慢性阻塞性肺病急性发作期瘀血舌象的相关性研究

STUDY ON THE CORRELATION BETWEEN THE STASIS TONGUE AND THE ACUTE ATTACK OF CHRONIC OBSTRUCTIVE DISEASE OF LUNG

目的 :探讨慢性阻塞性肺病急性发作期患者瘀血舌象与血气分析、病情轻重的关系。方法 :按舌象变化将慢性阻塞性肺病急性发作期患者分为瘀血舌象组和非瘀血舌象组 ,并进行临床病情程度判断 ,在入院24h内作血液气体分析。结果 :瘀血舌象组患者临床病情较非瘀血舌象组为重 ,并发肺心病例数较非瘀血舌象组多 ,统计学处理均有显著性差异 (P<0.05) ,血气分析结果显示瘀血舌象组患者 pH ,PaCO2 和SaO2 较非瘀血舌象组有显著性差异 (P<0.05或P<0.01)。结论 :慢性阻塞性肺病急性发作期瘀血舌象组病情较非瘀血舌象组重 ,PaCO2 的升高与SaO2

Objective: To discuss the correlation between the picture of the stasis tongue, the level of blood gas analysis and clinical symptoms in the acute stage of chronic obstructive pulmonal disease(COPD). Methods: According to the different colors of the tongue, 68 cases were divided into Group A (Signs of the StasisTongue) and Group B (No Signs of the stasis Tongue). The clinical symptoms of both groups were diagnosed and blood gas analysis was also carried out during the first 24 hours of hospitalization. Results: Then compared to the Group B, the clinical symptoms in Group A showed more serious, and the cor pulmonale was more significant (P<0.05). Furthermore, the two groups were obviously different in the levels of pH, PaCO2 and SaO2(P<0.05 or P<0.01). Conclusions: The clinical symptoms of Group A were more serious than those of group B. Therefore the increase of PaCO2 and the decrease of SaO2 are closely related with the formation of the stasis tongue.