1. 首都医科大学附属北京中医医院呼吸科
2. 中国航天科工集团七三一医院体检中心
3. 北京中医医院平谷医院肺病科
4. 北京中医药大学
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[1]王亚南,王玥,赵学慧,李浩源,焦以庆,郭丽娅,刘锡曈,刘建,郭亚丽,孟令鑫,王玉光.138例慢性致纤维化性间质性肺病患者中医咳痰喘症状特点分析[J].北京中医药,2021,40(01):53-57.
WANG Ya-nan, WANG Yue, ZHAO Xue-hui, et al. Analysis on TCM characteristics of cough expectoration and asthma in 138 patients with chronic fibrotic interstitial lung disease[J]. Beijing Journal of Traditional Chinese Medicine, 2021,40(1):53-57.
[1]王亚南,王玥,赵学慧,李浩源,焦以庆,郭丽娅,刘锡曈,刘建,郭亚丽,孟令鑫,王玉光.138例慢性致纤维化性间质性肺病患者中医咳痰喘症状特点分析[J].北京中医药,2021,40(01):53-57. DOI: 10.16025/j.1674-1307.2021.01.014.
WANG Ya-nan, WANG Yue, ZHAO Xue-hui, et al. Analysis on TCM characteristics of cough expectoration and asthma in 138 patients with chronic fibrotic interstitial lung disease[J]. Beijing Journal of Traditional Chinese Medicine, 2021,40(1):53-57. DOI: 10.16025/j.1674-1307.2021.01.014.
目的归纳分析138例慢性致纤维化性间质性肺病(chronic fibrosing interstitial lung disease,CF-ILD)患者的中医咳痰喘症状特点。方法纳入自2016年10月—2018年12月于首都医科大学附属北京中医医院呼吸科就诊的CF-ILD患者,以填写中医症候量表的方式收集患者咳痰喘中医症状特点。结果 CF-ILD患者咳嗽特点为:冬季咳嗽重(54.62%)、遇油烟异味加重(78.46%);咳嗽常见伴随症状为:气短(53.08%)、胸闷(44.62%)、胸中发紧(23.85%);咳痰特点为:少痰(60.77%)、痰黏(56.92%)、白痰(66.15%)。喘证多表现为:活动后气短(87.69%)、呼吸浅快(75.38%)、气不够用(66.92%)。结论 CF-ILD患者咳嗽及呼吸困难具有明显异质性,临床中需加以鉴别。
Objective To summarize and analyze the characteristics of cough,expectoration and asthma in 138 patients with chronic fibrotic interstitial lung disease(CF-ILD). Methods The study enrolled patients with CF-ILD who were treated in the Respiratory Department of Beijing Traditional Chinese Medicine Hospital from October 2016 to December 2018. All patients filled the TCM syndrome scale in order to collect the characteristics of TCM symptoms they had,including cough,expectoration and asthma. Results The characteristics of cough of CF-ILD patients were severe cough in winter(54.62%) and more severe when smelling oil fume odor(78.46%). The common accompanied symptoms of cough were shortness of breath(53.08%), suffocation of the chest(44.62%) and chest tightness(23.85%). The characteristics of expectoration are less sputum(60.77%), sticky phlegm(56.92%) and white sputum(66.15%). The most common manifestations of asthmatic breath were shortness of breath after exertion(87.69%), shallow and fast breathing(75.38%) and insufficient breath(66.92%). Conclusion The characteristics of cough,expectoration and asthma in patients with chronic fibrotic interstitial lung disease are significantly heterogeneous compared with other respiratory diseases,which should be identified in clinical practice.
慢性致纤维化性间质性肺病咳嗽呼吸困难症状学
Chronic fibrotic interstitial lung diseasecoughdyspneasymptomatology
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