摘要
目的探寻老年人耐药菌肺炎的中医证候分布与证候演变的规律。方法对144例老年耐药菌肺炎患者的中医四诊资料进行辨证,判断其入院不同时间点的中医证型,分析其证型的演变特点。结果不同年龄段、性别和发病季节的患者,入院时的中医证候分布差异无统计学意义;而不同耐药致病菌感染引起的老年耐药菌肺炎入院第1天时的中医证候分布、不同病情转归患者之间中医证型分布有差异;老年耐药菌肺炎初期以痰热壅肺证为主,亦可见热闭心包证,中期是是否出现变证的关键时期,邪陷正脱证由其他证候演变而来,后期气阴两虚证常见。结论老年耐药菌肺炎入院时的中医证型分布与患者的年龄、性别、发病季节等无相关性,而与感染的致病耐药菌及病情转归有相关性,且老年人耐药菌肺炎的中医证候在入院不同时间点呈现出动态演变过程。
Objective：To discuss TCM symptoms regular pattern of senile pneumonia which is caused by drug-resistant bacteria.Methods：144 cases of senile pneumonia caused by drug-resistant bacteria were analyzed the TCM symptoms evolution by using the probability method.Results：No significant difference of TCM symptoms distribution was found in different ages,gender and seasons.But there was significant difference in TCM symptoms among the different drug-resistant bacteria in admission.There was significant difference in TCM symptoms in different prognosis.In the early stage of senile pneumonia caused by drug-resistant bacteria.The major TCM symptoms was the phlegm-heat obstructing lung,and the invasion of pericardium by heat.The medium stage was the most critical period in relation to development of different TCM symptoms.The vital qi desertion due to interior invaded by pathogen was evolved from other TCM symptoms.In later stage,the deficiency of both qi and yin was most common.Conclusion：TCM symptoms of senile pneumonia caused by drug-resistant bacteria is associated with prognosis and different kinds of bacteria,not the ages,gender and seasons,and it presents the dynamic evolution after admission.
出处
《中国中医急症》
2011年第10期1580-1583,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
国家科技部"十一五"科技支撑计划项目(2007BAI20B087)
关键词
老年人
耐药菌
肺炎
证候
规律
Senior people
Drug-resistance bacteria
Pneumonia
TCM symptoms
Regular pattern
