卒中相关性肺炎的中医症状及证型特征

Characteristics of TCM symptoms and syndrome patterns in stroke associated pneumonia

目的对卒中相关性肺炎(SAP)中医临床特点归纳总结,明确SAP中医证候分布规律,为临床的辨证治疗及下一步的科学研究提供依据。方法收集广东省中医院大学城医院综合病区2012年1月至2015年12月期间符合诊断标准的SAP患者121例,采集患者临床特点、四诊信息,建立数据库,归类出中医证型,并与其他相关的文献报道相比较,总结其特征。结果通过对SAP的中医证型临床研究,在与其他类型的肺炎比较中,体现SAP患者"肺"、"脾"等脏腑亏虚的特点;在与其他关于SAP的中医症候研究报道中发现,"痰"仍然是SAP的重要致病因素之一。结论 SAP的中医基本证型以痰热壅肺为主,其次为痰湿阻肺、肺脾气虚,瘀血之象贯穿其中,病理因素以"痰、热、虚"为主,更加突出"湿浊、瘀血"的特征。

Objective To study the characteristic of TCM symptoms and syndrome patterns in SAP pa-tients,to provide evidence for clinical syndrome differentiation and treatment and further research. Methods Wecollected the data of 121 cases of SAP patients from January 2012 to December 2015, including clinical characteris-tics and four diagnostic information of patients, to build a database, then we summarized the TCM syndrome pat-terns of SAP patients and compared them with the descriptions in the other literatures. Results SAP patients werecharacterized with lung and spleen and other viscera deficiency and sputum was still one of the important pathogen-ic factors. Conclusions TCM symptoms of SAP are characterized by phlegm heat, followed by lung and spleen de-ficiency, phlegm obstructing lung and blood stasis and pathological factors of SAP include phlegm, heat and defi-ciency, characterized by dampness and blood stasis.