肺间质纤维化患者中医体质分布规律研究

发布时间：2018-03-25 14:49

本文选题：肺间质纤维化　切入点：分期　出处：《山东中医药大学》2016年硕士论文

【摘要】：目的:探讨肺间质纤维化(PF)患者的中医体质分布规律,有助于PF患者的早期诊断,并为PF患者提供个体化治疗方案。方法:通过搜集2013年9月到2016年1月入住山东省中医院的138例肺间质纤维化患者,并根据临床症状、肺功能、HRCT表现分为三期。采用问卷及电话回访的方式对患者的基本情况和中医体质进行调查。统计不同的体质类型在肺间质纤维化患者三期中的分布情况,将调查得到的数据建立数据库利用单因素方差分析和卡方检验分析得出体质类型与肺间质纤维化患者病情程度的相关性。结果:1.138例肺间质纤维化患者中男女患者比例为2:1。2.138例肺间质纤维化患者的主要体质类型是气虚质、血瘀质,所占比例分别为21.01%和18.84%,其次为痰湿质和阴虚质,所占比例分别为16.67%和14.49%。3.肺间质纤维化早期患者中痰湿质所占比例最大,为32.14%,其次为湿热质和血瘀质,分别为25%和17.86%。慢性迁延期患者中气虚质所占比例最大,为30%,其次为血瘀质和痰湿质,分别为21.43%和15.71%。晚期患者中阴虚质(30%)、阳虚质(20%)所占比例较大,其次为气虚质(17.5%)、血瘀质(15%)。结论:1.肺间质纤维化患者在性别上,男性多于女性。2.肺间质纤维化患者体质类型主要是气虚质、血瘀质;早期以痰湿质为主,慢性迁延期以气虚质为主,晚期以阴虚质为主。3.肺间质纤维化患者的严重程度和中医体质相关。
[Abstract]:Objective: to investigate the distribution of TCM constitution in patients with pulmonary interstitial fibrosis (PF), and to help the early diagnosis of PF patients. Methods: 138 patients with pulmonary interstitial fibrosis admitted to Shandong traditional Chinese Medicine Hospital from September 2013 to January 2016 were collected, and according to the clinical symptoms, HRCT findings of pulmonary function were divided into three stages. The basic status of patients and TCM physique were investigated by questionnaire and telephone interview. The distribution of different physique types in three stages of pulmonary interstitial fibrosis was analyzed. The data obtained from the investigation were established in a database. The relationship between the physical types and the severity of pulmonary interstitial fibrosis was obtained by univariate ANOVA and chi-square test. Results among 1.138 patients with pulmonary interstitial fibrosis, male and female were involved in the study. The main physical type of 2: 1.2.138 patients with pulmonary interstitial fibrosis was qi deficiency. The proportion of blood stasis was 21.01% and 18.84% respectively, followed by phlegm dampness and yin deficiency, accounting for 16.67% and 14.49.3.The proportion of phlegm dampness was the largest in the early stage of pulmonary interstitial fibrosis (32.14), followed by dampness and blood stasis. The proportion of qi deficiency was 30, followed by blood stasis and phlegm dampness, which were 21.43% and 15.71%, respectively. Secondly, Qi deficiency is 17.5m and blood stasis is 150.Conclusion 1. In the patients with pulmonary interstitial fibrosis, male is more than female in sex. The physique types of pulmonary interstitial fibrosis are mainly qi deficiency and blood stasis, and phlegm and dampness are the main types in the early stage. The chronic prolongation period was mainly qi deficiency and the late stage was yin deficiency. 3. The severity of pulmonary interstitial fibrosis was related to the constitution of traditional Chinese medicine.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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