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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:

期数:

2017年06期

页码:

037-40

栏目:

临床研究

出版日期:

2017-11-01

文章信息/Info

Title:

The Ｒelationship between TCM Constitutional Classification and Life Quality of Patients with Stable COPD

文章编号:

2096－1340(2017)06－0037－04

作者:

梁可云 符子艺 周丽明 戴勇 莫律 李培勇

广东省中西医结合医院，广东佛山528200

Author(s):

Liang Keyun Fu Ziyi Zhou Liming Dai Yong Mo Lv Li Peiyong

Guangdong Hospital of Chinese and Western Medicine，Foshan 528200，China

关键词:

慢性阻塞性肺疾病稳定期;  中医体质学;  三级预防

Keywords:

stable COPD;  TCM constitution;  tertiary prevention

分类号:

Ｒ563.8

DOI:

10.13424/j.cnki.jsctcm.2017.06.013

文献标志码:

A

摘要:

目的通过比较不同中医体质型与慢性阻塞性肺疾病稳定期患者mMＲC 评分及CAT 评分的差异，了解中医体质型与患者生活质量的关系，以此建立一个基于中医体质学上的COPD 三级预防体质模型，为进一步加强COPD 患者的三级预防，易感体质人群的管理提供依据。方法采用观察性的研究方法，观察169 例COPD 稳定期患者的中医体质型，了解COPD 稳定期患者的中医体质型构成情况; 对比不同中医体质型的COPD患者在mMＲC 评分及CAT 评分等方面的差异，了解不同中医体质型与COPD 患者生活质量高低的关联性。结果C

Abstract:

Objective Through comparing the differences of mMＲC and CAT scores of patients with stable COPD and different constitutional types，to understand the relationship between TCM constitutional classification and the patient’ s life quality and establish a COPD tertiary prevention constitution model based on TCM constitution，further to provide the basis for strengthening tertiary prevention for COPD patients and managing susceptible population． Method Ｒesearch method of observation was adopted and constitutional classification of 169 patients with stable COPD were observed，the composition of constitutional classification of the cases were obtained，the differences of mMＲC and CAT scores of COPD patients with different constitutional types were compared，the relevance of TCM constitutional classification and COPD patient’s life quality were understood． Ｒesult The composition of TCM constitutional classification of patients with stable COPD ranked from high to low based on the proportion were: qi deficient constitution ( 49 cases，29．0%) ，yin deficient constitution ( 37 cases，21．9%) ，phlegm－dampness constitution ( 26 cases，15．4%) ，dampness－heat constitution ( 21 cases，12．4%) ，other types of constitution accounted for 21．3%． The relationship between mMＲC scores and constitutional types of patients with stable COPD with different constitutional types was: qi deficient constitution＞dampness－heat constitution＞ yin deficient constitution＞phlegm－dampness constitution． Among the four common constitutional types of COPD patients，CAT score was the highest in patients of qi deficient constitution，followed by dampness － heat constitution， phlegm－dampness constitution，yin deficient constitution got the lowest score，the differences between the groups were significant( P＜0．05) ．Conclusion Patients with asthenia in superficiality such as dampness－heat or phlegm－dampness constitutions have more severe dyspnea and worse life quality，indicating that such people in particular，need to strengthen the daily disease management． COPD is a chronic disease with intermingled deficiency and excess as well as asthenia in origin and asthenia in superficiality． While replenishing and restoring qi of lung，spleen and kidney，treatment on dampness pathogen should be paid attention to，such as therapies of clearing heat and eliminating dampness，of eliminating dampness and phlegm，of improving patient’s clinical symptoms and life quality． Thus，Strengthening body resistance without fueling pathogen，tonifying the body without detaining pathogen should be one of the important principles of the management of patients with stable COPD．

备注/Memo

备注/Memo:

收稿日期:2016－09－28编辑:方亚利 *
基金项目:广东省佛山市卫生局课题(20143002)

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更新日期/Last Update: 2017-11-15