慢性阻塞性肺疾病中医辨证分型与常规指标的相关性研究

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1、学校代码：10600学号：092013学位类型：科学学位广西中医药大学硕士学位论文慢性阻塞性肺疾病中医辨证分型与常规指标的相关性研究研究生：李娇导师：许光兰教授院系（部所）：第一临床医学院专业：中医内科学研究方向：中医药防治肺系疾病完成日期：2012年05月16日1目录主要缩略表················································2中文摘要···················································3英文摘要······························

2、·····················5引言····················································7正文····················································9第一部分文献研究·······································91古代名著经典论著·········································92现代医家对COPD的认识···································

3、··103问题与展望·············································26第二部分临床研究1研究目的·················································272资料和方法···············································273研究内容·················································274诊断与纳入标准·······································

4、···285结果·····················································306讨论····················································347存在问题及展望··········································38结论··················································39参考文献·················································

5、·41综述··················································47致谢··················································55攻读学位期间发表的学术论文目录·······················56作者声明··················································57个人简历··················································592主要缩略词表英文缩英文全称中文

6、名词写慢性阻塞COPDChronicObstructivePulmonaryDisease性肺疾病第一秒用FEV1ForcedexPiratoryvolumeinoneseeond力呼气量用力肺活FVCForcedvitalcaPaeity量HBHemoglobin血红蛋白动脉血二arterialPartialPressureofcarbonPaCO2氧化碳分dioxide压动脉血氧PaO2arterialPartialPressureofoxygen分压中性粒细PMNPolynuclearneutroPhilicleukocyte胞3中文摘要目的：通

7、过观察慢性阻塞性肺疾病(COPD)患者的中医证型与病程、血细胞分析、动脉血气分析、肺功能检测等的相关性分析，探讨了COPD的中医病机演变规律及与相关客观指标间的关系，为COPD中医辨证分型提供客观依据。方法：本研究采用回顾性调查的方法，对400例慢性阻塞性肺疾病患者进行辨证分型，分别收集患者一般资料（性别、年龄、病程），记录其血常规（白细胞、中性粒细胞、红细胞、血红蛋白等计数）、动脉血气分析（酸碱度（PH）、动脉血氧分压（PaO2）、动脉血二氧化碳分压（PaCO2））及肺功能检测指标（第一秒用力呼气容积（FEV1）、第一秒用力呼气容积占预计值百分比(F

8、EV1%）、第一秒用力呼气容积/用力肺活量（FEV1／FVC)）。结果：①痰浊蕴肺证病程最短，