肺隐球菌性肺热病CT征象与中医辨证分型的相关性研究  

Correlation Study on CT Manifestations and Syndrome Differentiation of Chinese Medicine in Pulmonary Febrile Disease

作　　者：程文君[1] 

机构地区：[1]台州市立医院放射科,浙江台州318000

出　　处：《中华中医药学刊》2016年第2期490-493,共4页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨肺隐球菌性肺热病患者的中医病症分型与CT征象的相关性,为中医治疗肺隐球菌性肺热病提供影像学依据。方法:分析过去5年间医院60例经手术切除病理或者体外穿刺活检证实属于肺隐球菌性肺热病的患者,按照中医辨证分型标准、中医症侯分型标准分为风热犯肺型、痰热雍肺、邪热内结、脾肾阳虚,所有研究对象均进行CT扫描,结合患者的临床症状,采用双盲法对其CT表现与各证型之间的关系进行分析。结果:CT主要表现为浸润实变型、网织结节型、肿块型、混合型,分别为28例、15例、11例、6例;以风热犯肺型、痰热雍肺多见,分别为32例和17例,其中浸润实变型在风热犯肺中多见,网织结节型在风热犯肺型中明显多于其他症型(P<0.01),肿块型在痰热雍肺中明显多于其它证型(P<0.01)。结论:在肺隐球菌性肺热病的中医病症的诊断中,CT扫描具有较好的辅助作用,其中医分型与CT征象有一定的相关性,可以作为临床辨证论治及判断预后的一个依据。Objective： To investigate the correlation between CT signs and TCM syndrome types of pulmonary febrile disease and provide objective image for Chinese medicine treatment.Method： 60 patients of pulmonary febrile disease who were pathologically diagnosed by resection and aspiration biopsy were selected for five years and divided into wind-heat invading lung,phlegm-heat in lung,interior heat accumulation and lung and stomach wind-cold according to TCM syndrome classification standards. All cases were examined by CT and we studied the correlation between CT signs and TCM syndrome types of pulmonary febrile disease by double- blind study combined with clinical symtoms. Results： CT mainly showed that infiltration solid variant type（ 28 cases）,reticulocyte nodular type（ 15 cases）,mass type（ 11 cases） and mixed type（ 6 cases） in which the commonly-seen syndromes were wind-heat invading lung（ 32 cases） and phlegm-heat in lung（ 17 cases）. Infiltration solid variant types were mostly seen in wind-heat invading lung and reticulocyte nodular type in wind-heat invading lung were more than those in other TCM syndrome-types（ P〈0.01） and mass type in phlegm-heat in lung were more than those in other TCM syndrome-types（ P〈0.01）.Conclusion： CT examination has good auxiliary function for traditional Chinese diagnosis of pulmonary febrile disease and TCM syndrome differentiation typing has certain correlation with CT signs,which provides objective evidences on clinical differentiation and treatment and estimating prognosis.

关 键 词：肺隐球菌性肺热病 病症 CT 中医辨证分型 相关性 

分 类 号：R563[医药卫生—呼吸系统]