基于横断面调查的支气管哮喘中医证候客观化因素分析
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国家重点研发计划项目(2023YFC3502602,2023YFC3502600);河南省高校科技创新团队项目(23IRTSTHN027);国家中医临床研究基地科研专项(2022JDZX046);河南省科技攻关项目(232102310472)


Objective Factor Analysis of TCM Syndrome of Bronchial Asthma Based on Cross-sectional Survey
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    摘要:

    目的:筛选支气管哮喘(简称哮喘)中医证候相关临床因素及生物学标志物,为中医证候客观化研究提供参考。方法:采用横断面临床调查方法,选取河南中医药大学第一附属医院呼吸科门诊及住院收治的哮喘患者390例作为研究对象,收集临床特征并检测相关血清生物标志物。SPSS 23.0建立数据库,采用单因素分析、Logistic回归分析、Spearman相关分析方法,3种方法中2种具有统计学意义的被筛选为相关因素。结果:共招募390例患者,分析资料相对完整的293例数据。外寒内饮证与年龄、哮喘控制测试(ACT)评分相关,痰浊阻肺证与性别、吸烟史、血清高迁移率族蛋白B1(HMGB1)、血清嗜酸粒细胞趋化蛋白(Eotaxin)相关,风痰阻肺证与年龄、ACT评分相关,肺气虚证与ACT评分、血清HMGB1、血清γ干扰素(IFN-γ)、血清骨膜蛋白(Periostin)相关,脾气虚证与ACT评分相关,肾气虚证与血清IFN-γ相关,肾阳虚证与血清转化生长因子-β2(TGF-β2)、血清肿瘤坏死因子α(TNF-α)相关,肺脾气虚证与ACT评分相关,肺肾气虚证与年龄、ACT评分、病程相关,肺肾阳虚证与民族、ACT评分、血清白细胞介素-4(IL-4)具有相关性(P<0.05)。结论:血清HMGB1、Eotaxin、IFN-γ、Periostin、TGF-β2、TNF-α、IL-4可能是哮喘中医证候潜在的生物标志物。性别、年龄、民族、吸烟史、病程、ACT评分与哮喘证候存在一定相关性,但研究结论有待于进一步全国多中心研究进行验证。

    Abstract:

    To screen the clinical factors and biomarkers related to Traditional Chinese medicine(TCM) syndromes of bronchial asthma,so as to provide a reference for the objective study of TCM syndromes.Methods:A total of 390 patients with bronchial asthma admitted and treated in the Respiratory Department of the First Affiliated Hospital of Henan University of Chinese Medicine were selected as the study subjects by cross-sectional clinical investigation method.Their clinical characteristics were collected,and related serum biomarkers were detected.The SPSS 23.0 database was established,and the single factor analysis,logistic regression analysis,and Spearman correlation analysis were used.Two of the three methods with statistical significance were selected as relevant factors.Results:A total of 390 patients with bronchial asthma were recruited,and the relatively complete data of 293 patients were analyzed.External cold and internal fluid retention syndrome was correlated with age and asthma control test(ACT) score; phlegm-dampness obstructing lung syndrome was correlated with gender,smoking history,mobility group protein B1(HMGB1),and Eotaxin; wind phlegm blocking lung syndrome was correlated with age and ACT score; lung Qi deficiency syndrome was correlated with ACT score,HMGB1,interferon-gamma(IFN-γ),and Periostin; spleen Qi deficiency syndrome was correlated with ACT score; kidney Qi deficiency syndrome was correlated with IFN-γ; kidney Yang deficiency syndrome was correlated with transforming growth factor-β2(TGF-β2) and TNF-α; lung and spleen Qi deficiency syndrome was correlated with ACT score; Lung and kidney Qi deficiency syndrome was correlated with age,ACT score,and course of disease; lung and kidney Yang deficiency syndrome was correlated with nationality,ACT score,and IL-4(P<0.05).Conclusion:Serum HMGB1,Eotaxin,IFN-γ,Periostin,TGF-β2,TNF-α,and IL-4 may be potential biomarkers of TCM syndromes of bronchial asthma.Gender,age,nationality,smoking history,course of disease,and ACT score are related to TCM syndrome of asthma.However,the conclusions need to be confirmed by studies from multiple national institutions.

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鄢子涵,王明航,韩伟红,屠新敏,赵欢欢.基于横断面调查的支气管哮喘中医证候客观化因素分析[J].世界中医药,2024,(04).

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  • 收稿日期:2023-02-19
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  • 在线发布日期: 2024-05-15
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