外感热病(上呼吸道感染)后津液不足的临床研究  

Clinical Study of the Body Fluid Deficiency after the Exogenous Fever( Upper Respiratory Infection)

作　　者：周岁锋[1] 侯杰[1] 赖贵龙 刘芳芳[1] 刘锦文[1] 苏立成[1] 

机构地区：[1]广州中医药大学附属中山医院急诊科,广东中山528400

出　　处：《中国中医基础医学杂志》2015年第9期1115-1116,共2页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：中山市医学科学基金资助项目-上呼吸道感染热度与热源性因子相关性研究(20131A020133)

摘　　要：目的:探讨外感热病(上呼吸道感染)患者津液不足的临床特点。方法:分析我院2012年1月至2013年10月因外感热病住院患者。结果:外感热病患者津液不足证总发生率49.4%,老年组发生率64.6%,中青年组发生率31.7%,老年组发生率明显高于中青年组。logistic多元回归分析显示,年龄因素、有慢性基础肺病、病程长、高热状态、使用激素、使用退热药的OR值分别为3.77、4.56、1.27、3.75、3.59和5.88。结论:老年患者较中青年患者易出现津液不足证,而慢性基础肺病、病程长、高热、使用激素、多次使用退热药等是发生津液不足的高危因素。Objective： To discuss clinical characteristics on exogenous fever patients of deficiency of body fluid metabolism. Methods：We retrospectively analyzed all patients with exogenous fever in our deparment from January,2012 to October,2013. The logietic regression analysis was made to compare the clinical between two groups. Results： The rate of body fluid deficiency was 49.4% in all patients. The aged patients was 64.6%. However, young and middle-aged patients was 31.7%. There were remarkable differences between two CHRONIC PULMONARY DISEASE （ OR = 4. 56 ） , COURSE groups. Logistic regression showed that AGE （ OR = 3.77 ） , OF DISEASE （OR = 1.27） , HIGH FEVER（ OR = 3.75）, HORMONE （ OR = 3.59 ） , NSAIDs （ OR = 5.88 ） were independent predictors for body fluid deficiency. Conclusion ： The fluid deficiency is easy to appear in aged patients. The independent predictors is AGE, CHRONIC PULMONARY DISEASE, COURSE OF DISEASE, HIGH FEVER, HORMONE, NSAIDs.

关 键 词：外感热病 津液不足 辨证分型 

分 类 号：R228[医药卫生—中医基础理论]