The Study Of The Endogenous Injury Foundation And The Syndromes Distribution Rules Of Senile Pneumonia

ObjectiveThe study is aimed at exploring the distribution rule of the senile pneumonia’s chronic diseases and preventing the development of senile pneumonia in the early time by the retrospecttive study.MethodsWe selected 104 patients from the Emergency Unit (including Emergency Intense Care Unit) of Guangdong Hospital of Traditional Chinese Medicine who have been in-patient from August 2014 to February 2015. All of them have been diagnosed pneumonia and more then 60-year-old. We Collect the characters of the syndromes through looking into the cases of those patients from day 1-2, day 5-6, day8-10 and find the connections between the scores of APACHE II, CURB-65 score, and so on.ResultsThere are 58.70% of male and 41.30% of female in this research; the average age is 76.92±7.946 years old.62.50% patients are older then 75-years-old.According to the patients’medical history, The top five of chronic diseases’frequency are high blood pressure(55.77%)、history of surgery(29.81%)、Type 2 diabetes(27.88%)、cerebral infarction sequela(26.92%)cancer(22.12%). There are 94.24% patients have more then 1 type chronic disease,72.12% patients have more then 2 types chronic disease,48.08% patients have more then 3 types chronic disease,35.58% patients have more then 4 types chronic disease,19.23% patients have more then 5 types chronic disease.Dividing the whole patients into the young old group(37.50%) and old group(62.50%), there is no statistical differences about gender between two groups(P=0.681), there are statistical differences about age、the survival rate、the survival rate of 28 days after leaving hospital、the level of sIgA between two groups(P=0.000, P=0.014, P=0.012,P=0.031).83 patients are survival,21 patients (20.19%) are died, the survival rate of 28 days after leaving hospital is 72.12%. there are statistical differences about APACHE Ⅱ score、CIPS score、CURB-65 score between the survivors and the deads.About the endogenous injury foundation, The top five of frequency about syndrome’facter are gore(66.35%)、Qi deficiency (63.46%)、Yin defici-ency (50.96%)、Yang deficiency (39.42%)、phlegm(29.81%). In the old group, The top five of frequency about syndrome’facter are Qi deficiency、gore Yin deficiency、Yang deficiency、phlegm。In the young old group, The top five of frequency about syndrome’facter are gore、Qi deficiency、Yin deficiency、 phlegm、Yang deficiency 。 there are statistical differences about syndrome’facter of Qi deficiency、Yin deficiency、Yang deficiency between two groups. There is more risk to the group who combine with the syndrome’facter of heat、poison、moisture、Qi deficiency、Yin deficiency、 Yang deficiency、blood deficiency.Setting up three observation points, In the first observation point, The top five of frequency about syndrome facter are phlegm (91.35%), gore (89.42%), Qi deficiency (86.54%), Yin deficiency (61.54%), heat (56.73%), there are statistical differences about syndrome’facter of Qi deficiency、Yin deficiency、heat、moisture between two groups. In the second observation point, The top five of frequency about syndrome’facter are phlegm (75.00%), Qi deficiency(73.08%), gore (67.31%), Yin deficiency(56.73%), moisture(53.85%), there are statistical differences about syndrome facter of Qi deficiency、 Yin deficiency、heat、phlegm between two groups.In the third observation point, the top five of frequency about syndrome’facter are Qi deficiency (64.42%), gore (52.88%), phlegm (51.92%), Yin deficiency (50.00%) moisture (30.77%). Most patients combine with 5 types syndrome facter. The sick viscera are lunge、spleen、renal、heart、large intestine。ConclusionCase fatality rate is increasing following with the age, APACHE Ⅱ score 、CIPS score、CURB-65 score can be used to assess the critical of senile pneumonia, the level of sIgA can be used to assess the immune function of senile pneumonia. There is more risk to the group who combine with the endogenous injury foundation of syndrome facter of heat、poison、moisture、Qi deficiency 、Yin deficiency、Yang deficiency、blood deficiency. syndrome facter of Qi deficiency、Yin deficiency happen in the whole coure of disease, there are also many patients have syndrome facter of moisture、heat、phlegm。 So we should strengthen the body resistance while the pneumonia happened in the early.