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[1]李昕原,梁腾霄,王兰.侵袭性肺部真菌感染的中医证素特点研究[J].环球中医药,2017,10(10):1074-1077.[doi:10.3969/j.issn.1674-1749.2017.10.004]
　LI Xinyuan,LIANG Tengxiao,WANG Lan..Study on the characteristics of TCM syndrome factors of invasive pulmonary fungal infection[J].,2017,10(10):1074-1077.[doi:10.3969/j.issn.1674-1749.2017.10.004]
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侵袭性肺部真菌感染的中医证素特点研究()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第10卷
期数:
2017年10期
页码:
1074-1077
栏目:
论著
出版日期:
2017-10-06

文章信息/Info

Title:
Study on the characteristics of TCM syndrome factors of invasive pulmonary fungal infection
作者:
李昕原; 梁腾霄; 王兰
100700 北京中医药大学东直门医院急诊科(李昕原、梁腾霄、王兰),热病研究所(梁腾霄、王兰)
Author(s):
LI Xinyuan;  LIANG Tengxiao;  WANG Lan.
Dongzhimen hospital of Beijing University of Chinese Medicine,100700 Beijing,China
关键词:
肺部感染;  真菌;  中医证候;  白假丝酵母菌
Keywords:
Pulmonary infection;  Fungus;  TCM syndrome factors;  Candida albicans.
分类号:
R563.1
DOI:
10.3969/j.issn.1674-1749.2017.10.004
文献标志码:
A
摘要:
目的 总结侵袭性肺部真菌感染患者中医证素特点。方法 收集北京中医药大学东直门医院2012年1月1日至2013年12月31日符合侵袭性肺部真菌感染临床诊断住院患者进行回顾性调查,选取其中病例记录全面详实、能完整体现患者整体状态、符合纳入标准者共175例,统计分析患者侵袭性肺部真菌感染前后及感染不同真菌菌属后证素变化,总结中医证素特点。结果(1)侵袭性肺部真菌感染病人病位证素涉及广泛,主要在肺、脾、胃、肾等。(2)病性虚实夹杂,以虚为主,证素在痰、湿、热、气虚、阳虚、血虚、阴虚、血瘀等。(3)白假丝酵母菌与非白假丝酵母菌在病位证素脾、胃、肾及病性证素湿、气虚、阳虚、血虚、阴虚、血瘀上均存在统计学差异(P<0.05)。结论 侵袭性肺部真菌感染患者有其中医证素特点,值得进一步挖掘,同时也应加强对不同真菌菌属相应特点的研究,更好的服务临床。
Abstract:
Objective To summarize characteristics of TCM syndrome factors of patients with invasive pulmonary fungal infections. Methods Retrospective study of patients with invasive pulmonary fungal infection were selected from January 1, 2012 to December 31, 2013 in Dongzhimen hospital of Beijing University of Chinese Medicine. 175 cases of complete case notes were accordance with the inclusive criteria. The changes of TCM syndrome factors at before and after infection were analyzed,and the characteristics of TCM syndrome elements was summarized. Results(1)Disease location of syndrome elements in patients with invasive pulmonary fungal infections were involved in a wide range, mainly in the lung, spleen, stomach, kidney, etc.(2)Nature of disease was intermingled deficiency and excess, most cases were deficiency, syndrome element including: phlegm, damp, heat, qi-deficiency, yang-dificiency, blood-dificiency, yin-deficiency, blood stasis, etc.(3)Location of TCM syndrome factor was sleen, stomach, kidney, and nature of TCM syndrome factor was damp, qi-deficiency, yang-deficieny, blood-deficiency, yin-deficiency, blood-stasis, etc. There were statistical difference between candida albicans infection and non-candida(P<0.05).Conclusion Invasive pulmonary fungal infection patients have the characteristics of TCM syndrome factors, it is worthy of further investigation, and should strengthen the research on characteristics of different fungi, to provide better service to the clinic.

参考文献/References:

[1] 钟南山.深部真菌感染新的挑战与展望[J].中华结核和呼吸杂志,2006,29(5):289-290.
[2] 中华内科杂志编辑委员会.侵袭性肺部真菌感染的诊断标准与治疗原则(草案)[J].中华内科杂志,2006,45(8):697-700.
[3] 朱文锋.证素辨证学[M].北京:人民卫生出版社,2008:88-228.
[4] 李新华,张玉珍,高秀华,等.医院真菌感染高危因素调查分析[J].中华医学感染学杂志,2005,15(3):280-281.
[5] 刘神幼,刘力,郑红艳,等.老年患者侵袭性肺部真菌感染得高危因素分析[J].中国综合临床,2009,25(1):57-59.
[6] 梁腾霄,李雁,刘言,等.北京地区2010～2011年冬季150例流行性感冒样病例中医证候分析[J].环球中医药,2011,4(3):168-170.

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备注/Memo

备注/Memo:
基金项目: 国家中医临床研究基地业务建设科研专项(JDZX2015301, JDZX2015304); 北京中医药大学薪火传承研究课题; 北京中医药薪火传承“3+3”工程
作者简介: 李昕原(1987- ),女,硕士,住院医师。研究方向:中西医结合治疗急危重症。E-mail:xinyuanhappy0219@163.com
通信作者: 梁腾霄(1976- ),博士,副主任医师,副教授,硕士生导师。研究方向:中西医结合救治急危重症和名老中医经验传承研究。E-mail:13601133923@163.com
更新日期/Last Update: 2017-10-06