慢阻肺急性加重与中医体质的相关性研究

发布时间：2018-06-17 13:05

本文选题：慢性阻塞性肺疾病急性加重 + 中医体质特征　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:本研究探讨慢性阻塞性肺疾病急性加重时的临床指标与中医体质特征的相关性,进而从中医体质学角度出发,因人制宜,分析慢性阻塞性肺疾病急性加重发病机制,指导临床中医辨证论治及对稳定期慢性阻塞性肺疾病患者进行体质调理,以减少慢性阻塞性肺疾病急性加重发作次数,改善患者生活质量,延缓病情进展,改善预后。方法:首先收集山东省中医院肺病科病房2014年7月至2015年7月就诊的慢性阻塞性肺疾病急性加重患者病历资料。其次,采集患者年龄、性别、体重指数等个人信息,发病季节,病程,并发症,mMRC评分,CAT评分,体质等相关信息。运用统计学方法进行统计分析,总结慢性阻塞性肺疾病急性加重时的相关指标与中医体质的相关规律。结果:患者气虚体质39例、痰湿体质32例、阴虚体质15例、湿热体质14例,占总人数80.7%。年龄集中在60-80岁,占72.0%,其中,男性占69.5%,女性30.5%,吸烟者占51.7%。体重指数22.15±4.41kg/m2,病程5.99±6.001年,56.0%秋冬季急性加重,发病多见痰浊阻肺证(25.4%)、痰热壅肺证(23.7%)、肺肾气阴两虚证(21.2%)。结论:中老年男性,吸烟者,较易于秋冬季发生慢阻肺急性加重。患者以气虚体质、痰湿体质、阴虚体质、湿热体质多见,痰湿体质与瘀血体质的体重指数较高。不同体质的性别、年龄、病程、发病季节差异性无统计学意义。不同体质类型的慢阻肺急性发作期患者的中医证候不同。
[Abstract]:Objective: to investigate the correlation between clinical indexes and TCM physique characteristics in acute exacerbation of chronic obstructive pulmonary disease (COPD), and to analyze the pathogenesis of acute exacerbation of COPD from the point of view of TCM physique. In order to reduce the times of acute exacerbation of chronic obstructive pulmonary disease (COPD), improve the quality of life of patients, delay the progress of the disease and improve the prognosis. Methods: the medical records of patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) from July 2014 to July 2015 were collected. Secondly, we collected personal information, such as age, sex, body mass index, onset season, course of disease, complication mMRC score, cat score, physique and so on. Statistical analysis was used to summarize the correlation between the indexes of chronic obstructive pulmonary disease (COPD) and TCM constitution in acute exacerbation of chronic obstructive pulmonary disease (COPD). Results: there were 39 cases of qi deficiency, 32 cases of phlegm dampness, 15 cases of yin deficiency and 14 cases of dampness and heat. The age was 60-80 years old (72.0%), of which the male accounted for 69.5%, the female 30.5% and the smoker 51.7%. The body mass index was 22.15 卤4.41 kg / m ~ 2, the course of disease was 5.99 卤6.001 ~ 56.0% acute exacerbation in autumn and winter, the phlegm turbid and obstructing lung syndrome was 25.4N, the phlegm heat obstructing lung syndrome was 23.7m ~ (2) and the syndrome of deficiency of lung and kidney qi and yin was 21.2%. Conclusion: middle-aged men and smokers are more likely to develop acute exacerbation of COPD in autumn and winter. Qi-deficiency, phlegm-dampness, yin deficiency, damp-heat, phlegm-dampness and blood stasis were more common in patients. There was no significant difference in sex, age, course and season of disease among different physique. The TCM syndromes of patients with chronic obstructive pulmonary disease (COPD) with different physique types are different.
【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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