摘要
目的:探讨社区获得性肺炎证素及其老年患者特征分布。方法:收集4所三甲医院社区获得性肺炎患者资料,使用Ep idata软件建立数据库,运用SPSS 13.0统计软件包进行频次和频率的统计描述及χ2检验。结果:提取病性证素10个,病位证素5个。病性证素中,痰出现的频率最高(63.0%),其次为热(54.0%);病位证素主要位于肺(88.7%)。老年人肺炎中的痰、气虚、阴虚、风、血瘀出现的频率高于非老年人肺炎(P<0.05);而热(火)、寒(表)、湿、阳虚、燥出现的频率二者比较无显著差异(P>0.05)。结论:痰(痰热)壅肺是肺炎的主要病机,而老年人肺炎则常兼有气虚或气阴两虚的表现。
Objective：To probe characteristics of syndrome elements of community acquired pneumonia（CAP） and one in the elderly patients. Methods：Data of CAP were collected in the 4 hospitals. SPSS for windows ver. 13.0 software was adopted for statistical description and χ^2 test. Results：There were ten syndrome elements of pathological nature and five location syndrome elements. Frequency of phlegm was the topmost at the clinical symptoms and signs （ percent 63.0）, then heat （ percent 54. 0） in the syndrome dements of pathological nature. The highest frequency of location syndrome elements was lung （ percent 88.7 ）. Compared to pneumonia in the non-elderly, there were higher frequency with pneumonia in the elderly in phlegm, deficiency of vital energy,yin asthenia,wind and blood stasis（P 〈0. 05）. There were no significant difference in heat,chilly,wet,yang asthenia and dryness（ P 〉 O. 05 ）. Conclusion：Phlegm（ phlegm and heat）in the lung is the main pathogenesis of pneumonia, and deficiency of vital energy or deficiency of both vital energy and yin is also one of pneumonia in the elderly.
出处
《辽宁中医杂志》
CAS
北大核心
2009年第9期1450-1451,共2页
Liaoning Journal of Traditional Chinese Medicine
基金
国家重点基础研究发展计划(973计划)资助项目(2006CB504605)
关键词
社区获得性肺炎
证素
老年人
community acquired pneumonia
syndrome dements
the elderly
