咳嗽变异性哮喘中医证候分布特点及其相关因素分析  

The TCM symptom distribution characteristics and relevant factor analysis of cough variant asthma

作　　者：易桂生[1] 杨帆[2] 

机构地区：[1]桂林医学院附属医院,广西桂林541001 [2]桂林医学院,广西桂林541004

出　　处：《华夏医学》2012年第6期818-820,共3页Acta Medicinae Sinica

基　　金：广西自然科学基金项目(2010GXNSFA013250)

摘　　要：目的:研究咳嗽变异性哮喘的中医证候分布规律和证候特征。方法:采取前瞻性调查研究的方法,制定临床证候调查表,对100例咳嗽变异性哮喘患者进行调查,并对中医证型、咯痰症状、证候要素及不同诱因分布等相关因素进行统计分析。结果:证候分布中,主要为风犯肺卫37例(37%);咯痰症状分布中,主要为白痰(78%);证候要素分布中,构成比大于50%的,本虚有气虚,标实有风、寒、燥;不同诱因分布中,以冷空气为主,达66%。结论:咳嗽变异性哮喘的基本病机为本虚标实,以气虚为本,以风寒、肝郁为标。Objective： To study the TCM symptom distribution regularities and characteristics of cough variant asthma （CVA）. Methods： With the method of prospective investigation and study, 100 patients with CVA were investigated with the clinical symptom questionnaires designed, then statistical analyses were conducted on such relvant factors as the TCM syndrome type, phlegm symptoms, symtom elements and different predispositions. Results： Of the symptom distributions, 37 cases were mainly the wind-warm disease with syndrome of pathogen invading lung-defense phase （37%） ; of the phlegm symptoms, the main symptom was white sputum （78%） ; of the symptomatic element distribution whose constituent ratio was larger than 50M, the pulmonary asthenia in origin was qi deficiency, and pulmonary asthenia in superficiality had wind, cold and dryness in it; and of the different incentive distribution, the main symptom was cold air which was up to 66%. Conclusion： The basic pathogenesis of CVA is asthenia in origin and asthenia in superficiality, which is qi deficiency in origin and wind chill and hepatic depression in superficiality.

关 键 词：咳嗽变异性哮喘 相关因素 证候 

分 类 号：R256.1[医药卫生—中医内科学]