中医学报

目的 :探讨COPD中医证候分布规律。方法 :对 2 6 6例COPD患者的证候分布进行流行病学调查。结果 :COPD患者发病频率较高的证候分别为痰气互结、痰热壅肺、肺肾气虚、瘀血、肺气虚、肺肾阴虚、寒饮停肺、气阴两虚、肺脾气虚等。急性期与恢复期患者证候分布有显著性差异 (P <0 .0 1 )。结论 :慢阻肺以本虚标实为主要病机 ,本虚以气阴虚为主 ,标实以痰阻、气滞、血瘀相结为主 ,辨证时尤应注重病期变化对证候的影响

Objective: To explore the distribution regularity of syndromes in the patients with COPD. Methods: 266 cases of COPD are surveyed. Results:The syndrome of deficiency of both lung Qi and kidney Qi,stagnation of Qi and phelgm,blood stasis,the deficiency of lung Qi,syndrome of heat phelgm stagnating the lung,deficiency of lung Yin ang kidney Yin,deficiency of Qi and Yin and syndrome of the cold-dampness stagnating lung,which have high frequency are mainly syndrome types of the COPD in this survey.There is marked difference in syndrome distribution between acute stage and convalescence. Conclusion: The chief pathogenesis of COPD is deficiency in the interior and excess in the exterior. The former is mainly manifested as qi and yin deficiency, while the latter phlegm stagnancy in conjunction with qi stagnation and blood stasis. Attention should be paid especially to syndromes at different stages.