1010例支气管哮喘患者中医证候及证候要素的临床流行病学调查

Clinical epidemiology of TCM syndrome and syndrome element in 1010 patients with bronchitic asthma

关键词:  支气管哮喘  中医证候  证候要素  证候演变

Key words:  bronchitic asthma  TCM syndrome  syndrome element  syndrome evolution

摘要:

[目的]探讨支气管哮喘中医证候及证候要素的分布规律。[方法]采用流行病学横断面调查方法,调查抽样选天津市七家中医院两年内门诊和住院的支气管哮喘患者,运用SPSS13.0对证候及证候要素进行统计分析。[结果]1)哮喘发作期证候类型以热哮、风哮为主,病位主要涉及肺、脾、肝,病机以气郁、痰阻为特征。2)哮喘缓解期体质特点与其发作期证候表现类型存在一定关系。[结论]1)哮喘发作期证候类型及其内部证候要素的分布具有一定规律,哮喘发作期证候类型受缓解期体质特点的影响,其间也存在一定规律。2)证候要素对临床辨证的针对性较强,是对以综合判断为特征的传统辨证方法的有益补充。3)哮喘缓解期和发作期之间证候演变规律研究,有利于发挥中医治未病理论的优势,提高哮喘防治水平。

Abstract:

[Objective] To explore the distribution of the TCM syndrome and the syndrome element of bronchitic asthma. [Methods] The epidemiologic method was used to analyse the TCM syndrome and syndrome element in patients with bronchitic asthma admitted into hospital at recent 2 years. The data was analysed with SPSS13.0. [Results] 1)The syndrome in attack period was mainly heat asthma and wind asthma,the disease was mainly located at lung,spleen,liver and the pathogenesis was characterised as Qi stasis and stagnation of phlegm.2) There was a certain relationship between the constitution characteristics in paracmasis and the syndrome appearance in attack period. [Conclusion] 1)The syndrome in attack period and the distribution of syndrome element have some rules,the syndrome in attack period is influenced by the constitution in paracmasis. 2) The syndrome Element has great influence on the clinical differentiation and is a important supplement to the traditional differentiation. 3) the investigation on the evolution of the syndrome in paracmasis and attack period is useful for the increasing of therapeutic effect.