急性气管-支气管炎证候诊断标准的研究制定

Establishment the diagnostic criteria of TCM syndrome of acute trachea-bronchitis

目的:建立急性气管-支气管炎证候诊断标准,探讨标准制定的方法与思路。方法:基于文献研究,综合急性气管-支气管炎临床调查研究及专家咨询问卷结果,采用医学统计方法、自适应模糊推理系统及德尔菲法对数据进行分析,并经相关专家讨论建立了证候诊断标准。结果:急性气管-支气管炎常见证候有风寒袭肺证、风热犯肺证、燥邪犯肺证、痰热壅肺证、痰湿阻肺证、肺气虚证、气阴两虚证,确立了证候主次症特征,以此为基础制定了证候诊断标准。结论:急性气管-支气管炎常见证候包括实证类5种与正虚邪恋类2种,证候诊断标准的建立为开展中医临床疗效标准研究奠定了基础,同时标准的建立也提供了证候研究中方法学的参考。

Objective： To establish the diagnostic criteria of traditional Chinese medicine （TCM） syndrome of acute trachea-bronchitis, explore the constructive method of diagnostic criteria of TCM syndrome. Methods： Based on literature research, combined with clinical research and expert questionnaire, the diagnostic criteria of TCM syndrome of acute trachea- bronchitis was established by statistics and self-adapting fuzzy reasoning system methods and delphi method. Results： Common syndromes of acute trachea-bronchitis were wind and cold invasion lung, wind and heat invasion lung, dryness invading lung, phlegm-heat obstructing lung, pulmonary phlegm stagnation, lung qi deficiency, qi-yin deficiency syndromes. The diagnostic criteria of TCM syndromes of acute trachea-bronchitis was established. Conclusion： Common syndromes of acute trachea- bronchitis have 5 positive syndromes and 2 deficiency with lingering pathogen syndromes. Establishment the diagnostic criteria of TCM syndrome of acute trachea-bronchitis lays foundation for curative effect criteria, and provides reference of methodology.