慢性肺原性心脏病呼吸衰竭中医证素及基础证候临床调查

Clinical Research on Syndrome Factors and Primary Syndrome Types of Chronic Pulmonary Heart Disease with Respiratory Failure

目的探讨慢性肺原性心脏病呼吸衰竭证候要素的分布和基础证候,为其中医证候的分布规律提供依据。方法采集330例慢性肺原性心脏病呼吸衰竭住院患者的人口学、生物学与社会学3个方面的相关指标进行统计描述分析,运用Logistic回归方法进行证素、基础证特征分布研究。结果共收集合格调查表327份,提取病性证素10项,痰出现的频率最高(65.75%),其构成比为32.48%,其次为热与气虚;病位证素7项,肺出现的频率最高(77.98%),其次为肾与脾。基础证有15个。痰热证的频率最高(34.56%);其次为肾气虚证、血瘀证、痰湿证和肺气虚证。结论痰(饮)、热(火)、虚、瘀是慢性肺原性心脏病呼吸衰竭的主要证素特征,痰热证、肾气虚证、血瘀证、痰湿证和肺气虚证是其基础证候。

Objective To study the distribution of syndrome factors and primary syndrome types of chronic pulmonary heart disease（CPHD）with respiratory failure,to provide evidence for further studies on its syndrome distribution.Methods The related data of demography,biology,and sociology of 330 CPHD in-patients with respiratory failure were collected by a retrospective method,and all data were analyzed by SPSS13.0 statistical package.Results Totally 327 qualified questionnaires were achieved.In the 10 nature factors,phlegm appeared most frequently（frequency 65.75%）,with a constituent ratio of 32.48% followed by the type of heat and qi deficiency.In the 7 location factors,the lung was most frequently involved（frequency 77.98%）followed by kidney and spleen.In the 15 primary syndrome types,phlegm heat appeared most frequently（frequency 34.56%）followed by the type of kidney qi deficiency,blood stasis,phlegm damp,and lung qi deficiency.Conclusion Phlegm,heat,deficiency,and blood stasis are the main syndrome factors of CPHD with respiratory failure,and the type of phlegm heat syndrome,kidney qi deficiency syndrome,blood stasis syndrome,phlegm damp syndrome,and lung qi deficiency syndrome are the primary syndrome types.