慢性阻塞性肺疾病稳定期肺功能与证候分布规律的相关性  

Correlation between the Pulmonary Function and the TCM Syndrome Distribution in the Stationary Stage of the Chronic Obstructive Pulmonary Diseases

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

机构地区：[1]河南中医学院第一附属医院呼吸科,郑州市人民路19号450000 [2]河南中医学院老年医学研究所

出　　处：《中医杂志》2011年第16期1376-1378,共3页Journal of Traditional Chinese Medicine

基　　金："十一五"国家科技支撑计划资助项目(2006BAI04A13-2);河南省高校新世纪优秀人才支持计划资助项目(2006HANCET-05)

摘　　要：目的探讨慢性阻塞性肺疾病(COPD)稳定期肺功能与证候分布规律的关系。方法收集890例COPD稳定期患者资料,行肺功能检查分级,根据调查表进行调查,然后对COPD稳定期肺功能分级与证候分布进行比较。结果 890例COPD稳定期患者8种证候,频率≥20%的证候依次为肺脾气虚证、肺肾气虚证、肺气虚证、血瘀证、肺肾气阴两虚证、痰湿阻肺证。肺功能轻、中度(Ⅰ、Ⅱ级)时,证候分布依次为肺气虚证、肺脾气虚证、肺肾气虚证、血瘀证、痰湿阻肺证等;重度(Ⅲ、Ⅳ级)时,依次为肺肾气虚证、肺脾气虚证、肺肾气阴两虚证、血瘀证、痰湿阻肺证等。随肺功能下降,肺气虚证频率渐低,而肺脾气虚证、肺肾气虚证、肺肾气阴两虚证、血瘀证、痰湿阻肺证的频率渐高(P<0.01)。结论肺功能轻、中度时常见肺气虚证、肺脾气虚证、肺肾气虚证;肺功能重度时常见肺脾气虚证、肺肾气虚证、肺肾气阴两虚证;血瘀证、痰湿阻肺证随肺功能降低而增多。Objective To study the correlation between the pulmonary function and the TCM syndrome distribution in the stationary stage of the chronic obstructive pulmonary diseases（COPD）.Methods The documents of 890 COPD patients in the stationary stage were collected.Their pulmonary functions were classified according to different degrees.A questionnaire-based investigation was carried out to compare pulmonary functions with the TCM syndrome distribution.Results There were 8 TCM syndromes involved in the 890 patients,those syndromes with frequency ≥20% were qi deficiency of the lung and spleen,qi deficiency of the lung and kidney,qi deficiency of the lung,blood stasis,qi and yin both deficiency of the lung and kidney,and phlegm damp obstructing in the lung.In patients with pulmonary function of the mild and medium（I or Ⅱ degree）,the frequent syndromes were qi deficiency of the lung,qi deficiency of the lung and spleen,qi deficiency of the lung and kidney,blood stasis,and phlegm damp obstructing in the lung.In patients with pulmonary function of the severe（Ⅲ or Ⅳ degree）,the frequent syndromes were qi deficiency of the lung and kidney,qi deficiency of the lung and spleen,qi and yin both deficiency of the lung and kidney,blood stasis,and phlegm damp obstructing in the lung.With the declining of pulmonary function,the frequency of qi deficiency of the lung was becoming lower,while that of qi deficiency of the lung and spleen,qi deficiency of the lung and kidney,qi and yin both deficiency of the lung and kidney,blood stasis,and phlegm damp obstructing in the lung was becoming higher（P〈0.01）.Conclusion The common syndromes when pulmonary function is in mild or medium damage are qi deficiency of the lung,qi deficiency of the lung and spleen,and qi deficiency of the lung and kidney.The common syndromes when pulmonary function is in severe damage are qi deficiency of the lung and spleen,qi deficiency of the lung and kidney,and qi and yin both deficiency of the lung and kidney.The frequency of syndromes of

关 键 词：慢性阻塞性肺疾病 稳定期 肺功能 证候分布 

分 类 号：R259[医药卫生—中西医结合]