哮喘-慢阻肺重叠综合征的中医体质特点研究  

Study on TCM Constitution Characteristics of Asthma COPD Overlap Syndrome

作　　者：钟国就 肖剑 林娉 毛伟坚 柯朗虹 ZHONG Guojiu;XIAO Jian;LIN Ping;MAO Weijian;KE langhong(Maoming Hospital of Traditional Chinese Medicine,Maoming 3525000,Guangdong,China)

机构地区：[1]茂名市中医院,广东茂名525000

出　　处：《实用中医内科杂志》2022年第8期140-142,I0018,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：茂名市科技计划(200326154552497)。

摘　　要：目的探讨哮喘-慢阻肺重叠综合征(ACOS)患者的中医体质,并研究不同中医体质的特点,为治疗哮喘-慢阻肺重叠综合征提供数据参考。方法收集2018年1月—2021年3月医院诊断为ACOS的患者298例。所有患者均进行问卷调查,问卷调查内容包括患者基础资料、中医体质量表和临床症状。患者根据中华中医药学会《中医体质分类和判定》对中医体质进行分类。记录患者的吸烟指数、肺功能指标FEV_(1)/FVC和年急性哮喘发作的次数。结果ACOS人群的占主要比例的体质类型分别是阳虚质(119例)、气虚质(80例)、痰湿质(44例)和特禀质(30例)。阳虚质和气质虚类型患者的吸烟指数要高于痰湿质和特禀质患者,阳虚质的FEV_(1)/FVC(%)水平最低,阳虚质和气虚质患者的年急性发作次数要高于痰湿质和特禀质患者。结论阳虚质、气虚质、痰湿质和特禀质为哮喘-慢阻肺重叠综合征的主要中医体质,中医体质类型与吸烟指数、肺功能和年急性发作次数密切相关。Objective To explore the TCM Constitution of patients with asthma COPD overlap syndrome(ACOS),and to study the characteristics of different TCM constitutions,so as to provide data reference for the treatment of asthma COPD overlap syndrome.Methods 298 patients with ACOS were collected from January 2018 to March 2021.All patients were investigated by questionnaire,including patient basic data,TCM body mass scale and clinical symptoms.The patients classified the constitution of traditional Chinese medicine according to the classification and judgment of constitution of traditional Chinese Medicine issued by the Chinese society of traditional Chinese medicine.The smoking index,pulmonary function index FEV_(1)/FVC and the number of acute asthma attacks in were recorded.Results The main constitution types of ACOS population were Yang deficiency(119 cases),Qi deficiency(80 cases),phlegm dampness(44 cases)and intrinsic quality(30 cases).The smoking index of patients with Yang deficiency and temperament deficiency was higher than that of patients with phlegm dampness and idiosyncrasy,the FEV_(1)/FVC(%)level of Yang deficiency was the lowest,and the annual acute attack frequency of patients with Yang deficiency and Qi deficiency was higher than that of patients with phlegm dampness and idiosyncrasy.Conclusion Yang deficiency,Qi deficiency,phlegm dampness and intrinsic quality are the main TCM Constitution of asthma COPD overlap syndrome.TCM constitution types are closely related to smoking index,lung function and annual acute attack times.

关 键 词：哮喘-慢阻肺重叠综合征 中医体质 吸烟指数 

分 类 号：R562.25[医药卫生—呼吸系统]