乌鲁木齐地区402例慢性阻塞性肺病急性加重期患者中医证型分布规律的研究

402 Cases in Urumqi Acute Exacerbation of Chronic Obstructive Pulmonary Disease in Patients with TCM Distributed Rule

目的:对新疆乌鲁木齐地区402例慢性阻塞性肺病急性加重期患者中医辨证分型进行研究,总结该地区慢性阻塞性肺病急性加重期的中医证型分布规律,为临床辨证论治提供依据。方法:收集2009年1月—2010年1月在新疆医科大附属中医医院呼吸科住院慢性阻塞性肺病患者402例,记录患者一般资料、病史、发病诱因、主要临床表现等,明确其诊断、分级及中医分型等内容。应用SPSS13.0统计软件进行数据处理分析。结果:(1)中医分型:各证型所占比例由多到少依次排列为:痰浊阻肺型>痰热蕴肺型>肺肾气虚型>阳虚水泛型>痰蒙神窍型。(2)COPD患者II级以痰浊阻肺,III级痰热蕴肺,IV级肺肾气虚、阳虚水泛型多见。(3)性别:男、女性别在四种不同年龄段分布,在<40岁患者中女性多于男性,而40～60岁、60～80岁、>80岁患者中男性比例明显高于女性。(4)年龄:慢性阻塞性肺病急性加重期患者主要集中在60～80岁年龄段之间。(5)诱因:六淫是诱发慢性阻塞性肺病反复发作的主要致病原因。(6)中医证型与呼吸衰竭发生率的关系:痰蒙神窍组、肺肾气虚组、阳虚水泛组呼吸衰竭发生率高。结论:(1)慢性阻塞性肺病急性加重期以痰浊阻肺型最多。(2)性别:在<40岁患者中女性多于男性,而40～60岁、60～80岁、>80岁患者中男性比例明显高于女性。(3)年龄:慢性阻塞性肺病急性加重期患者主要集中在60～80岁年龄段之间。(4)六淫是诱发慢性阻塞性肺病反复发作主要致病原因。(5)痰蒙神窍组、肺肾气虚组、阳虚水泛型呼吸衰竭发生率高。

Objective：402 cases in Urumqi in Xinjiang with chronic obstructive pulmonary disease in patients with syndrome differentiation type of research,summarized in the area of chronic obstructive pulmonary disease syndromes of the distribution,pro-vide the basis for the clinical syndrome differentiation. Methods：From January 2009 to January 2010 in the Department of Respiratory Medicine Traditional Chinese Medicine Hospital of Xinjiang Medical Hospital Affiliated with chronic obstructive pulmonary disease 402 cases recorded in patients with general information,history,predisposing factors,the main clinical manifestation,a clear diagnosis,sub-level and TCM typing and so on. SPSS13. 0 statistical software application for data processing and analysis. Results：（ 1） TCM type：the proportion of the syndrome from the more to less descending order as：phlegm obstructing lung type phlegm retention in the lung-type lung and kidney deficiency type yang water generic sputum God awakened type. （ 2） COPD Class II patients with phlegm obstructing lung,III class phlegm retention in the lung,IV-class lung and kidney qi deficiency,yang deficiency more common water generic. （ 3） Sex：Male,female,in four different age distribution,In ＂40-year-old female more than male patients,while 40 to 60 years old,60 to 80years 80years the proportion of male patients was significantly higher than females. （ 4） Age：chronic obstructive pulmonary disease patients mainly aged between 60 -80. （ 5） incentive：six disease is chronic obstructive pulmonary disease induced by recurrent major causes. （ 6） TCM syndrome and the relationship between the incidence of respiratory failure：sputum God awakened group,lung and kidney qi deficiency group,Yang and water pan set high incidence of respiratory failure. Conclusion：（ 1） Chronic obstructive pulmonary disease with phlegm most common type of lung resistance. （ 2） Gender：In ＂40 years old female more than male patients,while 40 to 60 years old,60 to 80years 80years old male patients was significantly higher than the proportion of women. （ 3） Age：chronic obstructive pulmonary disease patients mainly aged between 60-80. （ 4） Six disease is chronic obstructive pulmonary disease induced by recurrent major cause of the disease. （ 5） Sputum God awakened group,lung and kidney qi deficiency group,yang water generic high incidence of respiratory failure.