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721例女性肺结节患者临床特征及中医证素和证候分布

Clinical Characteristics and TCM Syndrome Patterns in 721 Female Patients with Pulmonary Nodules

  • 摘要:
    目的 探索女性肺结节患者的临床信息及中医证素、证候分布,为女性肺结节患者的中医诊疗提供客观依据。
    方法 采用横断面研究方法,收集女性肺结节患者基本信息、病史资料、影像资料及四诊信息,通过KMO检验及Bartlett球形检验等因子分析、系统聚类分析、卡方检验分析、多因素Logistic回归分析等方法,明确女性肺结节患者中医证素证候分布特征。
    结果 最终纳入女性肺结节患者721例,患者主要以45~59岁、中专及以上学历、有油烟接触史为临床特点。肺结节特征以6~10 mm、多发、磨玻璃结节为主,临床症状以乏力、情绪烦躁、气短为主。病位证素主要为脾、肝、肺,病性证素主要为痰、湿、气虚。主要复合证候为脾虚湿困证、肝郁脾虚证、气阴两虚证。
    结论 中年、较高学历、多发纯磨玻璃小结节为女性肺结节患者临床特征,接触油烟是女性肺结节发病的重要诱因,治疗上应当注重健脾祛湿、疏肝理气、益气养阴。

     

    Abstract:
    Objective To explore the clinical information of female patients with pulmonary nodules and the distribution of traditional Chinese medicine (TCM) syndromes and their elements.
    Methods A cross-sectional study was conducted to collect the basic information, medical history data, image data, and four diagnostic information of female patients with pulmonary nodules. The distribution characteristics of TCM syndromes and their elements in female patients with pulmonary nodules were determined by KMO test, Bartlett spherical test, systematic cluster analysis, chi-square test, and other methods.
    Results A total of 721 female patients with pulmonary nodules were included in this study. The patients were mainly 45-59 years old, had secondary school education or above, and had a history of oil smoke exposure as clinical characteristics. The pulmonary nodules were mainly 6-10 mm in size and appeared as multiple and ground glass nodules. The clinical symptoms were mainly fatigue, emotional irritability, and shortness of breath. The main syndromes of disease location were the spleen, liver, and lung; and the main syndromes of disease were phlegm, dampness, and qi deficiency. The main complex syndromes were spleen deficiency and dampness, liver stagnation, and qi/yin deficiency. Conclusion Middle age, high education, and multiple small ground glass nodules are the clinical characteristics of female patients with pulmonary nodules. Exposure to oil smoke is an important cause of the occurrence of female pulmonary nodules. During treatment, attention should be paid to strengthening the spleen, removing dampness, soothing the liver, regulating and tonifying qi, and nourishing yin.

     

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