慢性阻塞性肺疾病呼吸衰竭中医证候分布规律的文献研究  

Literature-based Study on Distribution Regularity of TCM Syndromes of Respiratory Failure of Chronic Obstructive Pulmonary Diseases

作　　者：李建生[1] 王明航[2] 余学庆[2] 王至婉[2] 李素云[2] 

机构地区：[1]河南中医学院老年医学研究所郑州市金水路1号,450003 [2]河南中医学院第一附属医院

出　　处：《中医杂志》2010年第1期68-71,共4页Journal of Traditional Chinese Medicine

基　　金：河南省高校新世纪优秀人才支持计划(2006HANCET-05);“十一五”国家科技支撑计划--重大疑难疾病防治课题(2006BA104A13-02)

摘　　要：目的探讨慢性阻塞性肺疾病(COPD)呼吸衰竭中医证候分布规律,为呼吸衰竭中医证候的规范化提供依据。方法从中国生物医学文献数据库、中国学术期刊全文数据库和中国中医药文献检索系统数据库,检索近15年COPD呼吸衰竭文献数据库,筛选整理规范名称,建立数据库,对COPD呼吸衰竭中医证候构成及分布情况进行统计分析。结果COPD呼吸衰竭的常见证候以实证为主,痰瘀互结、痰热壅肺、痰浊壅肺和痰蒙清窍最为常见,多兼有血瘀证候,虚证所涉及的病性及脏腑归属较为复杂,肺肾气虚多见。结论痰瘀互结、痰热壅肺、痰浊壅肺和痰蒙清窍最是COPD呼吸衰竭中医辨证的基本证型,多兼有血瘀证候,其虚证的内在规律较为复杂,肺肾气虚多见。Objective To study the distribution regularity of TCM syndromes of respiratory failure of chronic obstructive pulmonary diseases （COPD） for the standardization research on TCM syndromes. Methods Literatures on respiratory failure of COPD of the latest 15 years were collected from the Chinese Biomedical Literature Database, Chinese Academic Periodical Full-text Database and China TCM Document Retrieval System Database. The name of the disease was filtered and standardized. The database was established. The formation and distribution regularity of TCM syndromes of respiratory failure of COPD were calculated and analyzed. Results The common syndromes of respiratory failure of COPD were excess in Biao-symptom, such as accumulation of phlegm and blood stasis, phlegm-heat obstructing the lung, accumulation of phlegm-turbidity in the lung, and phlegm misting the brain, and most cases were accompanied with blood stasis. The deficiency syndromes, commonly qi deficiency of the lung and kidney, were complicated in nature of disease and zangfu attribution. Conclusion The accumulation of phlegm and blood stasis, phlegm-heat obstructing the lung, accumulation of phlegm-turbidity in the lung, and phlegm misting the brain are the basic syndromes of respiratory failure of COPD, and most cases are accompanied with blood stasis. The deficiency syndromes have a complicated inner law, and qi deficiency of the lung and kidney is the common one.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 证候 分布规律 文献研究 

分 类 号：R259[医药卫生—中西医结合]