肺间质纤维化中医证候及临床特征分析

Analysis of TCM syndromes and clinical features of patients with pulmonary interstitial

目的:探讨肺间质纤维化的中医证候及临床特征。方法:回顾性分析46例肺间质纤维化患者的临床病历资料,观察患者的临床常见症状、体征及中医证候,对主要临床症状实施聚类分析。结果:肺间质纤维化患者常见症状包括气短(93.48%)、咳嗽(89.13%)、喘息(86.96%)、乏力(84.78%)、咳痰(78.26%)等。中医辨证证候分布为肺肾气虚证(36.96%)、血瘀证(17.39%)、痰热壅肺证(17.39%)、气阴两虚证(15.22%)及痰瘀阻肺证(15.22%)。结论:肺间质纤维化最常见的中医证候分型为肺肾气虚证、血瘀证,且具有一定规律性。

Objective ：To analyze the TCM syndromes and clinical features of 46 patients with pulmonary in-terstitial fibrosis .Methods ：The clinical data of 46 patients with pulmonary interstitial fibrosis were retrospectively analyzed .The clinical symptoms ,signs and classification of TCM symptoms were analyzed ,and the related profes-sional knowledge was analyzed .The main clinical symptoms were analyzed by cluster analysis .Results ：The com-mon symptoms of patients with pulmonary interstitial fibrosis included shortness of breath （93 .48% ） ,cough （89 . 13% ） ,wheezing （86 .96% ） ,fatigue （84 .78% ） and sputum expectoration （78 .26% ） .（17 .39% ） ,phlegm-heat ob-structing lung syndrome （17 .39% ） ,deficiency of Qi and Yin （15 .22% ） ,phlegm and blood stasis syndrome （15 . 22% ） .Conclusion ：The most common types of TCM syndromes of pulmonary interstitial fibrosis are lung and kidney qi de -ficiency syndrome ,blood stasis syndrome and so on ,and have certain regularity .