572例支气管哮喘缓解期患者中医体质类型与中医证候调查研究
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摘要
目的分析支气管哮喘缓解期中医体质类型和证型分布规律及相关性。方法采用横断面调查方法,共纳入符合标准的支气管哮喘缓解期患者572例,并对其进行中医体质和证型判定,以探讨支气管哮喘缓解期体质类型和证型的相关性。结果 572例支气管哮喘缓解期患者的中医体质类型以气虚质、阳虚质、痰湿质、湿热质最多,分别占28. 0%、25. 2%、21. 2%、10. 7%。证型分型主要为肺脾气虚证和肺肾两虚证,分别占65. 7%、34. 3%。气虚质与肺脾气虚证最为密切,阳虚质与肺肾两虚证最为密切,痰湿质与肺脾气虚证最为密切,湿热质与肺脾气虚证最为密切。结论气虚质、阳虚质、痰湿质、湿热质为支气管哮喘缓解期常见体质类型,支气管哮喘缓解期患者的中医体质类型与证候密切相关。
Objective To analyze the distribution laws of TCM body constitution types and TCM syndromes as well as their correlation in the patients with bronchial asthma at remission stage. Methods A cross-sectional study was adopted. 572 eligible patients of bronchial asthma at remission stage were included. The TCM body constitutions and TCM syndromes were identified and their correlation was explored. Results Of 572 patients with bronchial asthma at remission stage,the body constitutions as qi deficiency,yang deficiency,phlegm-damp and damp-heat were of the majority,accounting for 28. 0%,25. 2%,21. 2% and 10. 7% successively. Regarding TCM syndrome identification,the lung and spleen qi deficiency and the lung and kidney deficiency were dominated,accounting for 65. 7% and 34. 3% respectively. The qi deficiency constitution was closely related to the lung and spleen qi deficiency syndrome,the yang deficiency constitution was to the lung and kidney deficiency,the phlegm-damp constitution was to the lung and spleen qi deficiency and the damp-heat constitution to the lung and spleen qi deficiency. Conclusion The constitutions as qi deficiency,yang deficiency,phlegm-damp and damp-heat are dominant in the patients with bronchial asthma at remission stage. TCM body constitutions of the patients with bronchial asthma at remission stage are closely related to the TCM syndromes of the disease.
Objective To analyze the distribution laws of TCM body constitution types and TCM syndromes as well as their correlation in the patients with bronchial asthma at remission stage. Methods A cross-sectional study was adopted. 572 eligible patients of bronchial asthma at remission stage were included. The TCM body constitutions and TCM syndromes were identified and their correlation was explored. Results Of 572 patients with bronchial asthma at remission stage,the body constitutions as qi deficiency,yang deficiency,phlegm-damp and damp-heat were of the majority,accounting for 28. 0%,25. 2%,21. 2% and 10. 7% successively. Regarding TCM syndrome identification,the lung and spleen qi deficiency and the lung and kidney deficiency were dominated,accounting for 65. 7% and 34. 3% respectively. The qi deficiency constitution was closely related to the lung and spleen qi deficiency syndrome,the yang deficiency constitution was to the lung and kidney deficiency,the phlegm-damp constitution was to the lung and spleen qi deficiency and the damp-heat constitution to the lung and spleen qi deficiency. Conclusion The constitutions as qi deficiency,yang deficiency,phlegm-damp and damp-heat are dominant in the patients with bronchial asthma at remission stage. TCM body constitutions of the patients with bronchial asthma at remission stage are closely related to the TCM syndromes of the disease.
引文
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[12]任玉娇,张伟.从气虚络瘀探析支气管哮喘慢性持续期病机演变[J]. 2016,40(4):316-318.
[13]刘军,姒惠,金桂玲.支气管哮喘患者血液流变学指标分析[J].2004,14(2):261-262.
[14]王琦.中医体质学[M].北京:人民卫生出版社,2005:10.
[15]李竹英,赵仁燕.慢性阻塞性肺疾病稳定期中医体质与证候关系探析[J].中国中医急症,2017,26(3):440-441.
[16]隋艾凤,徐艳玲,邓虎.中药复方治疗支气管哮喘慢性持续期患者临床观察[J].世界中西医结合杂志,2015,10(1):78-80.
[17]许飞龙,符林春,岑玉文,等.中医体质学的研究进展[J].中华中医药学刊,2011,29(9):1997-1999.
[2]徐艳玲,曲妮妮,赵克明,等.中药复方对虚实夹杂型支气管哮喘的临床疗效观察[J].世界中西医结合杂志,2016,11(8):1117-1119.
[3]Deng MJ,Liu CY,Xie Y,et al. Regularity of Clinical Application ofLianquan(CV 23)in Chinese Ancient Times According to Literatureof Traditional Chinese Medicine[J]. Zhen Ci Yan Jiu,2018,43(3):194-198.
[4]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗及教育和管理方案)[J].中华结核和呼吸杂志,2003,26(3):132-138.
[5]中华中医药学分.中医体质分类与判定[M].北京:中国中医药出版社,2009:6.
[6]周仲瑛.中医内科学[M]. 2版.北京:中国中医药出版社,2009:79.
[7]狄冠麟,刘桂颖,胡珀,等.支气管哮喘缓解期中医体质和证候的分布及分析[J].中华中医药杂志,2015,30(6):1972-1974.
[8]方春仙,杨珺超.中医体质类型与非急性发作期支气管哮喘的相关性研究[J].浙江中医药大学学报,2012,36(5):519-521.
[9]邓金钗,郑小伟,陈圣华,等.支气管哮喘缓解期中医体质的分布特点[J].中华中医药杂志,2018,33(3):945-947.
[10]李素云,李亚,李建生,等.支气管哮喘缓解期中医证候及其临床特征的文献分析[J].辽宁中医杂志,2001,38(3):391-393.
[11]封继宏,刘恩顺,张弦,等. 2419例支气管哮喘证候调查的文献统计分析[J].辽宁中医药大学学报,2010,12(8):66-68.
[12]任玉娇,张伟.从气虚络瘀探析支气管哮喘慢性持续期病机演变[J]. 2016,40(4):316-318.
[13]刘军,姒惠,金桂玲.支气管哮喘患者血液流变学指标分析[J].2004,14(2):261-262.
[14]王琦.中医体质学[M].北京:人民卫生出版社,2005:10.
[15]李竹英,赵仁燕.慢性阻塞性肺疾病稳定期中医体质与证候关系探析[J].中国中医急症,2017,26(3):440-441.
[16]隋艾凤,徐艳玲,邓虎.中药复方治疗支气管哮喘慢性持续期患者临床观察[J].世界中西医结合杂志,2015,10(1):78-80.
[17]许飞龙,符林春,岑玉文,等.中医体质学的研究进展[J].中华中医药学刊,2011,29(9):1997-1999.