气虚证肛肠病患者100例肺功能测定分析

Analysis in Pulmonary Ventilatory Function from 100 Patients with Ano Rectal Diseases Caused by Deficiency of Qi

目的：证明气虚证肛肠病的发生与肺通气功能障碍有关。方法：选取以脱肛为主要症状的内痔、混合痔及直肠粘膜脱垂患者共１００例进行肺通气功能测定。结果：观察组６７例有阻塞性肺通气功能障碍，占６７％；４例有混合性肺通气功能障碍，占４％；１５例有限制性肺通气功能障碍。健康对照组出现肺通气功能障碍者较少见。观察组患者第一秒最大呼气量（ＦＥＶ１０）为男（２０１１６５±８７５）ｍｌ（ｘ±ｓ，下同）、女（１５５１５４±５１４）ｍｌ；最大呼气中期流速（ＭＭＦ）男（１８４±１２４）Ｌ／ｓ、女（１５７±０６２）Ｌ／ｓ；最大呼气流流速峰值（ＰＥＦ）男（２３４±１５１）Ｌ／ｓ、女（１８６±０９２）Ｌ／ｓ，健康对照组测定结果明显高于观察组。经统计学处理，两组有显著性差异。结论：气虚证肛肠病患者皆存在着程度不同、性质不一的肺通气功能障碍，从一个方面反映了气虚证肛肠病的发生与宗气虚弱有关，即“宗气下陷”

Objective: To explore the pathogenesis of ano rectal diseases caused by deficiency of Qi, which is correlated with obstruction of pulmonary ventilation. Methods: The pulmonary ventilatory function was measured in 100 patients with the internal piles, the interno external hemorrhoid and prolapse of rectum, the prolapse of anus was the principal symptom of them. Results: Data from the 100 patients showed that 67% of them were diagnosed with the obstruction of pulmonary ventilation, the ratio was far less in the health control group. FEV 1.0 (±s) (2011.65±875)ml, MMF (1.84±1.24)L/s and PEF (2.34±1.51)L/s in male patients, (1551. 54±514)ml, (1.57±0.62)L/s and (1.85±0.92)L/s in female patients, but those values were higher in the control than in the patients. The statistical analysis was performed and the difference was significant between patients and the control group (P<0 01). Conclusion: The patients with ano rectal diseases caused by deficiency of Qi accompanied with obstruction of pulmonary ventilation in different degree and varied sorts, it confirmed that the pathogenesis of ano rectal diseases caused by deficiency of Qi is related with “sinking of pectoral Qi”.