摘要
目的探讨肺炎证候要素与诊断指标的相关性。方法采用计算机检索和人工检索相结合的方法,通过文献研究,分析肺炎中医证候的分布特征、证候要素及其组合规律。结果证候按出现频率名列前10位的依次为:风热袭肺、痰热壅肺、气阴两虚、热陷心包、邪陷正脱、邪热壅肺、风寒束肺、痰湿阻肺、风燥伤肺、表寒里热。在证候构成中,实证和虚实夹杂证占大部分,且实证远多于虚实夹杂证,也存在虚证,虚证少于虚实夹杂证,单证情况较少。影响肺炎辨证的主要证素在病位因素中以肺为主;病性因素中以火热、痰浊为主;病因证素中以风邪、热邪为主。结论据此可初步确定肺炎证候要素及其诊断指标体系,为临床辨证论治提供依据。
Objective To investigate the correlation between syndrome elements and diagnostic indicators in pneumonia. Methods The distribution characteristics, syndrome elements and combination rule of Chinese medicine syndrome in pneumonia patients were analyzed with computer and manual search. Results The top 10 syndromes in descending order of the frequency were as following： wind-heat assailing the lung, phlegm-heat congesting the lung, both qi and yin deficiency, heat entering the pericardium, evil entering and right desertion, evil heat congesting the lung, wind-cold /ettering the lung, phlegmdamp obstructing the lung, wind-dryness damaging the lung and exterior cold and interior heat. In the syndrome composition, repletion syndrome and deficiency-repletion complex syndrome accounted for the majority. Both the repletion syndrome and the deficiency syndrome were more than the deficiency-repletion complex syndrome, especially the repletion syndrome. The simple syndrome was less. The common syndrome elements of pneumonia were the lung in disease location, heat and phlegm turbidity in disease nature and wind and heat in pathogen. Conclusion The syndrome elements and diagnostic indicators in pneumonia could be initially identified to improve the clinical level and the quality of life in patients.
出处
《中医杂志》
CSCD
北大核心
2012年第13期1137-1139,1149,共4页
Journal of Traditional Chinese Medicine
关键词
肺炎
证候要素
文献研究
pneumonia
syndrome elements
literature study
