脑卒中合并重症肺炎患者不同体质类型与血清降钙素原水平的关系

Relationship between different physical types and serumlevels of calcitonin in stroke patients with severe pneumonia

关键词:  脑卒中合并重症肺炎  中医体质  血清降钙素原

Key words:  cerebral apoplexy complicated with severe pneumonia  constitution of traditional Chinese medicine  serum procalcitionin

摘要:

[目的] 观察脑卒中患者合并重症肺炎的不同体质类型,来探讨不同体质类型与血清降钙素原(PCT)水平的关系。[方法] 运用王氏体质分类法对临床上220例脑卒中合并重症肺炎的患者进行体质分型,分析其中主要的体质类型分布,及不同体质类型与PCT水平之间的关系。[结果] 该患者群体的体质类型分布主要集中在气虚质、痰湿质、阴虚质和阳虚质4种体质类型。在各体质类型间PCT水平中,痰湿质、阴虚质的两组PCT水平明显高于气虚质、阳虚质两组;痰湿质与阴虚质两组PCT水平比较,差异无统计学意义(P>0.05);气虚质与阳虚质两组PCT水平比较,差异无统计学意义(P>0.05);痰湿质与气虚质、阳虚质两组PCT水平比较,差异有统计学意义(P<0.05);阴虚质与气虚质、阳虚质两组PCT水平比较,差异有统计学意义(P<0.05)。[结论] 气虚质、痰湿质、阴虚质、阳虚质为脑卒中合并重症肺炎的易感体质,患者不同体质类型间的PCT水平具有差异性,痰湿质、阴虚质患者发病更为危重,炎症反应更为剧烈。

Abstract:

[Objective] To observe the main physique of stroke patients with severe pneumonia type, discuss the relationship of different types of physique and the serum procalcitonin(PCT) level. [Methods] The use of Wang's physique classification method in 220 patients with cerebral stroke complicated with severe pneumonia physique types, analysis of main physical type of distribution, and relationship of different types of physique and PCT level. [Results] Cerebral stroke complicated with severe pneumonia patients physical type distribution concentrated in Qi deficiency, phlegm dampness, Yin deficiency, Yang deficiency of 4 types of physique. The PCT level of phlegm dampness physique and Yin deficiency physique group were significantly higher than that of Qi deficiency, Yang deficiency group. There was no significant difference in PCT level between two groups of phlegm dampness constitution and the yin deficiency constitution(P>0.05). There was no significant difference between Qi deficiency and Yang deficiency group(P>0.05). There were significant differences between phlegm dampness and Qi deficiency, Yang deficiency group(P<0.05). There were significant differences between yin deficiency and Qi deficiency, Yang deficiency group(P<0.05). [Conclusion] Qi deficiency constitution, phlegm dampness constitution, Yin deficiency and Yang Qi are the susceptible constitution of cerebral apoplexy complicated with severe pneumonia. The difference of PCT level between patients with different constitution types is different. The phlegm dampness constitution and Yin deficiency constitution are more serious, and the inflammatory reaction is more intense.