58例复治涂阳肺结核患者中医证候与肺CT征象的相关性研究  

Correlation study of traditional Chinese medicine syndrome differentiation typing and lung computed tomography signs in 58 smear positive retreated tuberculosis patients in the first diagnosis

作　　者：纪滨英 郭春辉 谢晓霞 王晓瑞 吴晶 车道林 林红 

机构地区：[1]黑龙江省哈尔滨市胸科医院,150056

出　　处：《结核病与肺部健康杂志》2015年第3期169-173,共5页Journal of Tuberculosis and Lung Health

摘　　要：目的 探讨首次诊断复治涂阳肺结核患者中医辨证证候型与肺CT检查所见征象的相关性.方法 将58例肺结核患者进行中医辨证,分为肺阴虚型、阴虚火旺型和气阴两虚型,分析各证候型与肺CT检查所见征象之间的相关性.结果 58例患者中肺阴虚型23例,占39.66％,肺CT征象以渗出病变、腺泡结节病变为主;阴虚火旺型19例,占32.76％,肺部病灶呈广泛性分布,肺CT征象以干酪病灶、浸润病灶为主并伴有空洞性改变;气阴两虚型16例,占27.59％,肺部病灶逐渐增大,呈反复破坏和修复改变,肺CT征象在干酪、浸润、空洞病灶基础上呈现增殖、纤维化,甚至出现肺萎陷、毁损.结论 复治涂阳肺结核中医辨证证候型与其肺部CT征象存在一定的相关与规律性,对肺结核中医辨证分型诊断和治疗具有较重要的实用价值.Objective To explore the correlation between traditional Chinese medicine （TCM） syndrome differentiation typing and lung computed tomography （CT） signs in smear positive retreated tuberculosis （TB） patients in the first diagnosis. Methods According to TCM syndrome differentiation typing, 58 TB patients were divided into Lung Yin deficiency type,type of Yin deficiency and fire hyperactivity and Qi Yin deficiency type. The correlation between TCM syndrome differentiation typing and lung CT signs was analyzed. Results In the 58 cases, 23 were Lung Yin deficiency type, accounted for 39.66%, and the lung CT signs mainly presented exudative process or acini nodular lesions. 19 were the type of Yin deficiency and fire hyperactivity, accounted for 32.76%. The lung diseases shew extensive distribution, and CT signs mainly presented cheese or invasive focus, accompanied cavity focus. Sixteen were Qi Yin deficiency type, accounted for 27.59%, The lung lesions increased gradually, showing repeated damage and repair changes. The lung CT signs presented multiplication and fibrous focus based on cheese, invasive and cavity focus, even appeared collapse and damage of lung. Conclusion There are some correlation and regularity in TCM syndrome differentiation typing and lung CT signs in retreated smear positive pulmonary tuberculosis cases, which has important practical value for objective diagnosis and treatment of TCM syndrome differentiation typing in pulmonary tuberculosis.

关 键 词：结核 肺/诊断 辨证分型 体层摄影术 X线计算机 

分 类 号：R259[医药卫生—中西医结合]