重症肺炎合并急性胃肠功能损伤的中医证素分析
Analysis of TCM Syndrome Elements in Severe Pneumonia Complicated with Acute Gastrointestinal Dysfunction
王帅 1张巧梅 2吴永灿 3邓扬嘉3
作者信息
- 1. 湖南中医药大学,湖南长沙 410000;重庆中医药学院附属第一医院,重庆 400021
- 2. 重庆中医药学院附属第一医院,重庆 400021
- 3. 重庆中医药学院附属第一医院,重庆 400021;重庆中医药学院,重庆 402760
- 折叠
摘要
目的 探究重症肺炎合并急性胃肠功能损伤患者的证素和证型分布情况,为本病的中医临床诊治提供参考依据.方法 回顾性收集2022年1月至2024年5月于重庆市中医院住院的重症肺炎合并急性胃肠功能损伤患者82例,采集患者的临床资料,根据证素量表提取相应证素,对证素进行辨证得出中医证型,统计分析数据,总结患者的中医证素和证型分布规律的特点.结果 重症肺炎合并急性胃肠功能损伤的病位证素主要集中在肺、大肠,且上述两证素在各组间均差异无统计学意义(P＞0.05).病性证素主要集中在痰、热、湿,阴虚证素在＞80岁及死亡患者中频率更高;水停、动血证素在死亡患者中的频率显著高于存活患者(P＜0.05).肺热腑实证是出现频率最高的中医证型.结论 重症肺炎合并急性胃肠功能损伤的患者病位主要在肺与大肠,涉及小肠、脾、胃、心神等多个部位;痰、热、湿为该病的主要病理因素,＞80岁和死亡患者出现阴虚证素可能提示患者预后不良;肺热腑实证是该病最多见的证型.
Abstract
Objective:To investigate the distribution of syndrome elements and patterns in patients with severe pneumonia complicated by acute gastrointestinal dysfunction,providing a reference for the diagnosis and treatment of this condition in TCM clinical practice.Methods:A retrospective collection of 82 patients with severe pneumo-nia complicated by acute gastrointestinal dysfunction who were hospitalized at Chongqing Hospital of Traditional Chinese Medicine from January 2022 to May 2024 was conducted.Clinical data of the patients were collected,and the corresponding syndrome elements were extracted using a syndrome element scale.The TCM syndrome patterns were determined based on the syndrome elements,and the data were statistically analyzed to summarize the charac-teristics of the distribution of TCM syndrome elements and patterns in the patients.Results:The main disease lo-cation syndrome elements in patients with severe pneumonia complicated by acute gastrointestinal dysfunction were concentrated in the lung and large intestine,with no significant statistical differences among the groups(P＞0.05).The main disease nature syndrome elements were concentrated in phlegm,heat,and dampness.Yin deficien-cy syndrome elements were more frequent in patients over 80 years old and in deceased patients(P＜0.05).Syn-drome elements of water retention and blood stasis were significantly more frequent in deceased patients compared with survivors.Syndrome of excessive fu-viscera caused by lung-heat was the most common TCM syndrome pat-tern.Conclusion:The main disease locations in patients with severe pneumonia complicated by acute gastrointes-tinal dysfunction are the lung and large intestine,involving multiple sites such as the small intestine,spleen,stom-ach,and heart-mind.Phlegm,heat,and dampness are the primary pathogenic factors of this disease.The presence of yin deficiency syndrome elements in patients over 80 years old and in deceased patients may indicate poor prog-nosis.Syndrome of excessive fu-viscera caused by lung-heat is the most common TCM syndrome pattern in this condition.
关键词
重症肺炎/急性胃肠功能损伤/中医/证素Key words
Severe pneumonia complicated with acute gastrointestinal dysfunction/Traditional Chinese medi-cine/Syndrome elements引用本文复制引用
出版年
2024
NETL
NSTL
万方数据