CAJ | 학술논문

目的调查研究老年人肺结核患者的中医证型分布特点，并进行分析探讨。方法收集395例患者均来自长沙市中心医院胸科住院部及门诊部2011年3月～2012年3月符合纳入标准的患者，进行中医症候调查，统计其症候学特点，并进行中医症型、类型分类，采用SPSS16.0软件进行数据统计。结果不同类型肺结核的中医症型分布差异有统计学意义（P=0.000＜0.05）。Ⅱ型肺结核患者中以阴虚火旺为主（54.32%）；Ⅲ型、Ⅳ型肺结核患者中以气阴两虚（68.78%），夹瘀者（60.82%）为主。讨论：395例老年人肺结核患者中以气阴两虚夹瘀者多见，故中医治疗当以益气养阴、活血通络为主。
목적조사연구노년인폐결핵환자적중의증형분포특점，병진행분석탐토。방법수집395례환자균래자장사시중심의원흉과주원부급문진부2011년3월～2012년3월부합납입표준적환자，진행중의증후조사，통계기증후학특점，병진행중의증형、류형분류，채용SPSS16.0연건진행수거통계。결과불동류형폐결핵적중의증형분포차이유통계학의의（P=0.000＜0.05）。Ⅱ형폐결핵환자중이음허화왕위주（54.32%）；Ⅲ형、Ⅳ형폐결핵환자중이기음량허（68.78%），협어자（60.82%）위주。토론：395례노년인폐결핵환자중이기음량허협어자다견，고중의치료당이익기양음、활혈통락위주。
objective:To investigate the senile pulmonary tuberculosis patients with TCM syndrome type distribution characteristics, and discussed. Methods: the data of 395 patients were from changsha center hospital in-patient department thoracic and clinic in March 2011 to March 2012 standards were TCM symptoms, investigation, statistics the symptomatology characteristics and USES of traditional Chinese medicine, type classification, SPSS16.0 software data statistics. Results:different types of tuberculosis USES traditional Chinese medicine distribution (P = 0.000 < 0.05). Ⅱ type tuberculosis patients in Yin deficiency is the fire (54.32%); Ⅲ type, Ⅳ type tuberculosis patients with qi and Yin deficiency (68.78%), clip the stasis (60.82%).Discussion: 395 elderly cases of pulmonary tuberculosis patients with qi and Yin and holding clamp stasis is the key, Therefore ,the methods of nourishing yin and removing blood stasis should be used tread patients with pulmonary tuberculosis.