CAJ | 학술논문

目的：评价天津市成人支气管哮喘患者中医证候演变特点与年龄的关系。方法应用临床流行病学调查方法选取6家医院，纳入病例886例，根据病程阶段的不同分析其病位、病性要素特点，探究哮喘证候演变规律。结果14～20岁的患者热哮（36.8%）、虚哮（5.3%）比例较低、风哮比例较高（52.6%）；21～30岁患者冷哮比例较低（5.3%）；41～50岁以上患者热哮比例较高（48.7%）；61～70岁患者冷哮比例较高（20.6）；70岁以上的患者风哮比例较低（7.6%）、虚哮比例较高（37.9%）。结论当代天津市成人支气管哮喘患者随年龄增长病机日渐复杂，疾病早期风哮为主，正虚较浅，病位多在肺；疾病后期虚哮为多，病位及肾。
목적：평개천진시성인지기관효천환자중의증후연변특점여년령적관계。방법응용림상류행병학조사방법선취6가의원，납입병례886례，근거병정계단적불동분석기병위、병성요소특점，탐구효천증후연변규률。결과14～20세적환자열효（36.8%）、허효（5.3%）비례교저、풍효비례교고（52.6%）；21～30세환자랭효비례교저（5.3%）；41～50세이상환자열효비례교고（48.7%）；61～70세환자랭효비례교고（20.6）；70세이상적환자풍효비례교저（7.6%）、허효비례교고（37.9%）。결론당대천진시성인지기관효천환자수년령증장병궤일점복잡，질병조기풍효위주，정허교천，병위다재폐；질병후기허효위다，병위급신。
Objective To evaluate the relationship between the evaluation characteristics of TCM syndrome and the age in the adults of bronchial asthma. Methods The clinical epidemiological investigation was adopted to enroll 6 hospitals,with 886 cases included. According to the different stages of sicKness,the characteristics in terms of the location of disease and the elements of disease property were analyzed. The evo-lution law of asthmatic syndrome was discussed. Results The proportions of asthma of heat type(36. 8% ) and asthma of deficiency type(5. 3% )were lower and that of asthma of wind type(52. 6% )was higher in the patients aged from 14 to 20 years. The proportion of asthma of cold type(5. 3% )was lower in the patients aged from 21 to 30 years,that of asthma of heat type(48. 7% )was higher in the adults aged from 41 to 50 years,that of asthma of wind type(7. 6% )was higher and that of asthma of deficiency type(37. 9% )was higher in the patients over 70 years old. Conclusion Currently,more and more adults suffer from bronchial asthma a-long with the age growth and the pathogenesis is getting complicated in Tianjin. In the early stage,asthma of wind type is predominated,characterized as mild deficiency of antipathogenic qi,located in the lung. In the later stage,asthma of deficiency type is dominant,with the Kidney involved in terms of disease location.