慢性阻塞性肺疾病患者中医体质类型研究

Study of TCM Constitutional Types in COPD Patients

目的:初步探讨慢性阻塞性肺疾病(COPD)患者中医体质类型的分布特点及影响因素。方法:采用《中医体质分类判定》标准,通过问卷调查的方式,对210例COPD患者进行体质调查。结果:1在210例患者中,单一体质139例(66.19%),兼夹体质71例(33.81%),其中气虚质出现64次(22.78%)、阳虚质85次(30.25%)、阴虚质12次(4.27%)、痰湿质38次(13.52%)、湿热质14次(4.98%)、血瘀质25次(8.9%)、气郁质18次(6.41%)、特禀质25次(8.90%)。2患者体质同时受到不同病情程度、体重指数、性别、年龄等因素影响。结论:COPD患者体质以阳虚质、气虚质为主,同时受到病情程度、体重指数、性别、年龄等因素的影响。

Objective：To prehminarily study the distribution and influential factors of TCM constitution in COPD patients. Methods：There were 210 COPD cases investigated by questionnaires,including constitution in traditional Chinese medicine （measured by Classification and Determination of Constitution in TCM） and related factors. Results ： （ 1 ） Among 210 COPD cases, there were 139 cases with single constitution （66.19%） and 71 cases with varied constitution （33.81%）. The cases of qi - deficiency type were 64 （22.78%） ,of yang deficiency type were 85 （ 30.25% ） ,of yin - deficiency type were 12（4.27% ） ,of phlegm - damp type were 38 （ 13.52% ）, of damp - heat type were 14 （4.98%）, of blood stasis type are 25 （8.90%）, of qi stagnation type were 18（6.41% ） and of special type are 25 （8.90%）. （2） Each constitution types were influenced by different patients＇ conditions, BMI, gender and age. Conclusion ：The main constitutions of 210 COPD patients are yang deficiency type and qi -deficiency type. The constitution is affected by disease,gender,age and BMI.