The Physical Characteristics Of Traditional Chinese Medicine And Study On The Correlation Between Clinical Parameters In Patients With AECOPD

Objective: This topic aims to chronic obstructive pulmonary disease in patientswith acute aggravating period of regularity of physical features of traditional Chinesemedicine clinical indicators related to the research, To explore the effect of TCMconstitution factors in tents with AECOPD and from the Angle of the physical features toanalyze the anthological mechanism of AECOPD, Promote the theory research and providereference for clinical treatment based on syndrome differentiation of traditional Chinesemedicine COPD, Individualized diagnosis and treatment for chronic obstructive pulmonarydisease patients to plan, improve the clinical curative effect.Method: Selection of Shanxi Province people’s hospital, an outpatient orhospitalization and volunteered for the research of the patients with acute aggravatingperiod of chronic obstructive pulmonary disease. First of all, According to the needs of thistopic related to clinical investigation and study, In combination with related literature,Reference published in2009of China association of Chinese medicine of traditionalChinese medicine constitution classification criterion based on the patient’s body features,common manifestation, the in the mind’s ability to adapt to the environment and for theclassification of the physical features of traditional Chinese medicine, And in accordancewith AECOPD western medicine diagnostic criteria. Second, Collect related clinical dataincluding: General data, determination of pulmonary function, blood gas analysis values,chest radiographic data, the electrocardiogram report, MMRC symptom assessmentquestionnaire, CAT symptom assessment questionnaire, traditional Chinese medicineconstitution classification results, etc. According to the characters of patients with physicalanalysis, comparing the related clinical indicators and, Observe different physical factorsin chronic obstructive pulmonary disease with acute aggravating period of regularity andits influence.Results:1. Into this topic a total of208cases of clinical investigation, Chinese medicineconstitution classification as follows: Yang deficiency constitution,82cases, Qi deficiencyconstitution59cases,28cases blood stasis constitution, Yin deficiency constitution33cases.121cases (60%) of men, Women in81cases (40%), Clinical cases in the age structure, sex distribution and body mass index, There was no significant difference (P>0.05). The average age was68.87+/-10.90years old, Average body mass index is21.92+/-4.12kg/m2, sex ratio balance is better.2. The CAT grading and classification: Yang deficiency constitution characteristics ofpatients with CAT highest score was26.05+/-4.68,23.15+/-5.04followed by Qideficiency constitution, Furthermore was20.50+/-4.35blood stasis constitution, thecrowd of Yin deficiency constitution minimum16.94+/-5.62. Different physical featuresof the CAT scores severity classification, Patients with Yang Qi deficiency constitutionand physical CAT rating more concentrated in the21-30points, Patients with Yindeficiency and blood stasis constitution of CAT rating more concentrated in the11-20points.3. Lung function: With four kinds of physical characteristics of patients withAECOPD FEV1/FVC values are less than70%, Mr Prod FEV1%values are less than80%. Of Yang deficiency constitution of patients with FEV1/FVC value47.97+/-10.05,Mr. Prod FEV1%30%<FEV1<50%expected value; Patients with Qi deficiencyconstitution FEV1/FVC value51.42+/-12.69, Mr. Prod FEV1%values <FEV1<30%and50%expected value; Patients with Yin deficiency constitution FEV1/FVC value of62.78+/-15.61Mr. Prod FEV1%value50%<FEV1<80%expected value; Patientswith blood stasis constitution FEV1/FVC value59.05plus or minus10.17Mr. ProdFEV1%50%<FEV1<80%expected value.4. MMRC symptoms assessment: MMRC symptom assessment between grade1tograde4, Patients with Qi deficiency of Yang deficiency constitution and constitution ofdyspnea index are mainly concentrated in3-4,4th level43patients with Yang deficiencyconstitution; Yin deficiency and blood stasis constitution health of patients with dyspneaindex are mainly concentrated in2-3,10cases of patients with blood stasis constitutionlevel3.5. Blood gas analysis: CRP values are higher than normal. Patients with Yinefficiency constitution the highest41.05+/-66.86, The second was34.19+/-36.09Yang deficiency constitution,30.57+/-39.07Qi deficiency constitution, Blood stasisconstitution of patients with the lowest22.67+/-32.33; PO2values