COPD患者中医辨证分型与有关指标相关性分析  

Dependability Analysis between Traditional Chinese Medicine Differentiation of Symptoms and Signs for Classification of Syndrome of Patients with COPD and Hung Function Respiratory Force and Drive Index

作　　者：陈瑾[1] 

机构地区：[1]杭州市第一人民医院干部科,浙江杭州310006

出　　处：《辽宁中医药大学学报》2006年第4期7-8,共2页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:观察COPD患者的中医辨证分型与肺通气、灌注血流和呼吸肌力、驱动指标的相关性,并与正常人对照,探讨其规律性。方法:选择就诊及住院的COPD患者68例,入选病例均由资深中医师进行辨证诊断,并接受了放射性核素和肺功能检查。结果:各组间呼吸肌力和驱动指标比较中,COPD总体样本和不同中医证型COPD患者的大部分Pm ip、PmEp和P0.1等指标均明显低于对照组。结论:各中医证型COPD患者常有肺通气、灌注血流和呼吸肌力、驱动指标减退表现,特别是脾阳虚证和肾阳虚证患者,肺气虚证损害较轻。Objectlve：To investigate dependablity analysis between traditional Chinese medicine differentiation of symptoms and signs for classification of syndrome of patients with COPD and bung function, respiratory muscle force and drive index. Methods ： Selected 68 patients with COPD, the examination of routine lung function, respiratory force and drive index of patients were dialectical diagnosed by senior traditional Chinese physician. Results：In the comparison of respiratory muscle force and drive index, the index of Pmip, PmEp and P0.1 in total sample of COPD and different traditional Chinese medicine pattern of syndrome COPD patients are all obvious lower than that of control group. Conclusion：In every traditional Chinese medicine pattern of syndrome COPD patients often have hugh function, pespiratory muscle force and drive index decrescence manifestation, especially in syndrome of insufficiency of spleen - YANG and syndrome of deficiency of kidney - YANG. But damage in the patients with Syndrome of insufficiency of lung - QI is light.

关 键 词：COPD 中医证型 辨证 肺通气 灌注血流 呼吸肌力 肺功能 

分 类 号：R259.63[医药卫生—中西医结合]