鼻渊中医辨证分型的鼻腔、鼻副窦CT影像研究  

Correlation of the Traditional Chinese Medicine Syndromes Differentiation and Computer Tomography Signs of Nasal Cavity and Nasal Sinus in Rhinorrhea with Turbid Discharge

作　　者：侯键[1] 余朝骏[1] 田理[1] 吴永康[1] 谢明国[1] 

机构地区：[1]成都中医药大学附属医院,四川成都610072

出　　处：《成都中医药大学学报》2001年第2期13-14,64,共2页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：成都中医药大学附属医院科研基金资助课题

摘　　要：目的 :探索鼻渊的各种中医辨证分型的鼻腔、鼻副窦CT影像规律 ,为临床提供客观依据、量化的指标以指导临床诊治。方法 :采用前瞻性双盲法 ,对 38例鼻渊患者进行中医辨证 ,对患者的各鼻副窦粘膜、窦腔内积液、鼻腔中、下鼻甲的粘膜厚度等CT影像进行观察与测量。结果 :4种证型的鼻渊均有CT征象的改变 ,但各证候之间有不同的指标差异 ,反映出由实证到虚证的病情变化。结论 :CT影像可为鼻渊的中医辨证分型提供客观依据 。Objective:To investigate the regularity of the nasal cavity and nasal sinus Computer Tomography (CT) image in order to try to offer the clinical objective basis and measuring index to guide the clinical treatment. Methods: Adopting prospective double blind method, the traditional chinese medicine syndromes differentiation were carried out in 38 cases of rhinorrhea with turbid discharge. Observed and measured CT images of Nasal turbinate mucosa (NTM), Nasal sinus mucosa (NSM) and Sinus cavity fluid (SCF). Result: There is alteration of above signs in four syndromes differentiation of rhinorrhea with turbid discharge, and differences of index from different symptom. Reflected out differences of serious level of state of an illness in pathological changes with consolidation to weak. Conclusion: The objective evidence of CT images to syndromes differentiation of rhinorrhea with turbid discharge were supplied and the CT image regularity was explored.

关 键 词：鼻渊 X线计算机断层摄影术 鼻腔 副鼻窦 辩证分型 

分 类 号：R276.1[医药卫生—中医五官科学]