老年多系统病症患者498例中医证候特征及与多重用药关系探析

Analysis of TCM syndrome characteristics and multiple drug use of 498 elderly patients with multiple system diseases

目的:探讨老年多系统病症的中医证候特征及与多重用药的关系。方法:采集498例住院老年多系统病症患者的中医证候、多系统病症以及多重用药资料进行数据分析。结果:老年虚证以气虚、阴虚证候为主,实证以痰浊、瘀血、湿、毒证候为主;毒证合并的多系统病症数最多;合并7~8个系统病症的患者,阳虚、痰浊、血瘀、气滞、毒、阴虚和湿证7个证候的出现频率为最高;在各个年龄段,阳虚证的多重用药都是最多的,而毒证患者的多重用药数次之。结论:老年多系统病症患者中医证候特征以气阴两虚、痰湿瘀毒证候为主;合并系统病症越多,证候的复杂性亦增加;多重用药现象在阳虚患者中尤为严重。

Objective:To further explore the syndrome characteristics of multi system diseases and polypharmacy in the elderly.Methods:Collect the TCM syndromes,multi system disease and multiple drug use data of 498 elderly patients with multiple system diseases.Results:the asthenia syndrome of the aged was mainly qi deficiency and yin deficiency,and the sthenic syndrome was phlegm,blood stasis,dampness and toxin.The number of multi system diseases with toxin syndrome was the most;In the patients with 7~8 systemic diseases,the frequency of seven syndromes of yang deficiency,phlegm turbidity,blood stasis,qi stagnation,toxin,yin deficiency and dampness syndrome was the highest.In each age group,the multiple drug use of yang deficiency syndrome was the most,toxin was the second.Conclusion:The syndrome characteristics of elderly patients with multiple system diseases are mainly qi and yin deficiency,phlegm dampness and blood stasis toxin syndrome.The more system diseases are combined with the more complex syndrome.The phenomenon of multiple drug use is particularly serious in patients with yang deficiency.