| ObjectiveInvestigate the research through cultural heritage research, clinical review and the prospect cases, tally up the analytical Bronchiectasis of Guangzhou extend of the familiar certificate type and certificate wait to distribute the characteristics, the Chinese medicine certificate that investigates to build up Bronchiectasis extend wait to learn the research demonstration.MethodsThis research is divided into the cultural heritage research and clinical researches. The cultural heritage research calculates the analytical method through principle and cultural heritages of follow the certificate medical sciences, carrying on the relevant bronchus to extend the sorting analysis that the certificate waits to study the cultural heritage, a disease certificate type and certificate waits to distribute the characteristics in the summary cultural heritage, for further open the clinical certificate of exhibition to wait to learn the research to provide the cultural heritage according to.The clinical research adopts the review, prospect to combine together, making use of the cross section Epidemiology inquisition method, collecting to examine a patient the explicit bronchus to extend the sufferer the Chinese medicine certificate waits four indicators, building up the certificate to wait the information database, making use of the frequency analysis, gathering an analysis...etc, to statistics analytical method, first step study the bronchus extends the Chinese medicine certificate to wait of distribute the regulation.Result1. Cultural heritage research the result manifestation: A cough, cough up phlegm, spit blood the frequency have most, the frequency≥20% one by one in order is: Spit blood, cough, blood-red color and fresh and red, cough up phlegm, thirsty, phlegm Huang, chest pain, fidgety and big constipation knot, the chest is stuffy, thirsty, the blood silk phlegm, solid hot certificate symptom is lord. The familiar tongue elephant is red for tongue, lines Huang, lines thin, the lines gets fed up with, has no line, tongue dark, lines white, the familiar vein elephant slips the number, vein slippery thin, the vein thin number, vein string, the vein string slippery. The certificate type distribute medium, the report way contain 19 kinds of certificates type, the most familiar certificate type have: phlegm hot in lung card, the anger violates the lung card, lung hot prosperous and hot wound lung.2. The research of look back sex can see, currently clinical last dialectics separately the type is in great disorder, did not unify the standard. Investigate in 150 hospitalization cases, have 19 kinds of certificates to wait separately type, among them phlegm hot in lung card, deficiency of lung-Qi and spleen-Qi, phlegm hot in lung card, deficiency of lung-Qi and kindey-Qi, phlegm hot in lung card, deficiency of Qi and Yin, phlegm hot in lung card four the comparison that types haves are more, distinguishing to 28.0%,15.3%,10.0%,8.7%.The certificate classifies four after wait of gather an analysis research, respectively is: phlegm hot in lung card, the anger violates the lung card, deficiency of lung-Yin, phlegm hot in lung card, deficiency of Qi, phlegm yu in lung card. Four among them gather a certificate to wait the medium comparison that phlegm hot in lung card certificate have biggest, is 37.6%, phlegm hot in lung card and the deficiency of Qi, phlegm yu the next in order, distinguish to 32.9%, 22.1%, deficiency of lung-Yin that certificate have minimum, is 7.4%.The clinical dialectical certificate type distributes and gathers an analysis certificate type to distribute whole match the rate as 34.9%.3. The prospect clinic the research is according to the Chinese medicine certificate to wait to examine a patient the standard foundation strictly up be made a discretion by clinical experience and abundant expert four datas result manifestation, phlegm hot in lung card, deficiency of lungYin, phlegm hot in lung card, deficiency of Qi, phlegm yu in lung card. the anger violates the lung card, four the comparison that types haves are more, distinguishing to 46.25%,16.25%,13.75%,10%, extending the clinical most familiar certificate type for the bronchiectasis. The certificate wait of gather an analysis research result to divide this disease dialectics to type is: phlegm hot in lung card, the anger violates the lung card, deficiency of lung-Qi and spleen-Qi, phlegm hot in lung card, deficiency of Qi and Yin, phlegm yu in lung card. The prospect clinic research the symptom of gathers a certificate to wait to match the rate with clinical dialectics best, total match the rate as 87.3%.ConclusionCultural heritage research the result manifestation: The certificate type that bronchus extend mainly has phlegm hot in lung card, the anger violates the lung card, lung hot prosperous and hot wound lung four kinds, the main symptom includes to spit blood, cough, blood-red color and fresh and red, cough up phlegm, thirsty, phlegm Huang, chest pain, fidgety and big constipation knot, the chest is stuffy, thirsty, the blood silk phlegm. In the clinical review research, doctor the diagnostic certificate type mainly has: phlegm hot in lung card, deficiency of lung-Qi and spleen-Qi, phlegm hot in lung card, deficiency of lung-Qi and kindey-Qi, phlegm hot in lung card, deficiency of Qi and Yin, phlegm hot in lung card; Gather a certificate of analysis type to mainly have: phlegm hot in lung card, the anger violates the lung card, deficiency of lung-Yin, phlegm hot in lung card, deficiency of Qi, phlegm yu in lung card. Doctor dialectical cent type with gather a consistency of analysis result lower, the possible and clinical Chinese medicine certificate waits the standard disunity, the clinical doctor judges to lack the consistency to the Chinese medicine certificate type, the important information is not whole in the review data research relevant. The prospect is in the clinical research, doctor the diagnostic certificate type mainly has: phlegm hot in lung card, deficiency of lung-Yin, phlegm hot in lung card, deficiency of Qi, phlegm yu in lung card. the anger violates the lung card; Gather a certificate of analysis type to mainly have: phlegm hot in lung card, the anger violates the lung card, deficiency of lung-Qi and spleen-Qi, phlegm hot in lung card, deficiency of Qi and Yin, phlegm yu in lung card. The clinical dialectical certificate type distributes and gathers an analysis certificate type to distribute whole match higher. Explain the prospect certificate waits the research to have the stronger credibility, waiting to examine a patient the standard in explicit Chinese medicine certificate, carrying on the foundation of the consistency training to the researcher up open the Epidemiology that the exhibition certificate wait inquisition, and will gather amethod usage of analysis in the research that certificate wait, for establishment the Chinese medicine certificate that bronchus extend waits to study the method to learn demonstration to have the aggressive meaning. |
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