成人支原体肺炎中医临床规律研究  

The Study of the Clinical Regular of Adult Mycoplasmal Pneumonia in TCM

作　　者：张利民[1] 谭毅[1] 张学英[1] 邹莲霞[1] 冯德勇[1] 巫祖强[1] 

机构地区：[1]深圳市龙岗区人民医院,广东深圳518100

出　　处：《中医药导报》2015年第23期81-83,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的：总结分析肺炎支原体肺炎的相关临床资料，探讨其中医临床规律。方法：回顾性调查了肺炎支原体肺炎电子病例620例，调查项目包括一般临床资料：年龄、发病季节、病史；临床症状，中医诊断及证型。结果：（1）临床诊断以咳嗽为主，辨证多为外感风热；f2）年龄与中医证型有一定的相关性，16～40岁以实证热证（风热、痰热）为主，而41～60岁患者以虚证、寒证和痰湿证多见；（3）在南方冬春季节发病多见，且风热犯肺和风热闭肺两型共占56．9％，支持季节性与中医证型有着密切的关联性；（4）发热与中医证型有一定相关：风热犯肺、风热闭肺和风寒犯肺3个证型发热较多见，提示本病发热为外感发热，病邪多在卫表，（5）肺部哆音与中医证型有一定相关性：风热闭肺和痰热阻肺两证型多见肺部哆音，其它证型少有或无肺部哆音，认为肺郎口罗音为痰阻气道，气道痉挛，气过痰鸣所致，可考虑为风热闭肺或痰热阻肺的有意义性指征。结论：肺炎支原体肺炎中医临床有一定规律可循。南方冬春季节多见，诊断以咳嗽为主，临床上虽可见多种证型，但以风热犯肺、风热闭肺和痰热阻肺为主，中老年人痰湿阻肺和脾肺气虚居多。Objective： To explore the clinical regular of Mycoplasmal Pneumonia in TCM, according to related clinical data. Methods： We retrospectively investigated 620 electronic patient cases, and the clinical data, including ages, the seasons of disease, the disease history, the CTM diagnose and syndromes, were investigated. Results： （1） Cough is the mostly seen in clinical diagnose, which comes mainly from affection of exogenous wind-heat. （2） Ages and TCM syndromes are two relevant elements. There are much more TCM excessive syndrome and heat disease （wind and phlegm heat） syndromes in the patients aged from 16 to 60; deficiency syndrome, coldness syndrome and phlegm dampness syndrome are more found in the patients aged from 41 to 60;（4） In the south, more diseases are found in winter and spring. The two syndromes of wind-heat invading lung and windheat blocking the lung are 56.94% in all the syndromes, which supports the theory of close relevance between ages and TCM syndromes; （4） Fever showed connection with TCM syndromes, and there are much more cases in the following syndromes, including wind-heat invading lung, wind-heat blocking the lung and wind-cold invading the lung, which suggests that the diseases are exogenous fever and the pathogeny lies in the superficial level; （5） The lung rales showed connection with TCM syndromes; lung rales are mainly found in pulmonary retention of hlegmoyresia and wind-heat＇s blocking lung syndromes, and there are no or few rales in other syndromes. It can be explained that the lung rales come from the phlegm＇s obstructing the airway, which causes airway spasms and produces the rales. The lung tale is the special indication of pulmonary retention of hlegmoyresia and wind-heat＇s blocking lung syndromes. Conclusion： Mycoplasma pneumoniae infection showed some characteris- tics which can be traced in TCM clinic. In the south, the infection happens more frequently in winter and spring, and are mainly diagnosed as coughs in TCM. Ahhough various type

关 键 词：肺炎支原体肺炎 中医证型 风热犯肺 风热闭肺 痰热阻肺 

分 类 号：R256.1[医药卫生—中医内科学]