国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2011年
2期
140-142
,共3页
肺结核%中医证候%辨证分型%阴虚兼瘀证
肺結覈%中醫證候%辨證分型%陰虛兼瘀證
폐결핵%중의증후%변증분형%음허겸어증
Tuberculosis%TCM syndromes%Syndrome differentiation%Syndrome of yin deficiency Complicated with stasis
目的 调查研究肺结核的中医证候学特点,为中医诊治提供辨证依据.方法 设计中医证候表,对516例肺结核患者的一般资料、主要临床症状进行调查,统计其证候学特点,并进行辨证分型归纳.结果 肺结核患者的中医证型分布,按各证型所占比例排列为气阴两虚兼瘀证＞肺阴虚兼瘀证＞气阴两虚证＞阴虚火旺证＞肺阴虚证,差异有统计学意义(P＜0.05).①各证型在不同年龄组分布差异有统计学意义(P＜0.05):青年组兼瘀证者占青年组的66.15%,中年组兼瘀证者占中年组的78.03%:老年组兼瘀证者占老年组的78.22%.②各证型在初治、复治的分布差异有统计学意义(P＜0.05):初治组兼瘀证者占初治总例数的72.73%,复治组兼瘀证者占复治总例数的75.61%.③各证型的主要症状分布差异均有统计学意义(P＜0.05).结论 516例肺结核患者均有不同程度的阴虚证(100%),兼瘀证者380例(73.64%).因此,中医治疗肺结核患者予滋阴治疗的同时,有必要兼用化瘀通络、去腐生肌之法.
目的 調查研究肺結覈的中醫證候學特點,為中醫診治提供辨證依據.方法 設計中醫證候錶,對516例肺結覈患者的一般資料、主要臨床癥狀進行調查,統計其證候學特點,併進行辨證分型歸納.結果 肺結覈患者的中醫證型分佈,按各證型所佔比例排列為氣陰兩虛兼瘀證＞肺陰虛兼瘀證＞氣陰兩虛證＞陰虛火旺證＞肺陰虛證,差異有統計學意義(P＜0.05).①各證型在不同年齡組分佈差異有統計學意義(P＜0.05):青年組兼瘀證者佔青年組的66.15%,中年組兼瘀證者佔中年組的78.03%:老年組兼瘀證者佔老年組的78.22%.②各證型在初治、複治的分佈差異有統計學意義(P＜0.05):初治組兼瘀證者佔初治總例數的72.73%,複治組兼瘀證者佔複治總例數的75.61%.③各證型的主要癥狀分佈差異均有統計學意義(P＜0.05).結論 516例肺結覈患者均有不同程度的陰虛證(100%),兼瘀證者380例(73.64%).因此,中醫治療肺結覈患者予滋陰治療的同時,有必要兼用化瘀通絡、去腐生肌之法.
목적 조사연구폐결핵적중의증후학특점,위중의진치제공변증의거.방법 설계중의증후표,대516례폐결핵환자적일반자료、주요림상증상진행조사,통계기증후학특점,병진행변증분형귀납.결과 폐결핵환자적중의증형분포,안각증형소점비례배렬위기음량허겸어증＞폐음허겸어증＞기음량허증＞음허화왕증＞폐음허증,차이유통계학의의(P＜0.05).①각증형재불동년령조분포차이유통계학의의(P＜0.05):청년조겸어증자점청년조적66.15%,중년조겸어증자점중년조적78.03%:노년조겸어증자점노년조적78.22%.②각증형재초치、복치적분포차이유통계학의의(P＜0.05):초치조겸어증자점초치총례수적72.73%,복치조겸어증자점복치총례수적75.61%.③각증형적주요증상분포차이균유통계학의의(P＜0.05).결론 516례폐결핵환자균유불동정도적음허증(100%),겸어증자380례(73.64%).인차,중의치료폐결핵환자여자음치료적동시,유필요겸용화어통락、거부생기지법.
Objective To investigate characteristics of TCM syndromes of pulmonary tuberculosis,and to explore new methods for its treatment. Methods TCM syndrome scale was designed to investigate and summarize the characteristic of the syndrome, the syndrome of the general information, and the main clinical symptoms of 516 pulmonary tuberculosis patients. Results The between-group comparison of distribution of TCM syndromes in patients with pulmonary tuberculosis showed statistical difference (P＜0.05) . The occurrence rate of TCM syndromes in the 516 pulmonary tuberculosis patients were listed in descending order as follows:syndrome of both Qi and yin deficiency complicated with stasis ＞ syndrome of lung yin deficiency complicated with stasis＞syndrome of both Qi and yin deficiency＞syndrome of yin deficiency with various with age (P＜0.05) . Patients with blood stasis syndrome occupied 66.15% of the total number in the youth group; Patients with blood stasis syndrome occupied 78.03% of the total number in the middle-aged group;distribution of TCM syndromes was statistically different with the initial treatment and re-treatment (P＜0.05) .Patients with the blood stasis syndrome occupied 72.73% of the total number in the initial group, patients with effulgent fire ＞ lung yin deficiency syndrome.① The distribution of TCM syndromes was statistically
various with age (P＜0.05) . Patients with blood stasis syndrome occupied 66.15％ of the total number in the
youth group; Patients with blood stasis syndrome occupied 78.03％ of the total number in the middle-aged group;
Patients with blood stasis syndrome occupied 78.22％ of the total number in the old-aged group. ② The
distribution of TCM syndromes was statistically different with the initial treatment and re-treatment (P＜0.05) .
Patients with the blood stasis syndrome occupied 72.73％ of the total number in the initial group, patients with
the blood stasis syndrome occupied 75.61％ of the total number in the re-treatment group.③ The distribution of TCM syndromes was statistically different with the main symptoms (P＜ 0.05 ) . Conclusion All 516 cases of pulmonary tuberculosis had Yin deficiency. There were 380 patients had the stasis, occupying 73.64%.Therefore, the methods of nourishing yin and removing blood stasis should be used to treat patients with pulmonary tuberculosis.
