社区获得性肺炎常见证候及老年患者特征分析  

Common Syndromes of Community Acquired Pneumonia and Analysis on Characteristics of Elderly Patients

作　　者：李建生[1] 王至婉[1] 余学庆[1] 李素云[1] 郑四平[2] 孙子凯[3] 张伟[4] 贾新华[4] 王明航[1] 王海峰[1] 

机构地区：[1]河南中医学院老年医学研究所,河南省郑州市金水路1号450008 [2]长春中医药大学第一附属医院 [3]江苏省中医院 [4]山东中医药大学附属医院

出　　处：《中医杂志》2009年第11期1018-1022,共5页Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划("973"计划)资助项目(2006CB504605)

摘　　要：目的探讨社区获得性肺炎常见证候特征及老年患者的特征。方法收集4所三级甲等医院社区获得性肺炎患者资料,使用Epidata软件建立数据库,运用SPSS13.0统计软件分析患者常见证候的分布规律。结果1059例临床数据中,共出现了23个中医证候,其中频率最高的证候是痰热壅肺证;与非老年人肺炎比较,老年人肺炎肺气虚证、痰湿阻肺证、痰瘀阻肺证、脾气虚证、气阴两虚证、肺脾气虚证、肾气虚证、肺肾气虚证、肺阴虚证、肾阴虚证、肺肾阴虚证出现的频率高(P<0.05)。肺炎常见证候有风热袭肺证、外寒内热证、痰热壅肺证、痰湿阻肺证、肺脾气虚证、气阴两虚证。结论社区获得性肺炎常见证候有6种,其中痰热壅肺证是最常见的一种,而老年人肺炎常兼有气虚或气阴两虚。Objective To study the common syndromes of community acquired pneumonia （CAP） and analyze the characteristics of elderly patients. Methods The data of CAP patients of 4 hospitals were collected. The database was set up with Epidata software. SPSS13.0 was applied to analyze the regulation of common syndrome. Results Of the data of 1059 patients, there were 23 TCM syndromes, and the phlegm heat retention in the lung was the one appeared in highest frequency. Compared with non-aged pneumonia patients, the syndromes of lung qi deficiency, phlegm clamp retention in the lung, phlegm and blood stasis in the lung, spleen qi deficiency, both qi and yin deficiency, lung and spleen qi deficiency, kidney qi deficiency, lung and kidney qi deficiency, lung yin deficiency, kidney yin deficiency, lung and kidney yin deficiency were in high frequency in aged patients （P〈0.05）. The common syndromes of pneumonia were wind heat attacking the lung, outside cold but inside heat, phlegm heat retention in the lung, phlegm damp retention in the lung, lung and spleen qi deficiency, and both qi and yin deficiency. Conclusion There were 6 common syndromes of CAP, and the phlegm heat retention in the lung is the most common one. Pneumonia of aged patients is usually with qi deficiency or both qi and yin deficiency.

关 键 词：社区获得性肺炎 证候 老年人 

分 类 号：R259[医药卫生—中西医结合]