煤工尘肺99例中医证候调查  

Investigation of TCM patterns of coalworkers' pneumoconiosis: a 99-case study

作　　者：吴志松[1] 曹芳[1] 李秀兰[2] 刘艳芳 焦扬[1] 

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京市房山区中医医院工伤病科 [3]北京市昌平区中医医院肺病科

出　　处：《现代中医临床》2016年第2期9-12,共4页Modern Chinese Clinical Medicine

基　　金：教育部高等学校博士学科点专项科研基金(No.20130013110002)

摘　　要：目的探讨煤工尘肺的中医证候特征、辨证要点,寻找尘肺的中医辨证规律,以便指导临床实践。方法对99例煤工尘肺患者进行了中医证候调查及统计分析。结果 99例煤工尘肺患者经临床医师辨证可分为9种证候:风寒犯肺证、风热犯肺证、表寒肺热证、痰热蕴肺证、痰湿阻肺证、肺气虚证、肺阴虚证、脾气虚证、血瘀证,其中肺气虚证和痰热蕴肺证的出现频次较高。对症状进行聚类分析,可聚为4类,归纳为肺气虚证、痰热蕴肺证、痰湿阻肺证、血瘀证4个证候。结论煤工尘肺其病位主要在肺,病性虚实夹杂,尘毒阻肺的基本病机贯穿疾病过程,尘毒是煤工尘肺发生、发展和演变过程中的主要致病因素,在此基础上,不同患者的证候又有寒热虚实的不同侧重。Objective To find out characteristics of TCM patterns and key points of syndromes differentia-tion of coalworkers＆#39;pneumoconiosis （CWP）,so as to guide the clinical practice.Methods The TCM patterns of altogether 99 coalworkers with pneumoconiosis were investigated and analyzed.Results After differentiation of the patterns,TCM physicians identified nine patterns ：wind-cold invading the lung, wind-heat invading the lung,exterior cold with lung-heat,phlegm-heat blocking the lung,phlegm-damp-ness blocking the lung,deficiency of lung qi,deficiency of lung yin,deficiency of spleen qi,and blood stasis.The frequencies of pattern of deficiency of lung qi and pattern of phlegm-heat blocking the lung were higher than other patterns.Using cluster analysis of symptoms,four kinds of patterns were identi-fied：deficiency of lung qi,phlegm-heat blocking the lung,phlegm-dampness blocking the lung,and blood stasis.Conclusion The location of CWP is at the lung,the nature of CWP is the simultaneous oc-currence of deficiency and excess syndromes,and the basic pathogenesis of toxic dust blocking the lung runs through the course of CWP with the common cause of toxic dust at the occurance,development and changes of CWP.Furthermore,different patients with the same pattern showed differences in the nature of cold,heat,deficiency and excess.

关 键 词：煤工 尘肺 中医 证候调查 

分 类 号：R256.1[医药卫生—中医内科学]