脾虚在哮病急性期的构成比及中医证候学特点

The Constituent Ratio of Splenic Asthenia Syndrome in Asthma in Acute Stage and Its Syndrome Characteristic

目的:探讨脾虚证候在哮病急性期中的构成比及脾虚证候学特点。方法:选择符合诊断标准的哮病急性发作期患者272例,统计脾虚在哮病急性期(热哮、浊哮、寒哮)的构成比,并对脾虚在该病的中医证候学特点进行分析。结果:哮病患者272例中,脾虚证型的哮病患者164例,占60.29%(95%CI=52.80%～67.78%);经过辨证分型,其中脾虚证寒哮型患者52例,占寒哮型患者的57.78%(95%CI=44.36%～71.20%);脾虚证热哮型患者36例,占热哮型患者的64.29%(95%CI=48.64%～79.94%);脾虚证浊哮型患者76例,占浊哮型患者的73.08%(95%CI=63.11%～83.05%)。结论:脾虚证候在哮病发作期占有重要地位,提示中医治疗脾虚型哮病采用补肺固卫、益气健脾治则具有重要意义。

Objective ： To investigate the constituent ratio of splenic asthenia syndrome in asthma in acute stage and the characteristic of splenic asthenia syndrome. Methods ： 272 cases with asthma in acute stage were chosen to add up the constituent ratio of splenic asthenia syndrome （including cold-type asthma, hot-type asthma, and turbid-type asthma） and analyze the characteristic of splenic asthenia syndrome. Results ： Among 272 cases 164 cases belonged to the syndrome of splenic asthenia, and its constituent ratio was 60. 29% （95% CI = 52. 80% - 67.78% ）. In differentiation for classification of syndrome 52 cases belonged to cold-type asthma, and was 57.78% in cold-type asthma（95% CI = 44. 36% - 71.20% ）. 36 cases belonged to hot-type asthma, and was 64. 29% in hot-type asthma（95% CI = 48.64% -79.94% ）. And 76 cases belonged to turbid-type asthma, and was 73.08% in turbid-type asthma（95% CI = 63.11% -83.05% ）. Conclusion： Syndrome of splenic asthenia is in an important position in asthma in acute stage. It refers to that the therapeutical principle of tonifying lung to guard wei and nourishing qi to invigorate spleen can treat asthma with syndrome of splenic asthenia.