中医肺病门诊咳嗽患者病因与证型分布特点研究

发布时间：2018-06-12 09:45

本文选题：中医肺病门诊咳嗽 + 病因　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:(1)研究分析中医肺病门诊咳嗽患者的病因;(2)归纳中医肺病门诊咳嗽中医证候分布特点;(3)用于指导临床,提供诊治疾病的依据。方法:采用回顾性流行病学调查方法,收集2014年10月至2015年12月就诊于山东中医药大学附属医院中医肺病门诊,以咳嗽症状为主诉的80例患者病历资料,明确咳嗽的病因诊断;运用因子分析等统计方法,总结中医咳嗽证候分布特点。结果:中医肺病门诊咳嗽患者的主要病因诊断依次为:气管-支气管炎,急性上呼吸道感染,感染后咳嗽,咳嗽变异性咳嗽,支气管扩张症,支气管哮喘,肺炎,间质性肺疾病,变应性鼻炎。少见的病因诊断依次为:变应性咳嗽,肺结核,胃食管反流性疾病,原发性支气管肺癌,喉源性咳嗽,胸腔积液。主要为呼吸系统疾病,涉及耳鼻喉科、消化科等多科疾病。此次研究肺病门诊咳嗽患者常见的中医证候依次为:肺热伤津证,痰湿蕴肺证,风燥伤肺证,肺阴虚证,肺脾气虚证。结论:咳嗽的病因繁多,涉及除呼吸系统以外的其他学科,中医证候也较多,应将咳嗽的病因诊断与证候结合起来,重视辨病论治与辨证论治相结合。
[Abstract]:Objective to study and analyze the etiology of cough patients in out-patient clinic of traditional Chinese medicine (TCM) and summarize the distribution characteristics of TCM syndromes of cough in out-patient clinic of traditional Chinese medicine (TCM) and to provide the basis for diagnosis and treatment of diseases. Methods: a retrospective epidemiological survey was conducted to collect the medical records of 80 patients with cough symptoms from October 2014 to December 2015 in the clinic of traditional Chinese Medicine (TCM) of affiliated Hospital of Shandong University of traditional Chinese Medicine (Shandong University of traditional Chinese Medicine), and the etiological diagnosis of cough was confirmed. By using factor analysis and other statistical methods, the characteristics of cough syndrome distribution in TCM were summarized. Results: the main etiological diagnoses of cough patients were tracheobronchial bronchitis, acute upper respiratory tract infection, post-infection cough, cough variant cough, bronchiectasis, bronchial asthma, pneumonia. Interstitial lung disease, allergic rhinitis. The rare etiological diagnoses were allergic cough, pulmonary tuberculosis, gastroesophageal reflux disease, primary bronchogenic carcinoma, laryngeal cough and pleural effusion. Mainly for respiratory diseases, involving otolaryngology, digestive and other multi-disciplinary diseases. The common TCM syndromes of cough patients in this study are: lung heat injury syndrome, phlegm dampness accumulation lung syndrome, wind dryness injury lung syndrome, lung yin deficiency syndrome, lung spleen qi deficiency syndrome. Conclusion: the etiology of cough is various, involving other subjects other than respiratory system, and TCM syndromes are also more. It is necessary to combine the etiological diagnosis and syndromes of cough, and pay attention to the combination of syndrome differentiation and syndrome differentiation.
【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】：R256.11

【参考文献】