| 引用本文:赵玉清1，张立平1，方晓磊2，宋莹莹2.重症肺炎合并应激性溃疡出血的中医证候研究[J].世界中医药,2020,(17):. |
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| 重症肺炎合并应激性溃疡出血的中医证候研究 |
| Study on TCM Syndrome of Severe Pneumonia with Stress Ulcer Hemorrhage |
| 投稿时间：2019-05-28 |
| DOI：10.3969/j.issn.1673-7202.2020.17.029 |
| 中文关键词: 重症肺炎 应激性溃疡出血 因子分析 证候 虚实夹杂 痰热蕴肺 气阴两虚 肺脾不足 |
| English Keywords:Severe pneumonia Stress ulcer hemorrhage Factor analysis Syndrome elements Inclusion of deficiency and excess Phlegm and heat accumulate in the lungs Deficiency of qi and yin Insufficiency of lung and spleen |
| 基金项目:中医药改革专项-中医药三转改革项目；2014年北京中医药大学青年教师科研项目（2013-QNJSZX019） |
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| 中文摘要: |
| 目的：初步探索重症肺炎合并应激性溃疡出血的中医证候及主要证型，为辨证施治提供依据。方法：选取2014年1月1日至12月31日北京中医药大学东方医院收治的重症肺炎合并应激性溃疡出血患者60例作为研究对象。对主要症状体征直接辨证，对伴随症状体征采用因子分析寻找该疾病的常见中医证候，并统计其分布特点。结果：本病涉及的主要脏腑为肺、脾，主要证候符合痰热蕴肺证特点，伴随症状体征辨证显示气阴亏虚、肺脾不足兼见痰浊、瘀血的特点。结论：重症肺炎合并应激性溃疡出血初期以痰热壅肺为基础证型、核心证型，在此基础上可见气阴两虚、肺脾不足的证候表现，同时兼见痰湿、血瘀之象，病性虚实夹杂，病位在肺脾。 |
| English Summary: |
| To initially explore the syndrome elements and main syndrome types of severe pneumonia complicated with stress ulcer hemorrhage，and to provide evidence for syndrome differentiation and treatment.Methods:A total of 60 cases of severe pneumonia with stress ulcer hemorrhage in Dongfang Hospital，Beijing University of Chinese Medicine were selected as the research subjects.The main symptoms were directly dialectical，and the factor analysis was used to find the common syndrome elements of the disease，and the distribution characteristics of the syndrome elements were statistically analyzed.Results:The main viscera involved in this disease were lung and spleen，and the main symptoms were in line with the characteristics of phlegm-heat accumulation of lung syndrome.Conclusion:The syndrome elements in the early stage of severe pneumonia complicated with stress ulcer bleeding are based on phlegm，heat obstructed in lung as the basic and core syndrome.The syndromes of deficiency of qi and yin and deficiency of lung and spleen can be seen.At the same time，the symptoms of phlegm-dampness and blood stasis can also be observed.The disease is mixed with the deficiency and excess，the location of the disease is in the lung and spleen. |
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