| 徐静怡[],晏露宁,汝触会,何飞[].支气管扩张型非结核分枝杆菌肺病临床特点及中医证型分析[J].浙江中西医结合杂志,2023,33(3): |
| 支气管扩张型非结核分枝杆菌肺病临床特点及中医证型分析 |
| Clinical characteristics and TCM syndrome types of bronchiectasis non tuberculous mycobacterium pulmonary disease |
| 投稿时间：2022-07-23 修订日期：2022-09-28 |
| DOI： |
| 中文关键词: 支气管扩张 非结核分枝杆菌 中医证型 回顾性分析 |
| 英文关键词:Bronchiectasis Nontuberculous Mycobacterium TCM syndrome type Retrospective analysis |
| 基金项目:2022年度浙江省中医药科学研究基金项目 |
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| 中文摘要: |
| 目的:分析支气管扩张型非结核分枝杆菌肺病患者的临床特点及常见中医分型。方法:利用回顾性分析的方法收集2018年1月至2021年6月浙江大学医学院附属杭州市胸科医院诊断明确的98例支气管扩张型非结核分枝杆菌肺病患者的临床特点及中医辨证分型情况。结果:98例支气管扩张型非结核分支杆菌肺病患者中，年龄段以60岁以上最多，占60.2%，而50岁以下者仅占16.3%，其中男性36例，女性64例；体重指数:BMI指数最小值为6.86，最大值为25.90，均值为17.86，均值小于18，BMI＜18占60.2%，18≤BMI＜24占37.8%，BMI≥24占2.0%；菌种:胞内分枝杆菌占63.3%，龟脓肿分枝杆菌占22.4%，鸟分枝杆菌占8.2%，蟾蜍分枝杆菌占2.04%，堪萨斯分枝杆菌占2.04%，胞内-鸟分枝杆菌占2.04%；常见中医证型从高到低分别为气阴两虚型、肺阴亏虚型、阴虚火旺型；结合支气管扩张及非结核分枝杆菌肺病影像学特征及患者病例情况可知该种疾病影像学受累肺叶以累及2-3处肺叶为最多，最少累及1处肺叶。结论:支气管扩张型非结核分支杆菌肺病好发于老年人，且女性多于男性，该类患者BMI指数偏低，呈偏瘦状态，菌种多见胞内分枝杆菌、龟脓肿分枝杆菌，常累及多个肺叶，中医辨证分型以气阴两虚型为主。 |
| 英文摘要: |
| Objective: To analyze the clinical characteristics and common TCM classification of patients with bronchiectasis non tuberculous Mycobacterium Pulmonary disease. Methods: Retrospective analysis was used to collect the clinical characteristics and TCM dialectical typing of 98 patients with bronchiectasis non tuberculous Mycobacterium Pulmonary disease diagnosed by Hangzhou Chest Hospital Affiliated to the Medical College of Zhejiang University from January 2018 to June 2021. Results: among 98 patients with bronchiectasis non tuberculous Mycobacterium tuberculosis, the age group was over 60 years old, accounting for60.2%, while those under 50 years old accounted for only 16.3%, including 36 males and 64 females; Body mass index: The minimum value of BMI index is 6.86, the maximum value is 25.90, the mean value is 17.86, the mean value is less than 18, BMI < 18 accounted for 60.2%, 18 ≤ BMI＜24 accounted for 37.8%, BMI ≥ 24 accounted for 2.0%; Strains: Intracellular Mycobacterium accounted for 63.3%, turtle abscess Mycobacterium accounted for 22.4%, bird Mycobacterium accounted for 8.2%, toad Mycobacterium accounted for 2.04%, Kansas Mycobacterium accounted for 2.04%, and intracellular bird Mycobacterium accounted for 2.04%; The common TCM syndrome types from high to low are Qi Yin deficiency type, lung yin deficiency type and yin deficiency and fire excess type respectively;Combined with the imaging characteristics of bronchiectasis and NTM-PD and the patient"s case situation, it can be seen that the imaging of this disease involves the most 2-3 lobes and at least 1 lobe. Conclusion:Bronchiectasis non tuberculous Mycobacterium Pulmonary disease is more common in the elderly, and women are more than men. The BMI index of this kind of patients is low and lean. Intracellular Mycobacterium and turtle abscess Mycobacterium are more common，which often involves multiple lung lobes. The dialectical classification of traditional Chinese medicine is mainly Qi and yin deficiency. |
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