肺性脑病中医常见证候临床调查研究  

Clinical Research on Symptom-Complex of Pulmonary Encephalopathy

作　　者：王海峰[1] 李建生[2] 余学庆[1] 李素云[1] 李亚[2] 

机构地区：[1]河南医学院第一附属医院呼吸科,河南郑州450000 [2]河南中医学院老年医学研究所,河南郑州450008

出　　处：《辽宁中医杂志》2011年第5期846-848,共3页Liaoning 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)

摘　　要：目的:基于多中心临床回顾性研究,分析肺性脑病的证候分布规律及主要证型的症状特点。方法:在全国选择4所医院作为研究中心,对肺性脑病住院患者进行中医证候调查,运用频数描述、logistic回归分析和聚类分析方法进行分析。结果:共收集合格调查表41份。结果显示,出现频率较高的证型依次为痰热壅肺证、痰湿阻肺证、肺肾气虚证、气阴两虚证、痰热蒙窍、痰湿蒙窍。聚类结果为痰热壅肺证、痰湿阻肺证、肺肾气虚证、痰蒙神窍证、血瘀证、气阴两虚证。结论:痰热壅肺证、痰湿阻肺证、肺肾气虚证、痰蒙神窍证、气阴两虚证、血瘀证是肺性脑病的主要证型,临床调查结果为进一步研究提供了参考。Objective：To study the distribution and main symptom of symptom - complex of pulmonary encephalopathy based on multieenter clinical research. Methods ： Patients with pulmonary encephalopathy were select from 4 hospitals by retrospective research method, collect data of symptom -complex, All data were analyzed by description,logistic regression and clustering analysis methods. Results ：41 qualified questionnaires were collected, the incidence frequency of symptom - complex of Palmonary encepha-lopuphy failure is syndrome of heat - phlegm stagnating the lung, syndrome of pulmonary stagnation of phlegm, syndrome of deficiency of the lung and kidney qi, syndrome of deficiency of both qi and yin,syndrome of phlegm -heat bloking orifices ,syndrome of orifices confused by phlegm, syndrome of kidney qi deficiency. 7 symptom - complexes were screened out by cluster analysis. They are syndrome of heat - phlegm stagnating the lung, syndrome of pulmonary stagnation of phlegm, syndrome of deficiency of the lung and kidney qi, syndrome of obstruction of pericardium by phlegm, syndrome of blood stasis and syndrome of deficiency of both qi and yin. 7 were screened out as the main symptom - complexes of the disease, and the main symptoms and the sub - symptoms of the elementary symptom -complexes were screened out by statistical description. Conclusion：There are 7 main symptom - complexes of pulmonary encephalopathy, they are syndrome of heat - phlegm stagnating the lung, syndrome of pulmonary stagnation of phlegm, syndrome of deficiency of the lung and kidney qi, syndrome of obstruction of pericardium by phlegm, syndrome of deficiency of both qi and yin and syndrome of blood stasis. The results will provide references for next research.

关 键 词：肺性脑病 临床调查 常见证候 

分 类 号：R747.9[医药卫生—神经病学与精神病学]