蒋菁蓉;高崇勇;张天洪;陈婧;涂翔;钟森;

• 1:成都中医药大学
• 2:成都中医药大学附属医院

摘要(Abstract)：

目的探索初治继发性肺结核的中医证型分布规律与客观指标的联系。方法以150例初治继发性肺结核患者为研究对象,采集中医四诊信息及客观化指标,了解各证型的临床分布情况,并探讨各中医证型与实验室指标的关系。结果肺阴亏虚占60.67%,气阴两虚占20.67%,阴虚火旺占14.00%,肺脾两虚占2.00%,肺肾阴虚占2.00%,阴阳两虚占0.67%。肺阴亏虚证病程短于气阴两虚证(P<0.05)。各中医证型间的性别、年龄段、痰涂片、CD3+T、CD4+T、CD4+T/CD8+T、IL-2、IL-4、IL-6、IL-10、TNF-α比较差异无统计学意义(P>0.05)。肺阴亏虚证较阴虚火旺证、气阴两虚证CD8+T升高(P<0.05),阴虚火旺证较肺阴亏虚证、气阴两虚证IFN-γ升高(P<0.05)。结论初治继发性肺结核以肺阴亏虚证最多,依次为气阴两虚证、阴虚火旺证;病程长短、CD8+T细胞、IFN-γ与证型分布有相关性,为中医证型客观化研究提供了一定依据。

关键词(KeyWords)： 肺结核;中医证型;客观化

Abstract:

Keywords:

基金项目(Foundation): 国家重大科技专项“十一五”课题(2008ZX10005-010)

作者(Authors): 蒋菁蓉;高崇勇;张天洪;陈婧;涂翔;钟森;

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