The Correlation Study On Chronic Obstructive Pulmonary Disease With Acute Exacerbation Traditional Chinese Medicine Syndrome Type And Lung Functicm And COPD Assessment Test (CAT) Scale

Objective: Designed by chronic obstructive pulmonary disease (ChronicObstructive Pulmonary Disease, COPD), TCM syndrome and lung function, COPDAssessment Test (of COPD Assessment test, CAT) relationship, to explore COPD TCMsyndrome and lung function and CAT inherent laws provide a theoretical basis for clinicaldiagnosis and treatment of COPD disease.Methods: Collected200cases of COPD patients from March2012to December2012for treatment of Respiratory Medicine at the Shan xi Provincial People’s Hospitaloutpatient and inpatient department. The general situation of the patient data collectionbased on questionnaire design, history taking, record patient age, gender, body massindex (BMI), smoking index, and pulmonary function tests CAT score, course of disease,acute exacerbation frequency and complications. According to the patient’s clinicalsymptoms, tongue, pulse TCM syndrome type. All statistics based on SPSSl7.0statisticalsoftware for processing.Results:1.175patients with COPD were enrolled, including32cases of phlegmobstructing lung,64cases of phlegm obstruct the lung, phlegm lung38cases, lung andkidney Qi yin Deficiency41cases.Four sets of card type in the four areas of gender, age,body mass index (BMI), smoking index significant difference (P>0.05), of which107cases of male and female68cases; mean age was65.54±10.87years; BMI21.84±3.67smoking index was643.31±662.97;Lung function grading lung function in patients withCOPD FEV1/FVC%mostly in between30%-80%, GOLD â…¡ and â…¢level.2.TCM syndrome and pulmonary function test values: one second forced expiratoryvolume occupied vital capacity ratio (FEV1/FVC%) and one second forced expiratoryvolume measured/estimated value ratio (FEV1%Pred), phlegm obstructing lung andphlegm obstruct the lung compared with lung and kidney Qi and Yin Deficiency andlungs of phlegm, the difference was not statistically significant (P>0.05). Phlegmobstructing lung phlegm obstruct the lung compared with the other two types, thedifference was statistically significant (P <0.05).3.TCM syndrome and CAT score: phlegm obstructing lung and phlegm obstruct the lung group comparison, the comparison between the lung and kidney Qi and YinDeficiency and phlegm lung group, phlegm obstruct the lung and lung and kidney Qi andYin Deficiency group comparison the difference was not statistically significant (P>0.05).Phlegm obstructing lung and lung and kidney Qi and Yin Deficiency, phlegm lungcompared phlegm obstruct the lungs and phlegm lung comparison, the difference wasstatistically significant (P <0.05).4.Pulmonary function and CAT score: FEV1/FVC (%) and CAT score correlation (r=-0.006, P <0.05), FEV1%Pred and CAT score correlation (r=-0.142, P <0.05).5.Syndromes and course: phlegm obstructing lung and phlegm obstruct the lung,lung and kidney Qi and Yin Deficiency and phlegm lung disease process comparison, thedifference was not statistically significant (P>0.05). Phlegm obstructing lung phlegmobstruct the lung compared with the other two types, the difference was statisticallysignificant (P <0.05).6.Frequent group and non-group of patients with COPD frequent CAT scoredifferences (P <0.05).7.There are complications, and no the comorbidity group of CAT score no difference(P>0.05).Conclusions:1.From phlegm obstructing lungâ†'phlegm obstruct the lungsâ†'lungand kidney Qi and Yin Deficiencyâ†'phlegm lung, lung function decreased gradually.2.From phlegm obstructing lungâ†'phlegm obstruct the lungsâ†'lung and kidney Qiand Yin Deficiencyâ†'phlegm lung, CAT score gradually increased. Phlegm obstructinglung patients are more concentrated in the11to20points; phlegm obstruct the lung ofpatients with type21to30minutes; phlegm lungs of patients with type31to40points;lung and kidney yin patients with multiple in11to30points.3.Negative correlation between lung function and CAT score, the worse lungfunction, the higher the CAT score.4.From phlegm obstructing lungâ†'phlegm obstruct the lungsâ†'lung and kidney Qiand yin Deficiencyâ†'phlegm lung, the course gradually extended. Phlegm blocking lungdisease process <10years; phlegm obstruct the pulmonary disease process≥10years and <20years; phlegm lung and lung and kidney Qi and Yin Deficiency course ofdisease≥30years, and the lungs of phlegm than lung and kidney Qi and Yin Deficiency.5.The group CAT frequent score higher than non-frequent group. CAT score-pronegroup are more.concentrated in21to30minutes; the CAT score infrequent group aremore concentrated in the11to20.6.There are complications, and no the comorbidity group of CAT rated nodifference.