成人支原体肺炎的证候特点初探  

Exploration of the syndrome characteristics of adult mycoplasma pneumoniae

作　　者：赵洪杰[1] 牛洁[2] 王兰[4] 姜良铎[4] 焦扬[3] ZHAO Hongjie;NIU Jie;WANG Lan(Dongfang Hospital of Beijing University of Traditional Chinese Medicine,Beijing 100078,China)

机构地区：[1]北京中医药大学东方医院南院区综合内科,100078 [2]北京中医药大学东方医院老年病科,100078 [3]北京中医药大学东方医院中内教研室,100078 [4]北京中医药大学东直门医院大内科,100078

出　　处：《环球中医药》2019年第9期1318-1322,共5页Global Traditional Chinese Medicine

基　　金：北京中医药薪火传承“3+3”工程

摘　　要：目的归纳分析北京地区成人支原体肺炎的中医证候特点。方法纳入符合标准的北京丰台区肺炎支原体感染患者102例,收集患者四诊包括全身症状、咳嗽咯痰特点及伴随症状,舌象脉象等,应用SPSS 21.0软件进行症状的频率分析,证候类型与发病季节及年龄段的回归分析,症状的聚类分析。结果(1)成人支原体肺炎的主证以发热重恶寒轻、咳嗽咯痰少为主,并有夜间咳嗽发作明显的特点。(2)兼证咽痒表现突出。(3)整体发病季节集中于秋冬时段,发病年龄集中于50岁以下年龄段;对肺炎支原体肺炎进行辨证,痰热壅肺证与季节存在相关性。(4)对支原体肺炎的症状进行聚类分析,症状自然聚类形成5类,各个中医证候群症状特点集中,于临床实际情况符合度高。结论支原体肺炎的症状特点特出,证候以痰热壅肺证、风盛挛急证为主要证型,其中风邪和风温之邪致病是本病的重要特征。Objective To summarize and analyze the syndrome characteristics of cough after mycoplasma pneumoniae infection in Beijing.Methods A total of 102 cases that conform to inclusion standard of mycoplasma penumoniae infection was selected,and their“Four Diagnoses”(look,listen,question and feel the pulse)results were collected,including the whole constitutional symptoms,coughing up phlegm,the accompanying symptoms,tongue and pulse manifestations.SPSS21.0 software was used for the analysis of the frequency of symptoms,for regression analysis of syndrome type and disease season and age group,and for cluster analysis of symptoms.Results(1)The main symptoms of adult mycoplasmal pneumonia is characterized by fever,severe aversion,cold cough,and less cough and phlegm.(2)The syndrome of pharyngeal itching is outstanding.(3)The overall disease season is concentrated in the autumn and winter periods,and the age of onset is under 50 years old.As syndrome differentiation of pneumonia mycoplasma pneumonia,there is a correlation between the heat and lung syndrome and the season.(4)As for the cluster analysis of the symptoms of mycoplasmal pneumonia,the natural clustering of symptoms have 5 categories.The characteristics of each TCM syndrome group were concentrated,and the degree of conformity in clinical practice was high.Conclusion In accordance with the syndrome characteristics of mycoplasm pneumonia infection,and with reference to the diagnosis and treatment norms in multiple internal medicine departments,lung obstructed by heat and phlegm and cough variant asthma(wind pathogen exuberance and airway contraction spasm)compose the main syndrome type of cough after mycoplasma pneumonia infection.The symptoms of mycoplasmal pneumonia are particularly characteristic.The syndromes are mainly syndromes of phlegm and syndrome lung obstructed by heat and phlegm.The wind evil and the evil of wind temperature is an important feature of this disease.

关 键 词：肺炎支原体肺炎 症状特点 证候 痰热壅肺 风盛挛急 风邪致病 

分 类 号：R259[医药卫生—中西医结合]