摘要
目的 :探讨结核性胸膜炎患者不同中医证候分布与胸水B超的相关性。方法 :采取回顾性的研究方法,选取2007年1月—2012年10月确诊为结核性胸膜炎的患者160例,分析其胸水B超检查结果,探讨其与不同的中医证候分布之间的相关性,以期为以后中医临床辨证施治提供诊断依据。结果 :邪犯胸胁型患者超声特点为游离性胸腔积液为主;饮停胸胁型患者超声特点为游离性胸腔积液为主(55.29%),少数出现包裹和分隔;络气不和型患者超声特点为游离性及分隔性胸腔积液为主(77.78%);阴虚内热型患者超声特点为包裹性及分隔性胸腔积液为主(86.67%)。结论 :对于结核性胸膜炎的中医临床辨证分型论治,胸水B超检查能提供重要的客观依据。
Objective ： To study the correlation between the different syndromes of tuberculous pleurisy in Chinese medicine and the /3 ultrasound examination of pleural effusion. Methods ： This paper mainly adopts the retrospective research methods. By collecting 160 cases of tuberculous pleurisy from January 2007 to October 2012, and analyzing the correlation between the different results of type-B ultrasonic inspection and the different syndromes of tuberculous pleurisy in Chinese medicine, we can support clinical diagnosis for the thought of treatment based on syndrome differentiation in Chinese medicine. Results ： The results of type-B ultrasonic inspection in the syndrome of pathogenic qi invading chest and hypoehondrium were predominantly free pleural effusion, accounting for about 79.17%. In the syndrome of fluid retained in chest and hypochondrium, it is also predominantly free pleural effusion, accounting for about 55.29%, just a small number of encysted and separated. There was 77.78% of free or separated pleural effusion in the syndrome of disharmony between qi and channels, 86.67% of encysted and separated pleural effusion in the syndrome of endogenous was heat due to yin deficiency. Conclusion ： From the B ultrasound examination of pleural effusion, we can support important objective basis for clinical diagnosis of tuberculous pleurisy syndrome differentiation in TCM.
出处
《辽宁中医药大学学报》
CAS
2013年第12期35-36,共2页
Journal of Liaoning University of Traditional Chinese Medicine
基金
广东省科技计划项目(2010B030700064)
关键词
结核性胸膜炎
中医证候分布
胸水B超
相关性
tuberculous pleurisy
different syndromes in Chinese medicine
B ultrasound examination of pleural effusion
correlation
