study on TCM Syndrome and Medication Rule of Breast Cancer[J].Western Journal of Traditional Chinese Medicine,2017,30(12):46.
[10]李宁,李应福,谢兴文,等.兰州地区膝关节骨性关节炎的中医证候分布特点[J].西部中医药,2016,29(02):95.
 LI Ning,LI Yingfu,XIE Xingwen,et al.Distribution Features of TCM Syndromes of Knee Osteoarthritis in Lanzhou City[J].Western Journal of Traditional Chinese Medicine,2016,29(12):95.

备注/Memo

备注/Memo:
收稿日期:2013-06-25。作者简介:玛丽亚(1969—),女,副主任医师。研究方向:呼吸系统疾病的中西医结合诊治。
更新日期/Last Update: 2013-12-15