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呼出气一氧化氮在哮喘辨证施治中的指导意义(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2017年01期
页码:
33-36
栏目:
临床研究
出版日期:
2017-02-20

文章信息/Info

Title:
Correlation between Exhaled Nitric Oxide and Asthma Syndrome
作者:
张钟1吴沛沛2刘正1吴景硕1
1. 郑州市第二人民医院,河南 郑州 450008;2. 郑州大学临床医学院,河南 郑州 450000
Author(s):
ZHANG Zhong1WU Peipei2LIU Zheng1WU Jingshuo1
1. The Second People’s Hospital of Zhengzhou, Zhengzhou 450008, Chnia;2. Clinical Medicine College of Zhengzhou University, Zhengzhou 450000, Chnia
关键词:
呼出气一氧化氮 支气管哮喘 中医辨证
Keywords:
exhaled nitric oxide asthma syndrome differentiation of traditional Chinese medicine
分类号:
R259
DOI:
10.19288/j.cnki.issn.1000-2723.2017.01.008
文献标识码:
A
摘要:
目的 观察支气管哮喘患者呼出气一氧化氮(FeNO)与中医辨证分型的相关性,指导中医临床辨证。方法 将94例支气管哮喘发作期患者按中医辨证分型为冷哮证、热哮证、风哮证、痰哮证和肺肾两虚证,将检测出的FeNO进行对比,观察各种证型的FeNO均数,从而探讨两者之间的相关性。结果 风哮证和冷哮证FeNO积分均数较痰哮证、热哮证、肺肾两虚正均有显著统计学差异(P<0.05),痰哮证FeNO均数较热哮证、肺肾两虚证有显著统计学差异(P<0.05);风哮证和冷哮证FeNO均数比较无统计学差异(P>0.05)。结论 本研究提示呼出气一氧化氮在哮喘证型中的敏感度由高到低依次为风哮证、冷哮证、痰哮证、肺肾两虚证和热哮证。
Abstract:
Objective To observe the correlation between the exhaled nitric oxide(FeNO) and syndrome differentiation of traditional Chinese medicine(TCM) in patients with bronchial asthma, and to guide clinical differentiation of TCM. Methods 94 patients with bronchial asthma were divided into two groups according to TCM syndrome differentiation type: Cold Asthma Syndrome, Hot Asthma Syndrome, Wind Asthma Syndrome, Phlegm Asthma Syndrome and Pulmonary and Kidney Deficiency Syndrome, and compared the detected FeNO Type of FeNO, and explore the correlation between the two. Results The average number of FeNO points in wind-asthmatic syndrome and cold-stagnation syndrome was significantly higher than that in sputum-asthenia syndrome, heat-asthmatic syndrome and lung-kidney deficiency syndrome(P<0.05). There was no significant difference between the two groups(P>0.05). There was no significant difference between the two groups(P>0.05). Conclusion The study suggests that the exhaled nitric oxide in asthmatic syndrome type from high to low, followed by wind-induced asthma, cold asthma, phlegm, lung deficiency syndrome and heat syndrome.

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备注/Memo

备注/Memo:
* 基金项目: 郑州市普通科技攻关计划项目(20130566)
收稿日期: 2016 - 12- 19
作者简介: 张钟(1983-),男,河南南阳人,主治医师,主要从事呼吸内科疾病的治疗及研究。E-mail:zhaccer110@126.com
更新日期/Last Update: 2017-02-10