摘要
目的:探讨危重病胃肠功能障碍的中医辨证要素及证型分布规律。方法:选取2018年6月~2020年6月某院收治的120例危重病胃肠功能障碍患者,对患者中医辨证要素及证型分布进行回顾性研究,分析危重病肠胃功能障碍虚证、实夹杂证、实证证型分布状况。结果:虚证主要是心脾两虚证、气血两虚证;虚实夹杂证主要是脾虚痰阻证,其中痰热蕴结,气血两虚证、脾虚水停,邪热扰神证、热盛气阴两伤证、气虚血瘀证占比较低(P<0.05);实证主要是痰热扰神证,肝脾不调,湿热蕴藉证脾胃气滞证气滞血瘀证肺热壅盛证食积气滞证占比较低。结论:中医辨证要素及证型分布规律探究有利于疾病诊断和治疗方法制定,具有非常高的临床应用价值。
Objective:To investigate the factors of TCM syndrome differentiation and distribution of syndrome types of gastrointestinal dysfunction in critical diseases.Methods:A retrospective study was conducted on the distribution of TCM syndrome differentiation and syndrome types in 120 critically ill patients with gastrointestinal dysfunction.The distribution of deficiency syndrome,solid inclusion syndrome and empirical evidence of gastrointestinal dysfunction in critically ill patients were analyzed.Results:The deficiency syndrome was mainly composed of two deficiency syndromes of heart and spleen and two deficiency syndromes of qi and blood.The main syndrome of deficiency and solid inclusion was spleen deficiency and phlegm obstruction,in which the percentage of phlegm heat accumulation knot,Qi and blood deficiency syndrome,spleen deficiency water stopping,evil heat disturbing mind syndrome,excessive heat deficiency of both Qi and Yin syndrome,and Qi deficiency and blood stasis syndrome was relatively low(P<0.05);The main empirical evidence was phlegm heat disturbing mind syndrome,in which the percentage of the irregularity of liver and spleen,evidence of damp-heat accumulation,Qi stagnation of spleen and stomach syndrome,Qi stagnation blood stasis syndrome,lung heat stagnation syndrome,and the food accumulation Qi stagnation syndrome was relatively low.Conclusion:The study of the factors of syndrome differentiation and the distribution of syndrome types in traditional Chinese medicine is beneficial to the development of disease diagnosis and treatment,and has high clinical application value.
作者
谭其佳
Tan Qijia(Department of Intensive Medicine,Yunfu City Hospital of Traditional Chinese Medicine,Yunfu 527200)
出处
《数理医药学杂志》
2020年第9期1283-1285,共3页
Journal of Mathematical Medicine
关键词
危重病
胃肠功能障碍
中医辨证要素
中医辨证证型
分布规律
critical illness
gastrointestinal dysfunction
factors of TCM syndrome differentiation
syndrome differentiation of traditional Chinese medicine
distribution
