【摘要】：目的根據(jù)GBZ 70—2009《塵肺病診斷標(biāo)準(zhǔn)》,探討各個(gè)塵肺期別煤工塵肺(CWP)的中醫(yī)證候?qū)W及證型學(xué)特征,為規(guī)范中西醫(yī)結(jié)合治療塵肺提供參考。方法隨機(jī)選擇200例觀察對(duì)象和320例CWP患者,分析其中醫(yī)證候、證型特征及中西醫(yī)結(jié)合辨證施治效果。結(jié)果觀察對(duì)象組、CWP壹期組、貳期組和叁期組之間年齡差異有統(tǒng)計(jì)學(xué)意義(P0.001);觀察對(duì)象證候表現(xiàn)輕微;CWP壹期表現(xiàn)為干咳、少量黃黏痰、喘息,證型以實(shí)證為主;CWP貳期表現(xiàn)為咳嗽、中量黏痰、喘息、神疲乏力、腰膝酸軟、納少等,證型實(shí)虛夾雜;CWP叁期表現(xiàn)以喘憋、大量痰液、發(fā)紺等,證型以虛證為主(P0.05~0.005)。對(duì)CWP進(jìn)行辨證施治取得明顯療效(P0.05~0.005)。結(jié)論隨著CWP的進(jìn)展,證候表現(xiàn)由實(shí)到虛,血瘀貫穿始終;《塵肺病診斷標(biāo)準(zhǔn)》將其塵肺分為壹、貳、叁期科學(xué)性強(qiáng),中醫(yī)如在此基礎(chǔ)上辨證論治,有利于治療規(guī)范化。
[Abstract]:Objective according to GBZ 70-2009 diagnostic criteria of pneumoconiosis, to explore the characteristics of TCM syndromes and syndromes of (CWP) in different stage of pneumoconiosis, and to provide reference for regulating the treatment of pneumoconiosis by combining traditional Chinese and western medicine. Methods 200 patients with CWP and 320 patients with CWP were randomly selected and their syndromes and syndromes were analyzed. Results there was significant difference in age between the two groups (P0. 001), the symptoms of CWP were mild, the symptoms of CWP were dry cough, a small amount of yellow sticky phlegm, wheezing, and the syndrome type was mainly positive. In the second stage of CWP, the symptoms were cough, moderate amount of sputum, wheezing, fatigue, weakness of the waist and knee, and deficiency of the syndrome, while in the third stage of CWP, the symptoms were dyspnea, sputum, cyanosis, etc. The syndrome type was mainly deficiency syndrome (P0.050.005). The treatment of CWP based on differentiation of symptoms and signs was effective (P 0.05 0. 005). Conclusion along with the progress of CWP, the syndromes show from reality to deficiency, blood stasis runs through all the time, the diagnosis standard of pneumoconiosis divides its pneumoconiosis into one stage, two stages and three stages, which is scientific, and it is beneficial to the standardization of treatment if Chinese medicine is based on differentiation of syndrome and treatment.
【作者單位】： 泰安市中心醫(yī)院分院(泰安市職業(yè)病醫(yī)院);泰山醫(yī)學(xué)院附屬醫(yī)院;寧陽(yáng)縣疾病預(yù)防控制中心;泰安市中醫(yī)二院;
【分類號(hào)】：R563.9

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