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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:

第7卷

期数:

2014年07期

页码:

515-0

栏目:

论著

出版日期:

2014-07-06

文章信息/Info

Title:

The characteristics of cardiopulmonary function in common syndrome types of traditional Chinese medicine lung distension disease

作者:

韦衮政 潘承政 钱锐等

Author(s):

WEI Gun-zheng; PAN Cheng-zheng; QIAN Rui; et al.

Department of pulmonology, Yunnan provincial hospital of traditional Chinese medicine, Kungming 650031, China

关键词:

肺胀;  阳虚水泛;  肺肾气虚;  痰热郁肺;  肺功能

Keywords:

Lung distension;  Water diffusion due to deficiency of yang;  Qi deficiency of lung and kidney;  Phlegm-heat obstructing lung;  Pulmonary function

分类号:

R256.14

DOI:

-

文献标志码:

A

摘要:

目的 探讨肺胀常见证候之间心肺功能的变化特点。方法 对符合诊断标准的临床收治肺胀阳虚水泛证、肺肾气虚证、痰热郁肺证患者分别进行心、肺功能评价、心脏超声检查、肺功能测定等,并统计各组之间的差异性。结果 肺胀阳虚水泛证、肺肾气虚证、痰热郁肺证左心室射血分数、肺功能检查的用力肺活量(forced vital capacity, FVC)、一秒用力呼气容积(forced expiratory volume in one second, FEV1)、FEV1/FVC比较无显著性差异(P>0.05); 阳虚水泛证与肺肾气虚证之间心功能分级、肺功能分级比较无显著性差异(P>0.05); 肺肾气虚证与痰热郁肺证患者证候之间的心功能分级、肺功能分级比较无显著性差异(P>0.05); 痰热郁肺证与阳虚水泛证之间肺动脉压水平比较无显著性差异(P>0.05)。痰热郁肺证与阳虚水泛证患者心功能分级、肺功能分级比较有显著性差异(P<0.05); 阳虚水泛证与肺肾气虚证之间肺动脉压比较以及肺肾气虚证与痰热郁肺证之间肺动脉压比较有显著性差异(P<0.05)。结论 肺胀阳虚水泛证的心功能分级、肺功能分级处于较低水平,痰热郁肺证的心功能、肺功能水平相对较好,肺肾气虚证的肺动脉压相对较低。

Abstract:

Objective To discuss the changes of cardiopulmonary function characteristics between the common syndrome types of lung distension disease. Methods According to the diagnostic standard of clinical admitted lung distension syndrome due to syndrome of water diffusion due to deficiency of yang, lung and kidney qi deficiency syndrome, phlegm-heat obstructing lung syndrome were treated with cardiac function, pulmonary function evaluation, cardiac ultrasound examination, pulmonary function test, and statistical the difference between groups. Results No significant difference is found in Left ventricular ejection fraction, pulmonary function test: FVC, FEV1, FEV1/FVC between the lung distension syndrome due to syndrome of water diffusion due to deficiency of yang, phlegm-heat obstructing lung syndrome, lung-kidney qi deficiency syndrome(P>0.05); there is no significant difference between syndrome of water diffusion due to deficiency of yang and lung-kidney qi deficiency syndrome in cardiac functional grading and pulmonary function grading(P>0.05); patients with lung and kidney qi deficiency syndrome or phlegm-heat obstructing lung syndrome show no significant difference between cardiac functional grading and pulmonary function grading(P>0.05); phlegm-heat obstructing lung syndrome comparing with syndrome of water diffusion due to deficiency of yang the level of pulmonary arterial blood pressure is no significant difference(P>0.05). There is a significant difference in cardiac functional grading and pulmonary function grading between phlegm-heat obstructing lung syndrome and syndrome of water diffusion due to deficiency of yang patients(P<0.05); there is a significant difference in pulmonary arterial blood pressure between syndrome of water diffusion due to deficiency of yang and lung and kidney qi deficiency syndrome, the similar difference also appears between lung and kidney qi deficiency syndrome and phlegm-heat obstructing lung syndrome(P<0.05). Conclusion The syndrome of water diffusion due to deficiency of yang's cardiac function and pulmonary function is in low level, the cardiac function and pulmonary function of the phlegm-heat obstructing lung syndrome is relatively good, the pulmonary arterial blood pressure of lung and kidney qi deficiency syndrome is relatively low.

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相似文献/References:

[1]韦衮政,韦莽,韦碧沙,等.肺胀阳虚水泛证的标本治则探讨[J].环球中医药,2013,6(02):117.
[2]赵艳,符兰英.自拟附苈强心汤治疗阳虚水泛型慢性心衰35 例[J].环球中医药,2015,8(09):1127.[doi:10.3969/j.issn.1674-1749.2015.09.029]
[3]徐未方,王冰,张琼.浅谈应用二陈汤合方从“痰”论治肺胀[J].环球中医药,2016,9(02):237.[doi:10.3969/j.issn.1674-1749.2016.02.041]
[4]韦衮政,潘承政,钱锐,等.肺胀阳虚水泛证水通道蛋白关联性研究[J].环球中医药,2015,8(01):1.[doi:10.3969/j.issn.1674-1749.2015.01.001]
　WEI Gun-zheng,PAN Cheng-zheng,QIAN Rui,et al.Lung distension water diffusion due to deficiency of Yang syndrome channel protein correlation research[J].,2015,8(07):1.[doi:10.3969/j.issn.1674-1749.2015.01.001]

备注/Memo

备注/Memo:

基金项目:云南省科技厅科研基金(2009ZC154M)
作者单位:650031 昆明,云南省中医医院肺病科(韦衮政、钱锐、陈必勤、余群、储丽英、张馨予、祁向荣、欧阳丽、王凤英); 云南中医学院临床医学院[潘承政(硕士研究生)]
作者简介:韦衮政(1964- ),博士,副主任医师。研究方向:肺系疾病临床研究。E-mail:weigunzheng@qq.com

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更新日期/Last Update: 1900-01-01