【摘要】：目的:本研究通過對慢阻肺氣虛證患者血瘀癥狀分布規(guī)律及血瘀嚴重程度進行研究分析,探討慢阻肺血瘀的出現(xiàn)和肺、脾、腎三臟氣虛的關(guān)系,期指導(dǎo)臨床正確認識氣虛型慢阻肺患者的血瘀情況,為該病的精確辨治提供依據(jù).方法:收集入住山東中醫(yī)藥大學(xué)附屬醫(yī)院的慢阻肺患者,記錄其一般信息(性別、年齡、吸煙史、職業(yè)、病程)和中醫(yī)四診資料,進行辨證分型,選取符合“肺氣虛”、“肺脾氣虛”、“肺腎氣虛”證患者,記錄其血常規(guī)、D-二聚體、凝血四項等實驗室指標(biāo),并對患者血瘀癥狀進行積分。將一般信息、實驗室指標(biāo)、血瘀癥狀等數(shù)據(jù)整理后用SPSS統(tǒng)計軟件進行統(tǒng)計學(xué)分析。結(jié)果:本研究共納入患者100例,其中肺氣虛型患者22例、肺脾氣虛型患者35例、肺腎氣虛型患者43例。經(jīng)檢驗,三組證型患者的平均年齡有差異、平均病程有結(jié)論:通過研究發(fā)現(xiàn),從肺氣虛到肺脾氣虛再到肺腎氣虛,病情嚴重程度逐漸增加,血瘀癥狀逐漸加重,血液粘稠度也逐漸增大,出現(xiàn)血栓的風(fēng)險也在逐漸增加。血瘀癥狀積分以及實驗室指標(biāo)能夠證實這種差異。
[Abstract]:Objective: to study and analyze the distribution of blood stasis symptoms and the severity of blood stasis in patients with chronic obstructive lung qi deficiency, and to explore the relationship between the occurrence of blood stasis and deficiency of lung, spleen and kidney. To guide the clinical correct understanding of blood stasis in patients with chronic obstructive lung syndrome of qi deficiency, and to provide the basis for accurate differentiation and treatment of the disease. Methods: the patients with COPD admitted to the affiliated Hospital of Shandong University of traditional Chinese Medicine were collected and their general information (sex, age, smoking history, occupation, course of disease) and the four diagnoses of TCM were recorded. In the patients with "deficiency of lung and spleen qi" and "deficiency of lung and kidney qi", the laboratory indexes of blood routine such as D-dimer and coagulation were recorded, and the symptoms of blood stasis were integrated. The data of general information, laboratory indexes and blood stasis were analyzed by SPSS software. Results: a total of 100 patients were included in this study, including 22 patients with deficiency of lung qi, 35 patients with deficiency of lung and spleen qi, 43 patients with deficiency of lung and kidney qi. After examination, the average age of the three syndrome types was different, and the average course of disease was concluded: from deficiency of lung qi to deficiency of lung and spleen qi and then to deficiency of lung and kidney qi, the severity of the disease gradually increased, and the symptoms of blood stasis gradually aggravated. Blood viscosity is also increasing, and the risk of thrombosis is increasing. Blood stasis symptom scores and laboratory indicators can confirm this difference.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259

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