支气管哮喘证候诊断标准研究  

Research Formulate on the Diagnose Standards of Bronchial Asthma Syndromes

作　　者：李建生[1] 王至婉[1,2] 余学庆 张钊旺[1] 

机构地区：[1]河南中医学院呼吸疾病诊疗与新药研发河南省协同创新中心,河南郑州450046 [2]河南中医学院第一附属医院,河南郑州450000

出　　处：《中医学报》2015年第6期790-794,共5页Acta Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)项目(2006CB504605);国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2012029);郑州市科技领军人才项目(131PJRC659)

摘　　要：目的:建立支气管哮喘常见证候分类及诊断标准。方法:基于文献研究,对支气管哮喘进行临床调查研究与专家咨询问卷调查,采用多元统计方法、自适应模糊推理系统法及德尔菲法分析数据,并经相关专家讨论制定证候诊断标准。结果:支气管哮喘常见证候有外寒内饮证、痰浊阻肺证、痰热壅肺证、风痰阻肺证、血瘀证、肺气虚证、肺脾气虚证、肺肾气虚证、肺肾阳虚证、阳气暴脱证,确立了证候主症、次症,以此为基础建立了证候诊断标准。结论:支气管哮喘常见证候10种,包括实证类4种、虚证类5种、兼证(血瘀证)1种。支气管哮喘证候诊断标准的建立为开展哮喘疗效标准研究奠定了基础。Objective:To establish the diagnose standards and classify of bronchial asthma syndromes. Methods:Having clinical research and expert consultation questionnaire survey based on the literatures,using the multivariate statistical method,the adaptive fuzzy inference system method and Delphi method to analysis the data,and the relevant experts to discuss the standard syndromes. Results:The common syndromes of bronchial asthma have exogenous cold and interal fluid-retention syndrome,syndrome of turbid phlegm obstructing lung,syndrome of phlegm-heat obstructing lung,syndrome of wind-phlegm retention in lung,blood stasis syndrome,lung Qi deficiency syndrome,deficiency of lung and spleen syndrome,syndrome of deficiency of kidney and lung,Yang Qi prostration syndrome. Established the main and second disease syndrome,and established the standards of syndromes based on this. Conclusion:11 syndromes of bronchial asthma,including 4 kinds of excesse syndromes and 5 kinds of deficiency syndromes,and 1 kind of blood stasis. The establishment of the bronchus asthma syndrome diagnosis standards research laid the foundation for asthma curative standard.

关 键 词：支气管哮喘 证候 诊断标准 

分 类 号：R259[医药卫生—中西医结合]