慢性阻塞性肺疾病的综合评估分组与中医体质特征的临床调查研究

Clinical research on the COPD comprehensive assessment teams and TCM physique characteristics

目的:了解不同体质特征在慢性阻塞性肺疾病中的规律性和影响,为临床采取个体化的诊疗思路提供依据。方法:采用统一的临床调查表,对纳入本课题调查研究的202例AECOPD患者分别进行资料采集,包括MMRC症状评估、DOLD分级、急性加重次数及体质分类等,依据不同的体质特征及相关临床资料进行对比分析。结果:中医体质特征分类:阳虚体质82例,气虚体质59例,瘀血体质28例,阴虚体质33例。MMRC症状评估:阳虚体质、气虚体质及瘀血体质的人群在呼吸困难严重程度方面无显著性差异,呼吸困难指数的评估为3级,具有阴虚体质特征的患者呼吸困难指数的评估为2级;GOLD分级评估:具有阳虚体质特征的人群分布于3级,气虚体质、阴虚体质和瘀血体质的分级评估分布于2级;急性加重评估:具有阳虚体质特征的人群加重次数平均为3次,气虚体质及瘀血体质的人群加重次数平均为1次,阴虚体质的人群相对较少。结论:在对慢性阻塞性肺疾病患者进行综合评估分组中,阳虚体质的人群归属D组,气虚体质、阴虚体质和瘀血体质的人群归属B组。

Objective： Understand the regularity and impact of the different physique characteristics in patients with COPD, to provide basis for clinical to take the individualized diagnosis and treatment ideas. Methods： Adopt a unified clinical questionnaire; the data of 202 cases of patients was respectively collected, including MMRC symptom assessment, DOLD classification, acute exacerbations frequency and physique classification, the physique characteristics and relevant clinical data were analyzed. Results： TCM physical characteristics category： Yang constitution in 82 cases, Qi constitution in 59 cases, blood stasis constitution in 28 cases, And Yin physical in 33 cases. MMRC Symptom Assessment： Yang constitution, Qi constitution and blood stasis constitution of the crowd in the severity of dyspnea was no significant difference, assessment of dyspnea index was 3, Yin physical characteristics of the patients with dyspnea index of two; GOLD grading and assessment： Yang constitution characteristics of the crowd with distribution in 3, Qi constitution, Yin constitution and blood stasis constitution grading and assessment distributed in two; Acute exacerbation Rating： The average exacerbations number of the crowd of Yang constitution characteristics was 3 times, and was one time of the crowd of Qi constitution and blood stasis constitution, Yin constitution crowd was relatively small. Conclusion： In a comprehensive assessment of the patient grouping, Yang constitution crowd vested group D, Qi constitution, Yin constitution and blood stasis constitution vested in group B of the crowd.