中医体质类型与COPD稳定期患者生活质量的关系  

The Relationship between TCM Constitutional Classification and Life Quality of Patients with Stable COPD

作　　者：梁可云 符子艺 周丽明 戴勇 莫律 李培勇 

机构地区：[1]广东省中西医结合医院,广东佛山528200

出　　处：《陕西中医药大学学报》2017年第6期37-40,共4页Journal of Shaanxi University of Chinese Medicine

基　　金：广东省佛山市卫生局课题(20143002)

摘　　要：目的通过比较不同中医体质型与慢性阻塞性肺疾病稳定期患者m MRC评分及CAT评分的差异,了解中医体质型与患者生活质量的关系,以此建立一个基于中医体质学上的COPD三级预防体质模型,为进一步加强COPD患者的三级预防,易感体质人群的管理提供依据。方法采用观察性的研究方法,观察169例COPD稳定期患者的中医体质型,了解COPD稳定期患者的中医体质型构成情况;对比不同中医体质型的COPD患者在m MRC评分及CAT评分等方面的差异,了解不同中医体质型与COPD患者生活质量高低的关联性。结果COPD稳定期患者中医体质型的构成依所占比例高低排列分别为:气虚质49例(29.00%)、阴虚质37例(21.90%)、痰湿质26例(15.40%)、湿热质21例(12.40%),其余体质型所占比例为21.30%。不同体质型COPD稳定期患者m MRC评分与体质型的关系具有气虚型>湿热型>阴虚型>痰湿型的特点;四个常见体质型的COPD患者中,CAT评分在气虚型患者CAT评分中最高,其他依次为湿热型、痰湿型,而阴虚型的患者评分则最低,组间具有显著性差异(P<0.05)。结论湿热质和痰湿质等标实患者其呼吸困难症状及生活质量更差,提示了此类人群尤其需要加强日常的疾病管理。COPD是一种本虚标实、虚实夹杂的慢性病,在补益肺、脾、肾三脏之气的同时,注意针对湿邪的治疗,或清热祛湿,或燥湿化痰,或能改善患者的临床症状及生活质量。因此,扶正不助邪、补益不留邪应为COPD稳定期患者管理中的重要治则之一。Objective Through comparing the differences of mMRC and CAT scores of patients with stable COPD and different constitutional types, to understand the relationship between TCM constitutional classification and the patient＇ s life quality and establish a COPD tertiary prevention constitution model based on TCM constitution, further to provide the basis for strengthening tertiary prevention for COPD patients and managing susceptible population. Method Research method of observation was adopted and constitutional classification of 169 patients with stable COPD were observed, the composition of constitutional classification of the cases were obtained, the differences of mMRC and CAT scores of COPD patients with different constitutional types were compared, the relevance of TCM constitutional classification and COPD patient＇ s life quality were understood. Result The composition of TCM constitutional classification of patients with stable COPD ranked from high to low based on the proportion were ： qi deficient constitution （49 cases, 29.0% ） , yin deficient constitution （37 cases, 21.9% ）, phlegm-dampness constitution （26 cases, 15.4% ）, dampness-heat constitution （21 cases, 12. 4% ）, other types of constitution accounted for 21. 3%. The relationship between mMRC scores and constitutional types of patients with stable COPD with different constitutional types was： qi deficient constitution 〉 dampness-heat constitution 〉 yin deficient constitution 〉 phlegm- dampness constitution. Among the four common constitutional types of COPD patients, CAT score was the highest in patients of qi deficient constitution, followed by dampness-heat constitution, phlegm- dampness constitution, yin deficient constitution got the lowest score, the differences between the groups were significant （P〈0.05）. Coneluslon Patients with asthenia in superficiality such as dampness-heat or phlegm-dampness constitutions have more severe dyspnea and worse life quality, indicating that such people in particular, need

关 键 词：慢性阻塞性肺疾病稳定期 中医体质学 三级预防 

分 类 号：R563.8[医药卫生—呼吸系统]