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慢性阻塞性肺疾病表型与中医证型相关性的研究概况

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慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Disease,COPD)是导致全球性病残和病死的主要疾病之一,我国COPD死亡人数居全球首位,患病率逐年增长、病死率高,且患者经济负担、社会负担重.为早期识别COPD及对其个体化精准医疗,并提出COPD表型,并与中医证型相结合,以便更精准地对患者进行评估,有助于为COPD患者制订更加个性化的治疗方案.本研究从炎症细胞表型(嗜酸性粒细胞表型、中性粒细胞表型、淋巴细胞表型及单核细胞表型)、临床症状表型(轻、中、重度慢性支气管炎型、肺气肿型、支气管扩张型、重叠型、非频繁急性加重型、急性加重型、频繁急性加重型)、影像学表型(肺气肿表型、小气道表型、伴或不伴支气管壁增厚型)和急性加重表型(轻型、重型抗生素依懒性、糖皮质激素敏感型、糖皮质激素依赖型、糖皮质激素抵抗型)等方面,总结了 COPD表型分型及不同表型与中医证型的相关性,以提供两者相互关联的循证医学证据支持.
Overview of chronic obstructive pulmonary disease phenotype and its correlation with TCM syndrome type
Chronic obstructive pulmonary disease(COPD)is one of the major causes of disability and death in the world.The number of deaths from COPD in China ranks first in the world.The prevalence rate of COPD increases year by year,the mortality rate is high,and the economic burden and social burden of patients are heavy.In order to identify COPD early and provide individualized precision medicine for it,the COPD phenotype is proposed.Combining the COPD phenotype with TCM syndrome type can more accurately evaluate patients with COPD and help develop more personalized treatment plans for patients with COPD.It lays a good foundation for more individualized treatment of this disease in the future.The inflammatory cell phenotypes include eosinophil,neutrophil,lymphocyte and monocyte.Clinical symptom phenotype includes mild,moderate,severe chronic bronchitis type,emphysema type,bronchiectasis type,overlapping type,infrequent acute plus severe,acute plus severe,frequent acute plus severe;Imaging phenotypes include emphysema phenotype,small airway phenotype,with or without bronchial wall thickening;Acute exacerbation phenotypes include light and heavy antibiotic laziness,glucocorticoid-sensitive,glucocorticoid-dependent,glucocorticoid-resistant,etc.This paper reviews the phenotypes of chronic obstructive pulmonary disease,reviews the literature on the correlation between different phenotypes and TCM syndrome types,summarizes the association between each phenotype and TCM syndrome types,and summarizes the evidence-based medical evidence support for the phenotypes of chronic obstructive pulmonary disease and the correlation between TCM syndromes.

Chronic obstructive pulmonary diseasePhenotypseTCM syndrome types

杨英琦、李洋、谭烨

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青海大学,青海 西宁,810016

青海省中医院,青海 西宁,810000

慢性阻塞性肺疾病 表型 中医证型

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(27)