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徐佳仪,王真.150例肺部小结节患者中医体质分布探析[J].浙江中西医结合杂志,2018,28(4):
150例肺部小结节患者中医体质分布探析
Distribution of TCM Constitution of 150 Patients with Small?pulmonary nodules
投稿时间:2017-07-03  修订日期:2017-10-19
DOI:
中文关键词:  肺部小结节  中医体质  分布探析
英文关键词:Small?pulmonary nodules  TCM Constitution  distribution analysis
基金项目:
作者单位E-mail
徐佳仪 浙江中医药大学 18814863529@163.com 
王真* 浙江中医药大学附属第一医院 wangzhen610@sina.cn 
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中文摘要:
      目的 对来我院就诊的有影像学检出肺部小结节的患者进行中医体质辨识,探讨该类患者中医体质分布规律,探析肺部小结节患者的中医体质偏向性,为中医药辅助治疗肺部小结节提供一定思路和方法。方法 对CT检出有肺部小结节的患者采用问卷调查的方式,发放中医体质量表150份,严格按照2009年中华医学会发布的《中医体质分类与判定》标准,并结合望、闻、问、切四诊,进行中医体质辨识。结果 回收问卷150份,体质偏颇者122人,占83.3%,其中气虚质人数最多,占36.0%,其次依次为阳虚质(11.3%)、气郁质(10.0%)、阴虚质(7.3%)、痰湿质(6.0%)、血瘀质(4.7%)、湿热质(4.0%)、特禀质(2%)。结论 肺部小结节患者中气虚质人数最多,体质辨识后可基于“治未病”思想对于一定体质倾向的易感人群给予体质调护,也为中医药辅助干预随访期肺部小结节患者提供新思路。
英文摘要:
      To identify TCM constitution of patients suffering from Small?pulmonary nodules came to our hospital and to analyze the distribution regularities of Chinese medicine TCM constitution, which would be analysised of patients with pulmonary nodules of TCM constitution bias and served as a basis for TCM intervention plans. Methods We made questionnaires according to TCM constitution scale and criteria for categorizing and determining the Chinese medicine constitution of people. During research, we issued 150 questionnaires, and all of them were returned. With findings of the 200 questionnaires and four ways of diagnosis of TCM, which were looking, listening, questioning and feeling the pulse, we draw our own conclusion.Results Among all the patients, 122 cases were biased constitution which accounted for 83.3%.In the biased constitution, constitution of qi deficiency was the most(36.0.0%),followed by the yang deficiency (11.3%), qi Stagnation (10.0%), the yin deficiency(7.3%), phlegm-dampness(6.0%),, blood stasis(4.7%)and dampness heat constitution (4.0%),special intrinsic quality(2.0%).Conclusion In patients with Small?pulmonary nodules,the number of the qi deficiency are the most,After doing the physical identification, the Physical regulating measures can be put forward to the "vulnerable groups", which is based on the idea of"cure not ill" theory. Also for auxiliary follow-up intervention in patients with pulmonary nodules of traditional Chinese medicine to provide new ideas.
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