慢性肺心病的中医诊断与探讨

TCM diagnosis and discuss on chronic pulmonary heart disease

目的对我院过去4年入院的266例慢性肺心病的病证进行统计分析,试图对慢性肺心病的诊断标准及证候特征进行归纳和总结。方法设计问卷调查表,对入住的慢性肺心病患者症状和证候特点进行调查,获得的数据用统计学软件SPSS16.0的Logistic分析、聚类分析等程序进行归纳分析。结果离析出肺肾两虚证、痰浊闭窍证、痰热蕴肺证、阳虚水泛证、肺肾阴虚证、元阳哀脱证、痰湿滞肺证和气虚血瘀证8种慢性肺心病的基础证候,其中6种属于慢性肺心病的主要证型,并对不同证候的主次症进行了筛选。结论通过因子分析和聚类分析的统计学方法对基本的病证特征进行分析,获得了8个基础证候的主次症的特征,为将来进一步明确慢性肺心病诊断"金标准"打下基础。

Objective To definite the syndromes＇ description of chronic pulmonary heart disease （CPHD）, we made a statistic analysis on 266 items of CPHD, diagnosed in the years of 2008-2013. Methods A investigating paper was designed for collecting raw information of CPHD syndromes＇ symptom characters and disease descriptions. Data was analyzed by spss 16.0 program of logistic regression, description and cluster analysis. Results The 8 basic syndromes of CPHD were figured out, included qi deficiency of lung and kidney syndrome, phlegm-dampness syndrome, heat phlegm stagnating the lung syndrome, yin deficiency of lung and kidney syndrome, yang deficiency edema syndrome, damp phlegm stagnating the lung syndrome, yang collapsing syndrome and flood stagnating due to qi deficiency syndrome. And six of them can be described as main syndrome of CPHD, including phlegm-dampness syndrome, heat phlegm stagnating the lung syndrome, yin deficiency of lung and kidney syndrome, yang deficiency edema syndrome, damp phlegm stagnating the lung syndrome and yang collapsing syndrome. Conclusion Through the description and cluster analysis, syndromes＇ primary symptoms and minor symptoms were figured out. And our research set basic rules of ＂golden rules＂ for diagnosing CPHD.