Study On 1150 Cases Of Bronchial Asthma In Patients On The Law Of Risk Factors And TCM Distribution

Objective: To 1150 cases of asthma risk factors, asthma-type distribution, disease characteristics were analyzed in patients with asthma in the area of the law of risk factors, evidence-based distribution of the disease characteristics, for asthma prevention and treatment and TCM Syndrome type. to provide an effective basis. Methods:From September 2007 to August 2009 Respiratory Medicine Hospital of Xinjiang Medical University in patients with asthma and the First Affiliated Hospital of Xinjiang Medical University, a total of 1150 cases of a questionnaire survey of asthma patients, recording patient chief complaint, first attack of reasons, often predisposing factors, seizures season, attack time, living habits, clinical manifestations, specifically the diagnosis, classification and TCM Syndrome type and so on. Application SPSS13.0 statistical software for data processing and analysis. Results: 1. Risk factors: upper respiratory tract infection in 914 cases (79.5%); 885 cases of cold stimulation, accounting for 77.0%; pungent smell of 885 cases, accounting for 77.0%, of which 578 cases of fumes (50.3%), 573 cases of spicy (49.8%), paint, 495 cases (43.0%); episode season, the spring of 558 cases, accounting for 48.5%; the summer of 77 cases, accounting for 6.7%; autumn 461 cases, accounting for 40.1%; winter, 578 cases, accounting for 50.3%. 2. Sex: The 1150 cases of patient's age according to "20-year-old, 20 ~ 40 years old, 40 to 60 years,≥60 years of age were divided into four groups, different age groups of different gender distribution in patients with asthma, the difference was statistically significant. (χ2 = 45.095, P <0.05), in which men, "a larger proportion of 20-year-old, accounting for 66.7%, while women 20 to 40 years old, 40 to 60 years old and≥60 age group accounted for the proportion of larger, accounting for 62.8%, 72.3% and 52.0%. 3. Age: 1150 cases of patients with "20-year-old 30 cases (2.6%), 20 ~ 40 years old 331 cases (28.8%), 40 ~ 60 but each 491 cases (42.7%),≥60 years 298 cases (25.9%), that in patients with asthma in the 40-60 age group in the distribution of more. 4. TCM Syndrome type: 690 cases of exacerbation of asthma, exacerbation to a maximum of 375 cases of whooping cold (54.3%), followed by 169 cases of hot-pant (24.5%), followed by 74 cases of whooping the wind of sputum (10.7%), cold Package thermal pant 44 cases (6.4%), virtual heavy breathing in 28 cases (4.1%); 460 cases of asthma patients in remission, remission to 295 cases of lung spleen-deficiency type majority (64.1%), followed by 165 cases of lung and kidney deficiency were (35.9%). Attack period and remission period of the female patients than men, differences were not statistically significant. Virtual Asthma exacerbation in patients with age-type (52.36±16.40), the first time, age at onset (44.39±17.32) colder pant, hot pant-type patients with the survey of age, age at onset for the first time are too large (P <0.05); remission in patients with lung and kidney deficiency type of age (51.35±16.10), course of disease (9.35±11.11), starting age (41.42±18.47), compared with the lung in patients with spleen-deficiency type starting age and older, longer duration (P <0.05). 5. Course of the disease: this study of 1,150 patients, Duration of "three years 560 cases, accounting for 48.7%; in 3-9 years, 338 cases, accounting for 29.4%;≥10 years, 252 cases, accounting for 21.9%. 6. Six evils are the main causes of asthma, in which cold, dry wind-heat evil and the most major. 7. Genetic History: 1150 cases of asthma in patients with significant family history of 488 cases (42.4%), 440 cases of first-degree relatives (38.3%), of which 319 cases of mothers (27.7%), the father of 96 cases (8.3%); grandfather, grandmother, uncle, aunt and other relatives of 61 patients with 2 (5.3%). 8. The merger of allergic diseases: 1150 cases of patients were 750 cases of allergic diseases combined (65.2%), allergic diseases in ( "20-year-old, 20 ~ 40 years old, 40 to 60 years,≥60 years old) four sets of there are differences between (P <0.05). "20-year-old patients with the highest rates of allergic diseases accounted for 86.7%, 40 to 60-year-old patient followed by 67.6%, while patients with≥60 years of age with low incidence of allergic diseases accounted for 58.4%. 9. Exacerbation of asthma in patients four groups of different ages with mild disease are mainly to "20-year-old patients with the largest proportion (92.9%); moderate asthma and severe asthma, mainly in≥60-year-old age group; four groups of distribution between different age groups were statistically significant. Conclusion: 1. The survey the main risk factors for asthma patients with upper respiratory infection, cold air stimulation, irritating odor, allergy-based. 2. Variability in the incidence of rhinitis and asthma have a closely degree of relevance; asthma with rhinitis and 632 cases of variability, accounting for 55.0%. 3. Mild asthma patients 40 years of age the proportions of age; moderate and severe patients over 60 years the proportions of age. 4. Six evils of the evil is one of the important reasons of asthma, in which cold, dry wind evil and heat as the main cause. TCM in the cold Asthma Attack of the largest thermal heavy breathing second, followed by the roaring wind phlegm, cold pack hot heavy breathing, virtual heavy breathing; remission to DLS majority, kidney deficiency type at least. Virtual Asthma type and age, lung and kidney deficiency type patients, longer duration.