90例支气管扩张症稳定期患者中医证候与体质类型调查研究

Investigation of Traditional Chinese Medicine Syndrome and Constitutional Types in 90 Patients with Bronchiectasis of the Stable Stage

目的 :调查支气管扩张症稳定期患者的中医体质类型、证候分布和临床特征。方法 :采用横断面调查方法。共纳入符合标准的支气管扩张症稳定期患者90例,对患者四诊资料进行系统收集,以进行辨证分型,并对患者的体质进行初步判定,以探讨支气管扩张症稳定期证型与中医体质类型的关系。结果:90例支气管扩张症稳定期患者辨证分型为:肺脾气虚证42例(46.67%)、肝郁气滞证24例(26.67%)、气阴两虚证12例(13.33%)、肺肾两虚证12例(13.33%);体质分布为:气虚质64例(22.61%)、阳虚质64例(22.61%)、气郁质48例(16.96%)、阴虚质33例(11.66%)、痰湿质29例(10.25%),血瘀质13例(4.59%)、特禀质13例(4.59%)、湿热质10例(3.53%)、平和质9例(3.18%);体质类型与证型之间关系:气虚质与肺脾气虚证最为密切,阳虚质与肺肾两虚证、肺脾气虚证最为密切,阴虚体质与气阴两虚证密切,气郁质与肝郁气滞证密切,P<0.05。结论:支气管扩张症稳定期患者中主要是肺脾气虚证、肝郁气滞证、气阴两虚证和肺肾两虚证,并分别与气虚体质、气郁体质、阴虚体质和阳虚体质关系密切。

Objective：To investigate the traditional Chinese medicine（TCM） constitutional types,syndrome distribution,and clinical characteristics of the patients with bronchial dilation of the stable stage ,and to provide a guide for long term intervention with traditional Chinese medicine. Methods：A cross sectional study was used,and 90 patients with bronchiectasis meeting the inclusion criteria were enlisted. Based on the four diagnostic data collected from patients,the constitution of the patients were determined,and the relationship between the syndrome type and the constitution of the stable stage of the bronchial dilation was studied. Result：In the 90 cases of bronchieetasis of the stable stage,syndrome distributions were as follows：42 cases （46.67%） of qi deficiency of spleen and lung,24 cases（26.67%） of liver qi stagnation,12 cases（13.33%） of deficiency of qi and yin,12 cases（13.33%） of deficiency of lung and kidney. Constitutional distributions were as follows：Qi deficiency,64 cases（22.61%）;yang deficiency,64 cases（22.61%）;qi stagnation,48 cases（16.96%）; yin deficiency, 33 cases （11.66% ） ; phlegm 29 cases （ 10.25% ） ;blood stasis 13 cases （4.59%） ; special intrinsic quality, 13 cases （4.59%） ;damp heat, 10 cases （3.53%） ;and harmonization, 9 cases （3.18%）. Relationship between constitution type and syndrome type：Constitution of qi deficiency and syndrome of qi deficiency of lung and spleen were the most closely related,constitution of yang deficiency and syndromes of deficiency of lung and kidney and qi deficiency of lung and spleen were most closely related,constitution of yin deficiency and syndrome of qi and yin deficiency were closely related,constitution of qi stagnation and syndrome of liver qi stagnation were closely related（P〈0.05）. Conclusion：In the 90 cases of bronchiectasis of the stable stage, syndrome types were mainly qi deficiency of lung spleen,liver qi stagnation,qi and yin deficieney ,deficiency of lung and kidney,and they were closely related with the constitutions of qi deficiency,qi stagnation,yin deficiency and yang deficiency,respectively.