ICU重症肺炎患者病原体与中医证候的回顾性分析  

Retrospective analysis of pathogens and TCM syndromes in patients with severe pneumonia in ICU

作　　者：陈佳杰[1] 李辉[1] 

机构地区：[1]广州市番禺区中医院,广东广州511400

出　　处：《中医临床研究》2017年第12期63-65,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨ICU病房重症肺炎患者存在的主要中医证候与病原体之间的关系,为中医中药治疗重症肺炎提供更多的临床循证医学证据。方法:回顾性分析广州市番禺区中医院ICU病房收治的重症肺炎患者共178例,分析其病原体分布情况、中医证候分布情况及两者之间的关系。结果:178例重症肺炎患者中,病原体分布情况中,铜绿假单胞菌比例最大,其次是鲍曼不动杆菌,并且存在78例混合感染;凤热犯肺主要以铜绿为主,痰热壅肺主要以鲍曼与铜绿为主,而热闭心包、瘀热蕴肺则以鲍曼、铜绿和肺克为主,气阴两虚与邪陷正脱均以铜绿和肺克为主。结论:在重症肺炎患者中,病原体分布主要以铜绿假单胞菌以及鲍曼不动杆菌为主,而在不同的中医证候中,病原体的分布并未见明显的差异。Objective:to explore the relationship between the syndroms of TCM and pathogens in patients with severe pneumoniain ICU,and to provide more evidence for evidence-based medicine.Methods:178inpatients were clollected to analyze the relationshipbetween the distribution of pathogens and the distribution of TCM.Ruselts:In the distribution of pathogens,Pseudomonas aeruginosawas the largest,followed by Acinetobacter baumannii,and there were78cases of mixed infection.The main pathogens in patients withwind-heat affecting lung mainly is Pseudomonas aeruginosa.The main pathogens in patients with phlegm-heart obstructing lung mainlyis Pseudomonas aeruginosa.The patients of hot blocked in the pericardium and stasis hot accumulate lung mainly is acinetobacterbaumannii pseudomonas aeruginosa and klebsiella pneumonia.And the patients of deficiency of both vital energy and yin and evilinvading and removing mainly is pseudomonas aeruginosa and klebsiella pneumoni.Conclusions:In the patients with severe pneumonia,thedistribution of Pathogen mainly is pseudomonas aeruginosa and acinetobacter baumannii.However,there was no significant differences inthe distribution of pathogens in different TCM Syndromes.

关 键 词：重症监护 重症肺炎 病原体 中医证候 

分 类 号：R256.13[医药卫生—中医内科学]