肺系病活血化药用药规律.pdf

提 要 目的:本研究以常见肺系病中医血瘀证患者病案资料为研究对象，针对病情调查 活血化瘀药的应用频数，以期形成对肺系病活血化瘀药用药的规律性研究。 方法:文献研究以“肺系病”为主题词，“中医药治疗”、“活血化瘀药”、“中 医治疗”为副主题词，检索“中国知网学术文献总库”（CNKI）1999～2011年的医学 数据。在肺系病中选择慢性支气管炎、肺炎、支气管哮喘、肺间质纤维化、肺源性心 脏病（肺心病）五种疾病，分别为主题词，检索活血化瘀药并建立数据库，统计用药 频次,计算用药频率。 临床研究方面，通过收集2010.3—2011.12山东省中医院呼吸科专科门诊、老专 家门诊及病房的肺系病患者，符合纳入标准的慢性支气管炎、肺炎、支气管哮喘、肺 间质纤维化、肺源性心脏病（肺心病）五种常见肺系疾病,对搜集的病例所用的活血 化瘀药的频次进行数据、资料统计，分别制作表格，总结出该病种所用的高频药。 结论 :统计数据表明，在肺系病中活血化瘀药的用药以丹参、桃仁、赤芍、当归、 红花、川芎、地龙、郁金、丹皮、水蛭用药频数较高,通过病案统计表明其对于肺系 病血瘀证的治疗有确切疗效,从而指导临床用药,提高临床疗效,改善病人的病情。 关键词 肺系病；活血化瘀药；用药规律 The Drug Laws of the Herb for Activating Blood Circulation and Eliminating Stasis in Lung Disease Speciality:Internal Medicine of Traditional Chinese medicine Author:Chen Xuemei Tutor:Prof.Zhang Wei Abstract Purpose: The study of traditional Chinese medicine with lung disease and blood stasis syndrome patients medical record material as the research object, the condition for activating blood circulation and eliminating stasis application of collection medicine frequency, the forming of lung disease remove blood stasis drugs is the regularity of drug research. Methods: The literature research with lung disease is give priority to captioned, traditional Chinese medicine treatment, remove blood stasis drugs, Chinese medicine treatment acted as the subject, retrieval China know nets academic literature ZongKu (CNKI) 1999 ~ 2011 years of medical data. In the lung disease is the choice in the chronic bronchitis, pneumonia, bronchial asthma, pulmonary fibrosis, lung five kind of disease, mainly respectively inscription, retrieval and establish a database remove blood stasis drugs, sta