肺部感染兼血瘀证患者的临床观察

Clinical Observation of the Patients with Pulmonary Infection Combined with Blood Stagnation Pattern/Syndrome

目的探讨肺部感染患者血瘀兼证证候特征、辨证要点。方法根据相关标准制定临床观察表,共收集165例肺部感染病例,收集流行病学资料,记录其临床特征及舌脉,根据中医证候诊断标准进行中医辨证分型,对比统计并分析、探讨肺部感染血瘀兼证的发生概率及中医证候学特征,并进一步探讨肺部感染血瘀兼证的发生与中医主证及各理化指标之间的相关性。结果 165例患者中,有60.6%存在血瘀兼证,老年人占48%。肺部感染伴血瘀兼证,临床可见胸痛、头晕、胁痛、口渴等表现,可见舌质紫黯或舌体瘀斑。肺部感染患者中伴有血瘀兼证患者与不伴血瘀兼证患者在低氧血症发生率方面差异无统计学意义(P>0.05)。结论肺部感染患者常见到血瘀证的表现,发生率较高,但其产生及变化似与低氧血症无明显相关性。

Objective To explore the pattern/syndrome characteristics and the keys of pattern/syn- drome differentiation for the patients with pulmonary infection combined with blood stagnation. Methods The clinical observation form was drawn up according to relevant standards. Totally, 165 cases of pulmonary infection were collected. Additionally, the epidemiological data were collected and the clinical characteristics and tongue and pulse conditions were recorded. In terms of the diagnostic criteria of Chinese medicine pat- tern/syndrome, the differentiation was performed. Based on the statistical comparison and analysis, the proba- bility of pulmonary infection combined with blood stagnation and the pattern/syndrome characteristics of Chi- nese medicine were explored. Moreover, the discussion was conducted further on the colTelation of the com- plex of pulmonary infection and blood stagnation with the chief symptoms of Chinese medicine and every physiochemieal indicator. Results Of 165 cases ,60.6% of them combined with blood stagnation and 48% of them were the elderly. The complex of pulmonaE~ infection and blood stagnation was manifested clinically as chest pain,dizziness,hypochondriac pain,thirst and the others, as well as purplish dark tongue or ecchy- mosis in the tongue body. For the patients of pulmonary infection combined with blood stagnation and those without blood stagnation, the difference in the incidence rate of hyoxemia was not significant statistically in comparison. Conclusion The patients of pulmonary infection commonly present blood stagnation pattern/ syndrome, with quite high incidence rate. It is seemed that the incidence and the clinical change are not obvi- ously correlative with hyoxemia.