摘要
目的:建立慢性阻塞性肺疾病(COPD)稳定期证候诊断标准,探讨建立标准的方法与思路。方法:在文献研究的基础上,综合临床调查研究及专家咨询问卷分析结果,采用医学统计方法、自适应模糊推理系统技术及德尔菲法建立了证候诊断标准。结果:COPD稳定期常见证候有4个,兼证有2个,即肺气虚证、肺脾气虚证、肺肾气虚证、肺肾气阴两虚证,兼证痰湿证与血瘀证,并建立了证候诊断标准。结论:COPD稳定期证候诊断标准可作为临床辨证的依据,同时该标准的建立不仅为开展中医临床疗效评价标准研究奠定了基础,而且也提供了方法学参考。
Objective：To establish the diagnostic criteria of Traditional Chinese Medicine（TCM）syndrome of Chronic Obstructive Pulmonary Disease（COPD）at stable phase and explore the constructive method of diagnostic criteria of TCM syndrome.Methods：Based on literature research,combined result of clinical research with result of expert questionnaire,the diagnostic criteria of TCM syndrome of COPD at stable phase was established by statistics and self-adapting fuzzy reasoning system methods and delphi method.Results：Common syndromes of COPD at stable phase were deficiency of lung-Qi,syndrome of Qi deficiency of the lung and spleen,syndrome of qi deficiency of the lung and kidney,syndrome of qi-yin deficiency of the lung and kidney,and syndrome of phlegmatic hygrosis and syndrome of blood stasis were accompanied symptoms.The diagnostic criteria of TCM syndrome of COPD at stable phase was established.ConclusionEstablishment of the diagnostic criteria of TCM syndrome of COPD at stable phase settles foundation for curative effect criteria,and provides reference of methodology.
出处
《辽宁中医杂志》
CAS
2012年第7期1199-1202,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
"十一五"国家科技支撑计划课题(2006BAI04A13-2)
河南省高校新世纪优秀人才支持计划(2006HANCET-05)
关键词
慢性阻塞性肺疾病
稳定期
证候
诊断标准
Chronic Obstructive Pulmonary Disease（COPD）
stable phase
syndrome
diagnostic criteria
