慢性阻塞性肺疾病急性加重期中医证候分布规律的文献研究

Literature Study on Distribution Regularity of TCM Syndromes of Chronic Obstructive Pulmonary Diseases at the Acute Exacerbation Stage

目的探讨慢性阻塞性肺疾病(COPD)急性加重期中医证候的分布规律。方法检索了近13年COPD急性加重期的文献资料,采用SPSS13.0统计软件包进行症状证候要素统计描述及用SAS6.12统计软件包进行因子和聚类分析。结果COPD急性加重期的常见证候有痰热壅肺证、痰瘀阻肺证和肺肾气虚证。痰热壅肺证的主症:咳喘、痰黄或痰黏难以咯出、舌质红、苔黄腻、脉滑数;痰瘀阻肺证的主症:咯痰气喘、唇甲紫绀、舌质暗红、苔腻、脉沉涩;肺肾气虚证的主症:咳喘、神疲乏力、腰腿酸软、畏风、脉虚弱。结论上述3个证型可作为该病辨证的参考。

Objective To study the distribution regularity of TCM syndromes of chronic obstructive pulmonary diseases （COPD） at the acute stage of exacerbation. Methods The literatures on COPD at the acute stage of exacerbation in recent 10 years were collected and studied with SPSS13.0 software for statistical description and with SAS 6.12 software for factor and cluster analysis. Results The common syndromes of COPD at the acute stage of exacerbation were phlegm-heat obstructing the lung, retention of phlegm and blood stasis in the lung, and insufficiency of qi of the lung and kidney. Primary symptoms of phlegm-heat obstructing the lung ： cough and dyspnea, yellow sticky sputum, red tongue with yellow and greasy coating, rolling rapid pulse. Primary symptoms of retention of phlegm and blood stasis in the lung： cough and dyspnea, cyanosis, dark red tongue with greasy coating, deep hesitant pulse. Primary symptoms of insufficiency of qi of the lung and kidney： cough and dyspnea, listlessness, lassitude in lumbus and legs, aversion to wind, weak pulse. ConclusionThe 3 common syndromes mentioned above can be used for reference when making syndrome differentiation of COPD at the acute stage of exacerbation.