老年肺部感染患者痰热蕴肺证和湿热郁肺证证候特点比较.docVIP

老年肺部感染患者痰热蕴肺证和湿热郁肺证证候特点比较 　　[摘要] 目的 对比总结老年肺部感染患者痰热蕴肺证及湿热郁肺证中医证候学特点。 方法 对2009年8月～2010年2月于北京市宣武中医医院呼吸科住院的痰热蕴肺型及湿热郁肺型老年肺部感染患者各60例进行中医证候学观察，对比分析两组中医证候学特征、病因病机及辨证要点。 结果 两组咳嗽严重程度、咳嗽声音、咳痰量、咳痰颜色、饮水是否增加、大便情况、苔色比较，差异有统计学意义（P 0.05或P 0.01）。痰热蕴肺组口黏（31.7%）、口苦（33.3%）、脘腹胀满（10.0%）、头身困重（18.3%）、倦怠乏力（31.7%）、纳差（51.7%）、舌胖大有齿痕发生率（16.7%）低于湿热郁肺组（56.7%、51.7%、46.7%、51.7%、56.7%、86.7%和46.7%），差异均有统计学意义（P 0.05或P 0.01）。 结论 临床中对老年肺部感染痰热蕴肺证和湿热郁肺证应从咳嗽特点、咳痰色质、口味、大便、兼加证候及舌质苔色等方面加以辨别，并以此指导治疗。 　　[关键词] 老年肺部感染；中医证候；痰热蕴肺证；湿热郁肺证 　　[中图分类号] R256.1 [文献标识码] A [文章编号] 1673-7210（2015）06（a）-0153-04 　　Comparison between syndromes of phlegm-heat obstructing lung and syndromes of damp-heat Qi depression lung in elderly patients with pulmonary infection 　　ZHANG Rui1 SHI Liqing2 　　1.Department of Respiratory， Xuanwu TCM Hospital Beijing， Beijing 100050， China； 2.Department of Respiratory， Dongfang Hospital of Beijing University of Chinese Medicine， Beijing 100078， China 　　[Abstract] Objective To compare the characteristics of syndromes of phlegm-heat obstructing lung group and syndromes of damp-heat Qi depression lung group in elderly patients with pulmonary infection. Methods The traditional Chinese medical syndromes in the 60 elderly patients in each group were observed， and the patients were hospitalized in the Department of Respiratory of Xuanwu TCM Hospital Beijing from August 2009 to February 2010. Comparison and analysis of characteristics of syndromes， etiology/pathogenesis and main symptoms of syndrome were conducted. Results There were statistically significant differences of cough severity， cough sound， sputum volume， sputum color， increase or not of drinking water， bowels， tongue color between the two groups （P 　　[Key words] Elderly patients with pulmonary infection； Traditional Chinese medicine syndrome； Syndromes of phlegm-heat obstructing lung； Syndromes of damp-heat Qi depression lung 　　本研究通过对痰热蕴肺型及湿热郁肺型老年肺部感染患者各60例进行流行病学资料及中医证候学的观察，对比分析老年肺部感染患者痰热蕴肺证及湿热郁肺证中医证候学特征、病因病机及辨证要点，为进一步完善老年肺部感染的中医临床