摘要
目的观察普通感冒后发生感冒后持续咳嗽与哪些类型的体质相关并评价在病甚证阶段采用自评分方式评价体质类型的可靠性。方法 300例普通感冒患者在就诊时依据《中医体质辨识判定标准》采用自评分的方式进行体质评分和初步判定,经西医常规治疗后3周再次进行二次体质自评分,最终确诊为感冒后咳嗽的患者39例,在采用中医辨证治疗后34例患者病情痊愈,5例因观察疗效欠佳超过观察时限被排除。34例患者痊愈后(健康状态)采用"舌面脉信息采集体质辨识系统DS01-A"进行再次体质分析,判别体质类型,并与自评表作对比。结果与结论 1)在病甚证阶段采用自评分方式评价体质类型的可靠性较低。2)本地区发生感冒后咳嗽主要体质类型为气虚质、痰湿质、气郁质。3)异禀质感冒后咳嗽的发生与患者生活工作环境密切相关,且治疗疗效较差。
Objective： To analyze the types of TCM constitution associated with post-infectious cough,and evaluate the reliability of self-appraisal with the criteria of TCM constitution in the period of sick. Methods： 300 patients with cold were required to assess themselves′ type of TCM constitution according to the criteria of TCM constitution at the first visit. After 3 weeks of routine treatment,the second physical self ratings were performed again,and 39 patients were diagnosed to be post-infectious cough,among which,34 patients were cured by TCM.The remaining 5 cases were excluded from study because of poor effect. The 34 patients were required to analysis TCM constitution again with the DS01-A,and the outcome would be contrast with the themselves′ assess table.Result ＆ Conclusion： 1）Self-rating of TCM constitution has low reliability when patients are sick. 2）Qi-insufficiency constitution,phlegm-dampness constitution and constitution of Qi stagnation are the main TCM constitution associated with the post-infectious cough. 3）Post-infectious cough of allergic constitution is related to the allergen of living and working environments,with poor therapeutic effect.
出处
《中国中医急症》
2017年第10期1834-1837,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
武汉市卫生计划委员会临床医学科研项目(WZ15C13)
武汉市中青年人才骨干项目-武卫生计生[2016-59]
关键词
感冒后咳嗽
中医体质辨识
Post-infectious cough
Type of TCM constitution
