论文部分内容阅读
目的:揭示慢性阻塞性肺疾病(COPD)患者二便的功能变化,为COPD在中医治疗中注重二便的治疗提供依据,同时为COPD的肺肠同治理论提供基于临床的明证,佐证肺与大肠相表里理论在病态机体中的科学性。方法:随机抽取2008年以来在新疆医科大学附属中医医院住院的COPD患者100例,同时抽取不伴有肺部疾病的其他疾病患者100例作为对照组,调出他们刚入院尚未用药时的二便情况。结果:COPD组患者小便调的55例(55%)、小便频数的为45例(45%),而对照组中小便调的为86例(86%)、小便不调的为14例(14%)。COPD组患者中大便调的为60(60%),大便不调的为40例(40%),大便不调的中大便干的占32%、大便溏的6%、溏结不调的2%;对照组患者中大便调的为85例(85%),大便不调的为15例(15%),其中大便干的占14%,大便溏的1%。COPD组和对照组相比二便的调与不调均存在统计学差异。结论:应该加强辨识二便功能在COPD中医辨证中的作用和意义,并将针对二便的治疗作为辅助COPD治疗的一个方法在临床中加以利用和研究,以此强化中医整体观治病的优势和特色,丰富中医治疗COPD的手段,提高临床治疗COPD的疗效。
OBJECTIVE: To reveal the functional changes of the second defecation in patients with chronic obstructive pulmonary disease (COPD) and to provide a basis for the treatment of chronic obstructive pulmonary disease (COPD) in the treatment of chronic obstructive pulmonary disease (TCM). At the same time, The theory of phase theory in the morbid body science. Methods: A total of 100 COPD patients admitted to the Affiliated TCM Hospital of Xinjiang Medical University since 2008 were randomly selected. 100 patients with other diseases without pulmonary diseases were also selected as the control group, and they were recruited two times before they were hospitalized Happening. RESULTS: Fifty-five (55%) of the patients in the COPD group had urinate episodes and 45 (45%) had urinate frequency compared with 86 (86%) in the control group and 14 (14 %). The COPD group had 60 (60%) stools, 40 (40%) stools, 32% stools stools, 6% stools, 2 stools %. In the control group, stool tone was 85 (85%) and stool irregularity was 15 (15%), of which stools accounted for 14% and stools 1%. COPD group and control group compared with the two tone and tone are there is a statistical difference. Conclusions: It is necessary to strengthen the role and significance of identifying the second defecation function in the TCM syndrome differentiation of COPD, and to take advantage of the clinical treatment of the second-defecation therapy as a method of assisting COPD in order to strengthen the overall advantages of traditional Chinese medicine And characteristics, enrich the means of Chinese medicine treatment of COPD, improve the clinical efficacy of COPD.