鼻炎、哮喘、鼻炎—哮喘综合征证候分布规律及关系探讨

发布时间：2018-01-03 13:05

  本文关键词：鼻炎、哮喘、鼻炎—哮喘综合征证候分布规律及关系探讨　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

  更多相关文章： 变应性鼻炎 哮喘 变应性鼻炎-哮喘综合征 中医 证候研究

【摘要】：目的:分析变应性鼻炎、支气管哮喘(简称哮喘)、变应性鼻炎-哮喘综合征中医证候的分布规律,总结变应性鼻炎-哮喘综合征的中医证候特征,并探讨变应性鼻炎、哮喘、变应性鼻炎-哮喘综合征三种疾病中医证候的关系,为中医药辨证论治提供临床依据。方法:采用文献调研法对大学教材、专著、国家行业标准、中医证候研究等相关文献中关于变应性鼻炎、哮喘和变应性鼻炎-哮喘综合征的证候信息进行采集和整理,并通过专家论证和预调研,形成正式的证候调查表。再选择在广东省中医院耳鼻喉科及呼吸科就诊并诊断为变应性鼻炎、哮喘或变应性鼻炎-哮喘综合征的患者开展临床调研。数据统计分析在SPSS17.0统计软件中进行,运用描述性统计、样品聚类分析、对应分析等数据统计方法,分析变应性鼻炎、哮喘和变应性鼻炎-哮喘综合征的中医证候分布规律,并探讨三种疾病的中医证候关系。结果:1.本研究一共调查了 416例患者的中医证候,其中变应性鼻炎患者123例,哮喘患者157例,变应性鼻炎-哮喘综合征患者136例。2.变应性鼻炎患者以青年、高学历人群为主;哮喘患者以老年、中等学历人群为主;变应性鼻炎-哮喘综合征患者则以中青年、中等学历人群为主,且三种疾病的女性患者居多。本研究发现变应性鼻炎-哮喘综合征患者大多以变应性鼻炎症状为首发,而且发病年龄较哮喘提前,提示变应性鼻炎应积极治疗,若控制不佳,病情迁延,部分病人可能发展至变应性鼻炎-哮喘综合征。3.三种疾病的中医证候分布规律三种疾病的中医证候分布规律体现了本虚为主,或有标实的主证。其中,变应性鼻炎中医证候分型为风寒袭肺、风热犯肺、脾虚痰湿、肺气虚、肺脾气虚五型,体现"风盛正虚"的病机;哮喘的中医证候分型为痰浊阻肺,痰热壅肺,肺脾气虚、痰浊阻肺,脾肾阳虚、寒饮停肺,肺脾气虚五型,体现"夙痰为根"的病机,变应性鼻炎-哮喘综合征的中医证候分型为肺肾气虚、风寒袭肺,肺脾气虚、风痰犯肺,肺脾肾虚、痰浊内阻,脾肾气虚、风痰犯肺,肺肾气虚、痰湿内阻五型,体现"正虚为本"、"风痰作祟"的病机。4.三种疾病中医证候关系的探讨本研究三种疾病的证候中皆有本虚、标实之分,变应性鼻炎的本虚与肺、脾相关;哮喘与变应性鼻炎-哮喘综合征的本虚与肺、脾、肾相关;变应性鼻炎的标实以风邪为主,哮喘的标实以痰邪为主,而变应性鼻炎-哮喘综合征则表现为风、痰之邪夹杂而作。三种疾病中,变应性鼻炎多为素体本虚或肺、脾两脏受损,风邪侵袭而发病;哮喘为素体本虚,久病损及肺、脾、肾等脏腑,外邪引动宿痰为病;变应性鼻炎-哮喘综合征则素体本虚,肺、脾、肾三脏俱损,夹杂风、痰之邪而作,在以上两种疾病的基础上发病。可见三种疾病均以本虚为主,均累及肺、脾或肾等脏腑,并夹杂风痰之邪而为病,具有相似性。结论:1.变应性鼻炎患者以青年、高学历人群为主,哮喘患者以老年、中等学历人群为主,而变应性鼻炎-哮喘综合征患者则以中青年、中等学历人群为主。2.本研究虽样本量偏少,但结合相关文献,仍可提示变应性鼻炎在变应性鼻炎-哮喘综合征疾病进程中的重要性,临床应重视变应性鼻炎的及时治疗。3.三种疾病的中医证候分布规律体现了本虚为主,或有标实的主证,本虚为肺、脾或肾虚,标实以风、痰为主。变应性鼻炎"风盛正虚",哮喘"夙痰为根",变应性鼻炎-哮喘综合征"正虚为本"、"风痰作祟"为其主要病机,临证时应注意审证求机。4.三种疾病的本虚均与肺、脾、肾虚有关,并夹杂风痰之邪而为病,具有相似性。
[Abstract]:Objective: to analyze the allergic rhinitis, bronchial asthma (asthma), distribution of allergic rhinitis and asthma syndrome of TCM syndrome, summarize the characteristics of TCM Syndromes of asthma syndrome, allergic rhinitis, and to explore the relationship between allergic rhinitis, asthma, allergic rhinitis and asthma syndrome three disease syndromes the traditional Chinese medicine syndrome differentiation and treatment to provide clinical basis. Methods: using the literature research method of university textbooks, monographs, the national industry standard, on allergic rhinitis TCM syndrome research literature, syndrome information of asthma and allergic rhinitis and asthma syndrome were collected, and by experts and the pre survey, the formation of the syndrome questionnaire. The formal selection in the Department of ENT of Guangdong Province Traditional Chinese Medical Hospital and Department of respiration treatment and diagnosis of allergic rhinitis, a clinical research of asthma or allergic rhinitis and asthma syndrome patient data. Statistical analyses were performed using the SPSS17.0 statistical software, using descriptive statistics, sample clustering analysis, statistical correspondence analysis method, analysis of allergic rhinitis, asthma and allergic rhinitis and asthma syndrome distribution of TCM syndrome, and to explore the relationship between TCM Syndromes of three diseases. Results: This study investigated a total of 1. TCM Syndromes of 416 patients, including 123 cases of patients with allergic rhinitis and 157 cases of patients with asthma, allergic rhinitis and asthma syndrome, 136 patients with.2. in patients with allergic rhinitis in young, highly educated population; asthma patients in old people, secondary education; patients with allergic rhinitis and asthma syndrome to the young people, secondary education, and women with three kinds of diseases. This study found that the majority of patients with allergic rhinitis and asthma syndrome mostly with allergic rhinitis symptoms as the first, and the onset age of asthma 鎻愬墠,鎻愮ず鍙樺簲鎬ч蓟鐐庡簲绉�鏋佹不鐤�,鑻ユ帶鍒朵笉浣，

本文编号：1373995