肺间质纤维化影像学特点与中医证型关系初探

Relationship Between CT Feaures and Syndrome Differentiation in TCM of ILD

目的:探寻肺间质纤维化的中医辨证分型与影像学分期、动脉血气结果之间是否存在一定联系。方法:采集肺间质纤维化患者的临床资料进行比对研究。结果:CT表现为纤维化期者50例,其中痰瘀阻络证25例,占50%。蜂窝肺期患者36例,其中肺肾两虚证19例,占52.8%。结论:肺纤维化期的患者,辨证以痰瘀阻络为多,治疗可予逐瘀通络,宣肺化痰;蜂窝肺期患者辨证多为肺肾两虚,治疗应侧重补益肺肾。

Objective ： To explore whether there was special relationship between CT imaging appearances and syndrome differentiation in TCM of ILD. Methods ： Collect and analyze the clinical syndrome, CT report and blood gas analysis of patients＇ who have diagnosed in ILD. Results ： The performance of CT fibrosis period,50,25 cases for blood-spittle blocking,50%. The cellular lung period 36 patients, 19 cases for kidney lung two virtual, 52.8%. Conclusion ： In the performance of CT fibrosis period, blood- spittle blocking has the most cases, and kidney lung two virtual in the cellular lung period.