1. 中国中医科学院中医临床基础医学研究所
2. 首都医科大学附属北京友谊医院
3. 中国人民大学统计学院
4. 中国人民解放军海军总医院
纸质出版:2014
移动端阅览
[1]杨爱君,姜俊杰,谢雁鸣,杨薇,韩小娟,庄严,王永炎.社区获得性肺炎患者发病及中医证候特点分析[J].中医杂志,2014,55(22):1961-1965.
YANG Aijun, JIANG Junjie, XIE Yanming, et al. Analysis on Attack and TCM Syndrome Feature of Community Acquired Pneumonia on the Basis of HIS[J]. Journal of Traditional Chinese Medicine2014, 55(22): 1961-1965.
[1]杨爱君,姜俊杰,谢雁鸣,杨薇,韩小娟,庄严,王永炎.社区获得性肺炎患者发病及中医证候特点分析[J].中医杂志,2014,55(22):1961-1965. DOI: 10.13288/j.11-2166/r.2014.22.019.
YANG Aijun, JIANG Junjie, XIE Yanming, et al. Analysis on Attack and TCM Syndrome Feature of Community Acquired Pneumonia on the Basis of HIS[J]. Journal of Traditional Chinese Medicine2014, 55(22): 1961-1965. DOI: 10.13288/j.11-2166/r.2014.22.019.
目的了解现实医疗情况下社区获得性肺炎(CAP)患者人口学、中医证候及发病和死亡在24节气和子午流注时辰的分布特点。方法采集2008年1月至2010年12月全国20家三级甲等医院医院信息系统(HIS)数据库中的CAP患者信息
对数据进行标准化处理后
提取患者一般信息及中医证候信息进行频次统计
并绘制雷达图对患者发病、死亡情况与节气、时辰关系进行关联分析。结果共纳入患者33 123例
男性19 559例
女性11 578例
性别记录缺失1 986例;年龄中位数为31.00岁
有年龄记录者19 013例
12岁以下6 465例
13
4
5岁2 852例
46
6
5岁3 422例
66岁及以上6 274例。有中医证候诊断的459例患者证候分布前3位为风热闭肺109例(23.75%)、风寒袭肺97例(21.13%)、痰湿蕴肺95例(20.74%)。入院与死亡时间雷达分布图显示
冬季CAP入院及死亡患者例数均多于其他季节;12时辰中申时以及酉时死亡患者明显增多。结论 CAP患者以12岁以下儿童、65岁以上老年人及男性患者为主
冬季为该病入院及死亡的高发季节
其中医证候以实证为主
以风热闭肺、痰湿蕴肺多见。
Objective To study the distribution features of demography
TCM syndromes
disease onset and death of community acquired pneumonia( CAP) in 24 solar terms and 12 two-hour periods under current medical situation. Methods The information of CAP patients in 20 tertiary A hospitals nationwide from January 2008 to December 2010 was collected on the basis of hospital information system( HIS). After the data was normalized
the general information and TCM syndrome information was extracted for frequency statistics. At the same time
a radar map was drawn to make correlation analysis between disease onset and death and solar terms and hours. Results A total of 33 123 patients
19 559 were male and 11 578 were female
were included. The median age was 31 years old.There were 6 465 patients aged younger then 12 years old
2 852 aged from 13 to 45 3 422 aged from 46 to 65
and 6274 aged above 66 years old. The top three syndromes of 459 patients with TCM syndrome diagnosis were wind-heat blocking the lung( 109 cases
23. 75%)
wind-cold invading the lung( 97 cases
21. 13%) and accumulation of phlegm dampness in lung( 95 cases
20. 74%). Radar map of admission and death time showed that hospitalized and death cases of CAP in winter were more than those in other seasons. In 12 two-hour periods of the day
death cases were dramatically increased in Shen period( from 3 pm to 5 pm) and You period( from 5 pm to 7 pm). Conclusion Most CAP patients are under 12 years old or above 65 years old or male. In winter
it is the high-occurrence time of hospitalization and death. The main TCM syndrome is excess syndrome and wind-heat blocking the lung and accumulation of phlegm dampness in lung are commonly seen.
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