are close to thenormal reference aloe (PO2:75~100mmHg), No comparability between physique group; PCO2values are higher than the normal reference aloe (PaCO2:35~45mmHg),52.08+/-14.73Qi deficiency constitution, Yin deficiency constitution46.41+/-13.28; BE valuein normal (BE:-6-2.3mmol/L), There was no significant difference between four groups;SO2(%) values are lower than normal (SO2(%):95%-99%),88.87+/-12.84bloodstasis constitution, Qi deficiency constitution90.36+/-10.02,93.02+/-4.53Yindeficiency constitution, Yang deficiency constitution91.92+/-7.24.6. Cough up Tanti short: Four kinds of physical characteristics of distribution of fixednumber of year of AECOPD patients cough, cough up phlegm,15.01+/-11.08Yangdeficiency constitution,14.25+/-12.42blood stasis constitution,13.08+/-11.26Qideficiency constitution, Yin deficiency constitution10.64+/-7.09. With four kinds ofdistribution of the fixed number of year of the physical features of patients with AECOPDshortness of breath,10.91+/-7.99Yang deficiency constitution,8.29+/-4.69bloodstasis constitution,7.31+/-8.77Qi deficiency constitution, Yin deficiency constitution6.30+/-4.41.7. Fixed number of year of the course: With four kinds of physical characteristics ofAECOPD patients disease progression (with COPD diagnosis accurate),5.28+/-4.41Yang deficiency constitution,4.27+/-3.48Qi deficiency constitution,3.75+/-2.38blood stasis constitution, Yin deficiency constitution3.39+/-2.41.Conclusion:1. Physical characteristics of traditional Chinese medicine classification of AECOPDpatients see more of the following four types: Yang deficiency constitution, Qi deficiencyconstitution, Yin deficiency constitution, blood stasis constitution.2. The CAT grading: Patients with Yang Qi deficiency constitution and physical CATrating more concentrated in the21-30points, The clinical condition and serious condition,Patients with Yin deficiency and blood stasis constitution of CAT rating more concentratedin11-20points, Clinical condition is medium.3. Lung function: Yang deficiency constitution, and patients with Qi deficiencyconstitution belongs to Ⅲ level (semi) in chronic obstructive pulmonary disease, Theillness is heavier. Patients with Yin deficiency and blood stasis constitution of genus Ⅱlevel (moderate), chronic obstructive pulmonary disease. A relatively mild. 4. The index of difficulty breathing: With Yang deficiency constitution, and dyspneaof patients with Qi deficiency constitution, Yang deficiency constitution of the people isthe most obvious. Yin deficiency and blood stasis constitution health of patients withdyspnea degree is relatively light, Patients with blood stasis constitution than in Yindeficiency constitution of patients with dyspnea.5. Blood gas analysis: Yin deficiency constitution of opportunity than other physicalfeatures of infection in patients with Qi deficiency constitution of PCO2values higher thanthe Yin deficiency constitution, patients with blood stasis constitution characteristics ofblood oxygen saturation is low, so in the clinical blood stasis constitution of poor patientstolerance to oxygen.6. Cough up phlegm: with Yang deficiency constitution, Qi deficiency constitution ofpatient cough up phlegm and blood stasis constitution onset time is longer, Yin deficiencyconstitution of patients is relatively short. Time limit of Yang deficiency constitutioncharacteristics of patients with the onset of shortness of breath longer than other physicaltype, followed by blood stasis constitution, Qi deficiency constitution, Yin deficiencyconstitution.7. Course: the disease course of patients with the longest characteristic of Yangdeficiency constitution, followed by Qi deficiency constitution, blood stasis constitution,Yin deficiency constitution.8. This topic in the study because of chest X-ray and chest CT examination resultspart is missing, so not for this paper.Through to the Shanxi Province people’s hospital of respiratory on chronicobstructive pulmonary disease with acute aggravating period of clinical observation,Combined with factor analysis related to the natural environment, has the characteristics ofYang deficiency constitution patients (39%), Qi deficiency constitution characteristics ofpatients (27%), thus can be effectively according to the patient’s physical features targetedinterventions, in the process of combining traditional Chinese and western medicinetreatment, can actively adjust the patient’s biased constitution, the implementation ofeffective individualized diagnosis and treatment, get better and better for patients recovery.