| 引用本文:李 建1 刘恩顺2 孙增涛2 杨英伟1 郑 莉3.204例ALI/ARDS患者脏腑证候分布及肺肠相关特征的临床调查[J].世界中医药,2014,9(08):. |
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| 204例ALI/ARDS患者脏腑证候分布及肺肠相关特征的临床调查 |
| Clinical Study on Distribution of Zang-Fu Syndromes and Characteristics of “Exterior-interior Relation of Lung and Large intestine” in 204 Cases with ALI/ARDS |
| 投稿时间：2013-10-10 |
| DOI：10.3969/j.issn.1673-7202.2014.08.011 |
| 中文关键词: ALI/ARDS 证候分布 肺肠相关 临床调查 |
| English Keywords:ALI/ARDS Syndromes distribution Relevance of lung and large intestine Clinical investigation |
| 基金项目:国家重点基础研究发展计划（973计划）（编号：2009CB522702） |
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| 中文摘要: |
| 目的：通过急性肺损伤/急性呼吸窘迫综合征（ALI/ARDS）证候分布及肺与大肠证候关联特征的临床调查，为阐释该病病机特点，制定有效的临床救治方案提供理论依据。方法：采用临床流行病学横断面调查的方法，收集204例ALI/ARDS患者四诊信息，按照证候要素提取的思路判断各脏腑证候类型，采用频数分布和相关分析方法分析研究数据。结果：ALI/ARDS证候分布表现出了多脏腑累及的特征；脏腑证候中肺、肠证候具有明显相关性，具体表现为肺气虚与肠热腑实显著相关，痰热壅盛证与肠热腑实、肠燥津亏显著相关。结论：阐明ALI/ARDS脏腑证候分布及肺肠相关特征，进一步加深对ALI/ARDS证候表现及肺与大肠相关性的认识，为临床治疗提供思路。 |
| English Summary: |
| To investigate the distribution of Zang-Fu syndromes and characteristics of “exterior-exterior ration of lung and large intestine” in acute lung injury and acute respiratory distress syndrome (ALI/ARDS) so as to provide theoretical evidence to establishing effective clinical treatment protocol. Methods： Clinical epidemiology cross-sectional survey method was used to collect the clinical symptoms of 204 patients with ALI/ARDS. Distinguish syndrome based on Syndrome factors. Frequency distribution and correlation analysis methods were used to analyze the research data. Results： ARDS syndromes distribution involved lung, heart, liver, spleen, kidney and large intestine, showing involving characteristics of many viscera syndromes. In viscera syndromes, lung and intestine syndromes had obvious correlation, and the specific performance was that lung-qi deficiency syndrome was positively correlated with syndrome of bowel heat and repletion. The syndrome of phlegm heat obstruction was significantly correlated with syndrome of bowel heat and repletion and intestine-dryness. Conclusion： Exploring lung and large intestine syndrome distribution and the correlation feature can be used to profoundly understand the theory of “exterior-exterior ration of lung and large intestine” and provide the theoretic basis for clinical treatment. |
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