慢性阻塞性肺疾病的中医辨证分型初探-中西医结合临床专业毕业论文.docx

慢性阻塞性肺疾病的中医辩证分型初探 慢性阻塞性肺疾病的中医辩证分型初探 PAGE PAGE 1 中文摘要 研究目的： 本课题研究的目的是初步探讨 COPD 急性加重期和稳定期中医 证候情况，即对 COPD 的辨证分型研究。为临床治疗及中医病证标准 化提供有意义的参考。 研究方法： 1、收集符合纳入标准的 COPD 患者的中医四诊信息。2、运用因 子分析方法对收集的病例按急性期及缓解期分别进行分析得出主次 证及结合中医理论分析出辩证分型结果。3、讨论结果中各证型的关 系。4、与文献调查证型结果作比较。 研究结论： 1、急性加重期证型分别为：表寒肺热型，痰热蕴肺型、痰瘀互 结型、痰湿阻肺型、阳虚水泛水凌心肺型；稳定期证型分别为：肺脾 气虚型、肺肾阴虚型、痰瘀互结型。2、急性加重期与稳定期具有相 同证型是：痰瘀互结型。3、急性加重期及缓解期存在基础的证候是： 咳嗽、乏力、纳呆、腹胀，辩证为：脾肺气虚型。4、与文献调查结 果的证型相比较大致吻合。 关键词：慢性阻塞性肺疾病（COPD） 辨证分型 因子分析 Abstract Objective: to investigate traditional Chinese medical(TCM) symptoms of COPD in the acute and stable stage respectively, so as to provide significant reference for clinical treatment and standardization of TCM manifestations. Methods: 1. Collect TCM four diagnostic information of COPD patients according to inclusion criteria. 2. Respectively analyze and group COPD cases of acute and stable stage collected into primary and secondary manifestations by factor analysis in combination with TCM theory, in order to get dialectical classification of manifestations. 3. Discuss interconnections among dialectical manifestations. 4. Compare our results with reports in prior literature. Result: 1. Manifestations in acute stage include: exterior cold and pulmonary heat, pulmonary accumulation of hot sputum, sputum mixed with blood stasis, pulmonary accumulation sputum and dampness, yang deficiency with water invasion of heart and lung. Manifestations in stable stage are classified into lung and spleen qi deficiency, lung and kidney yin deficiency, sputum mixed with blood stasis. 2. Manifestation existed both in acute and stable stages is sputum mixed with blood stasis. 3. Basic symptoms existed both in acute and stable stages include cough, fatigue, poor appetite, abdominal distension, all of which dialectically pertain to lung and spleen qi deficiency. 4.Our results conform to prior investigations reported. Key words: COPD; dialectical manifestation; factor analysis 英文缩略词 FEV1.0 % 第一秒用力肺活量 V 25 / H V 25