温州地区耐多药结核病患者中医体质特点分析
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R52

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温州市公益性社会发展(医疗卫生)科技项目(Y20160199)


Analysis on the Characteristics of Chinese Medicine Constitu tion of Patien ts with Mu lti-d rug Resistan t Tubercu losis in Wenzhou Area
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    摘要:

    目的:对耐多药结核病患者中医体质类型开展研究,探讨体质因素和发病的关系,为中医治未病提供相应的理论依据。方法:选取耐多药结核病患者201例,其中男145例,女56例,年龄18~79岁。运用中医体质辨识量表进行中医体质类型分类,进而探讨体质因素和耐多药结核病发病的关系。结果:201例耐多药结核病患者中,平和质者3例(1.5%),偏颇体质者198例(98.5%)。其中气虚质66例(32.8%),气郁质43例(21.4%),痰湿质31例(15.4%),阳虚质21例(10.4%)。耐多药结核病患者的中医体质类型得分中,相关性最大的体质类型依次是气虚质、气郁质、痰湿质及阳虚质。结论:耐多药结核病患者体质以气虚质、气郁质、痰湿质及阳虚质为主,对指导耐多药结核病的个体化治疗、预防耐药性产生有重要意义。

    Abstract:

    Objective: To study the types of Chinese medicine constitution of patients with multi-drug resistant tuberculosis,discuss the relationship between constitutional factors and the onset of disease,and provide the correspondent theoretical basis for preventive treatment of disease in Chinese medicine.Methods:Selected 201 cases of patients with multi-drug resistant tuberculosis,145 cases form ale and 56 cases for fem ale at the age of 18 to 79.Constitution in Chinese medicine questionnaire was adopted to classify the Chinese medicine constitution,and further discussed the relationship between constitutional factors and the onset ofmulti-drug resistant tuberculosis.Results:Among the 201 cases of patients with multi-drug resistant tuberculosis,there were 3 cases of balanced constitution(1.5%)and 198 cases of unbalanced constitution(98.5%),among which there were 66 cases of qi-deficiency constitution(32.8%), 43 cases of qi-depressionconstitution(21.4%),31 cases of phlegm-dampness constitution(15.4%)and 21 cases of yang-deficiency constitution(10.4%).Regarding the Chinese medicine constitution type scores,the most relevant constitution types are qi-deficiency constitution,qi-depression constitution,phlegm-dampness constitution and yang-deficiency constitution in sequence.Conclusion:The constitution types of patients with multi-drug resistant tuberculosis are m ainly qi-deficiency constitution,qi-depression constitution,phlegm-dampness constitution and yang-deficiency constitution.It is of great significance for directing the individualized treatment formulti-drug resistant tuberculosis and preventing the occurrence of drug-resistance.

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周帆,蒋贤高,黄国庆,施伎蝉,吴洁如.温州地区耐多药结核病患者中医体质特点分析[J].新中医,2018,50(9):112-115

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  • 在线发布日期: 2018-09-04
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