基于文献的老年肺炎常见证候及证候要素分布特点研究.docVIP

基于文献的老年肺炎常见证候及证候要素分布特点研究 　　摘要：目的 通过对33年来有关老年肺炎现代文献的研究分析，总结老年肺炎常见证候及其证候要素的分布特点。方法 通过检索中国期刊全文数据库、中文科技期刊数据库，选取1980-2012年6月有关老年肺炎的期刊论文及学位论文，利用EpiData3.1软件建立数据库，进行统计分析。结果 经初步规范后，涉及证候名称58个，排名前5位的分别是痰热壅肺证、气阴两虚证、风热袭肺证、痰湿阻肺证、热闭心包证。在此基础上提取病位类证候要素10个，病性类证候要素19个。排名前5位的病位类证候要素为肺、肾、脾、心神、胃，排名前5位的病性类证候要素分别是火（热）、痰、气虚、阴虚、风。结论 老年肺炎的证候分布具有复杂多样的特点，证候要素分布则相对简约。 　　关键词：老年肺炎；中医；证候；证候要素；文献研究 　　DOI：10.3969/j.issn.1005-5304.2012.12.009 　　中图分类号：R2-05；R259.631 文献标识码：A 文章编号：1005-5304（2012）12-0024-02 　　Distribution Characteristics of Common Syndromes and Syndrome Factors of Senile Pneumonia Based on Literature YU Hui-yong， FENG Cui-ling， CHEN Jian-ming， LIU Zhi-kun， XU Hong-ri， CHENG Miao， WANG Cheng-xiang （Dongzhimen Hospital of Beijing University of Chinese Medicine， Beijing 100700， China） 　　Abstract：Objective To summarize common syndrome of senile pneumonia and distribution characteristics of its syndrome factor by analyzing modern literature about senile pneumonia in recent 33 years. Methods By searching the literatures of senile pneumonia reported in journal and dissertation during 1980-June， 2012 in CNKI and VIP， and establishing a database with EpiData 3.1， TCM syndromes of senile pneumonia were analyzed. Results There were 58 syndrome names after the preliminary specification， the top 5 common syndromes were syndrome of phlegm-heat accumulated in the lung， deficiency of both qi and yin， wind-heat attacking lung， lung block by phlegm-dampness， heat blockage of pericardium. There were 10 location factors， and the top 5 location factors were lung， kidney， spleen， mind， stomach. There were 19 nature factors and the tops factor were hot （or fire）， phlegm， qi deficiency， yin deficiency， wind. Conclusion Syndrome distribution of senile pneumonia has the characteristics of complex and varied， while syndrome factor distribution is relatively simple. 　　Key words：senile pneumonia；TCM；syndrome；syndrome factor；literature research 　　肺炎是老年人最为常见的肺部感染性疾病，发病率随着年龄的增长而上升[1]，老年肺炎患者临床表现多不典型，常呈非特异性表现