慢性阻塞性肺疾病急性加重期中医证型规律分析-中医学专业毕业论文.docxVIP

万方数据 万方数据 目 录 中文摘要 ?????????????????????????Ⅰ ABSTRACT ????????????????????????Ⅱ 前 言 ?????????????????????????? 1 一、临床资料与研究方法 ??????????????????2 (一)临床资料 ????????????????????? 2 1. 研究对象 ?????????????????????2 2. 诊断标准 ?????????????????????2 3. 纳入标准 ?????????????????????4 4. 排除标准 ?????????????????????4 （二）研究方法 ?????????????????????4 1.病例纳入 ??????????????????????4 2.中医分型 ??????????????????????4 3.数据收集 ??????????????????????4 4.数据分析 ??????????????????????4 二、结果 ????????????????????????4 三、分析与讨论 ?????????????????????11 四、小结 ????????????????????????13 结论 ???????????????????????????14 参考文献 ?????????????????????????15 致谢 ???????????????????????????16 文献综述 ?????????????????????????17 中文摘要 慢性阻塞性肺疾病急性加重期中医证型规律分析 目的：探讨慢性阻塞性肺疾病(COPD)急性加重期中医证型的分布以及理化指 标与中医证型的相关性。 方法：采用 Logistic 回归分析法分析 206 例 COPD 急性加重期患者中医证型 的分布以及体重指数、血常规、血气分析指标与中医证型的相关性。 结果：①慢性阻塞性肺疾病急性加重期中医证型分布：痰热郁肺型 82 例， 占 39.81%；痰浊壅肺型 71 例，占 34.47%；阳虚水泛型 29 例，占 14.08%；肺肾 阴虚型 22 例，占 10.68%；痰蒙神窍型 2 例，占 0.96%。②白细胞计数、血红蛋 白量与痰热郁肺型呈正相关，体重指数与其呈负相关。③白细胞计数与痰浊壅肺 型和肺肾气虚型呈负相关，体重指数与痰浊壅肺型呈正相关。④血红蛋白与阳虚 水泛型呈负相关。 结论：COPD 急性加重期中医证型以痰热郁肺型和痰浊壅肺型多见；体重指 数、白细胞计数、血红蛋白对慢性阻塞性肺疾病急性加剧期中医分型有一定的参 考价值。 主题词 肺疾病，慢性阻塞性；中医证型；多元分析 I ABSTRACT Investigation of Traditional Chinese Medicine Syndromes in Acute Exacerbation of Chronic Obstructive Pulmonary Disease Objective To investigate the pattern distribution of Traditional Chinese Medicine Syndromes in Acute Exacerbation of Chronic Obstructive Pulmonary Disease, and to explore the relationship between TCM syndrome patterns and physicochemical parameters. Methods 206 patients diagnosed as Acute Exacerbation of Chronic Obstructive Pulmonary Disease were selected and their Traditional Chinese Medicine(TCM) syndrome patterns were classified according to Traditional Chinese Medicine diagnosis criterion. The correlation of TCM syndrome patterns with BMI，blood cells and blood gas analysis indexes were analyzed by logistic linear multiple regression analysis. Results 1. Among the two hundred and six