慢性阻塞性肺病急性加重期合并便秘患者中医证候特点分析  

Analysis of TCM syndrome characteristics of acute exacerbation of chronic obstructive pulmonary disease complicated with constipation

作　　者：周海祥 任静 陶章 张桂才[1] ZHOU Hai-xiang;REN Jing;TAO Zhang(Yancheng Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Traditional Chinese Medicine,Yancheng 224001,China)

机构地区：[1]南京中医药大学附属盐城市中医院,盐城224001

出　　处：《山西中医》2024年第12期47-49,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的:探讨慢性阻塞性肺病急性加重期合并便秘患者中医证候特点。方法:统计2021年7月至2023年12月南京中医药大学附属盐城市中医院收治的慢性阻塞性肺病急性加重期合并便秘患者122例。分析患者性别、年龄、mMRC评分、便秘评分、中医证型等情况。结果:慢性阻塞性肺病急性期合并便秘患者中医证型主要分为痰热壅肺证、痰瘀阻肺证、痰浊阻肺证、阳虚水泛证四类。患者以老年人群为主,男性明显多于女性。患者急性加重期肺功能较差,mMRC评分以3级为主,其次为4级。患者急性期会出现中重度便秘,部分患者轻度便秘,需要药物治疗。结论:慢阻肺急性加重期患者以老年患者为主,发病时肺功能差,中医证型主要以痰热壅肺证、痰瘀阻肺证、痰浊阻肺证、阳虚水泛证为主。Objective:To approach TCM syndrome characteristics of acute exacerbation of chronic obstructive pulmonary disease(COPD)complicated with constipation.Methods:122 cases of patients with acute exacerbation of COPD complicated with constipation,who were treated in Yancheng Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Traditional Chinese Medicine from july 2021 to december 2023,were selected.The gender,age,mMRC score,constipation score and TCM syndrome types,etc.of patients were analyzed.Results:TCM syndrome types of patients with acute exacerbation of COPD complicated with constipation were mainly characteristized by four types i.e.syndrome of phlegm-heat obstructing lung,syndrome of phlegm and blood stasis obstructing lung,syndrome of turbid phlegm obstructing lung and syndrome of edema due to yang deficiency.These patients were mainly elderly people,and men were obviously more than women.The patient's lung function was poor in the acute exacerbation,and mMRC score was mainly grade 3,followed by grade 4.The patients would be with moderate to severe constipation in the acute exacerbation,while some patients would be with mild constipation;therefore,these patients had need to be treated with medicine.Conclusion:The patients with acute exacerbation of COPD are dominated by elderly patients.Their lung function is poor at the time of onset.TCM syndrome types are mainly characteristized by syndrome of phlegm-heat obstructing lung,syndrome of phlegm and blood stasis obstructing lung,syndrome of turbid phlegm obstructing lung and syndrome of edema due to yang deficiency.

关 键 词：慢性阻塞性肺病急性加重期 便秘 中医证候 

分 类 号：R563.9[医药卫生—呼吸系统] R574.62[医药卫生—内科学]