支气管哮喘常见证候主次症的临床调查研究

Clinical survey on prime and minor symptoms of common syndromes of bronchial asthma

目的:探讨支气管哮喘常见证候主、次症。方法:收集17家三级甲等中医院支气管哮喘患者资料,运用SPSS 18.0统计软件包建立数据库,并进行频率的统计描述及Logistic回归方法分析。结果:发放表格2 500份,收回表格2 481份,有效2 428份。筛选出哮喘常见证候10种,即外寒内饮证、痰浊阻肺证、痰热壅肺证、风痰阻肺证、血瘀证、肺气虚证、肺脾气虚证、肺肾气虚证、肺肾气阴两虚证、肺肾阳虚证;运用频率联合二元Logistic回归方法分析了常见证候主、次症。结论:哮喘常见证候10种,其主、次症可作为证候诊断标准的依据。

Objective：To investigate the prime and minor symptoms of common syndromes of bronchial asthma.Methods：The data of bronchial asthma patients from 17 grade first class hospitals of TCM were collected.The database was established by using SPSS 18.0 statistical package,and the frequency was analyzed by using Logistic regression method.Results：2 500 questionnaires were distributed,and 2 481 questionnaires were collected,in which 2 428 questionnaires were effective.Ten common syndromes of asthma were screened,which included syndrome of external cold and internal fluid,syndrome of phlegmdampness blocking lung,syndrome of phlegm-heat obstructing lung,syndrome of wind-phlegm blocking lung,syndrome of blood stasis,syndrome of deficiency of lung qi,syndrome of qi deficiency of spleen and lung,syndrome of qi deficiency of lung and kidney,syndrome of both yin and qi deficiency of lung and kidney and syndrome of yang deficiency of lung and kidney,and the common prime and minor symptomsof these syndromes were analyzed by using frequency combined with Logistic regression methods.Conclusion：There are 10 common syndromes of asthma,and the prime and minor symptoms could be as the diagnostic basis for these syndromes.