侵袭性肺真菌病的中医证型临床探究.pdfVIP

提 要 目的：本研究通过回顾性分析，旨在探讨侵袭性肺真菌病中医证型与各危险因素 之间的关系，并总结其临床特点和中医辨证分型规律，为规范化研究提供客观依据， 从而指导中医中药对侵袭性肺真菌病的治疗，降低本病的发生率与死亡率。 方法：对 61 例侵袭性肺真菌病病例进行回顾性分析，查阅患者的住院病历，对 患者的性别、年龄、基础疾病、既往治疗情况、血液学指标以及患者的临床症状、舌 苔、脉象等进行统计和分析。采用 SPSS16.0 统计学软件包建立数据库进行数据分析， 2 其中计数资料采用 χ 检验、多重比较采用 LSD 法。 结论：对有危险因素的侵袭性肺真菌病进行中医辨证分型，主要有肺气虚型、气 阴两虚型、肺肾两虚型、痰湿内盛型、痰热蕴肺型；基本病机是正虚邪实，因此治疗 应以扶正为主，兼以祛邪。 关键词 侵袭性肺真菌病；高龄；抗生素的应用；糖皮质激素的应用；低蛋白血 症；中医辨证分型 The Clinic Research in TCM Syndrome Identification of Invasive Pulmonary Fungal Disease Speciality: Chinese Medicine Clinical Respiratory Medicine Professional Author ：Wei Qun Tutor：Professor Zhang Weilu Abstract Object: This study was retrospective analysis to investigate the invasive pulmonary fungal disease syndromes and the relationship between the risk factors, and summarizes the clinical features and the Law of TCM syndrome identification, and provide an objective evidences for the standardized research. And guide the treatment of Chinese medicine to reduce the incidence of invasive pulmonary fungal disease and mortality. Method: 61 cases of invasive pulmonary fungal disease were retrospectively analyzed , had access to the admission notes of patients and carry out statistic analysis of patient gender, age, underlying disease, past therapy, hematological indicators and clinical symptoms, tongue, pulse and so on. SPSS16.0 statistical software package used to establish 2 a database for data analysis, in which count data using X test, multiple comparisons using LSD method. Conclusion: TCM syndrome identification of invasive pulmonary fungal disease which has risk factors can be sum