胸痞常见虚证与血气分析相关性的研究

Correlation between common deficiency syndromes and blood gas analysis of chest stuffiness

目的探究胸痞不同证候患者血气分析指标与其证候的相关性。方法将60例呼吸科有胸闷症状的患者分为气虚、阳虚、阴虚3组,然后分析各组血气分析结果的分布规律。结果发现各型之间从阴虚到阳虚到气虚pH呈逐渐增大趋势,从阳虚到气虚到阴虚PaO2呈逐渐增大趋势,从气虚到阴虚到阳虚PaCO2呈逐渐增大趋势,相互之间均差异显著。结论血气分析可以作为胸痞临床辨证的客观依据使用。

Objective To probe into the correlation between blood gas analysis and syndromes in the patients with chest stuffiness. Methods The patients （n=60） with the symptoms of chest oppression were divided into qi deficiency group, yang deficiency group and yin deficiency group, and then the distribution laws of blood gas analysis results were analyzed in all groups. Results The results showed that pH value increased gradually from yin deficiency to yang deficiency to qi deficiency, PaO2 increased gradually from yang deficiency to qi deficiency to yin deficiency, and PaCO2 increased gradually from qi deficiency to yin deficiency to yang deficiency with significant difference. Conclusion The blood gas analysis can be used as objective evidence for the clinical syndrome differentiation of chest stuffiness.