| Objective:In order to formulate a scheme of the individualized di agnosis and treatment of bronchiectasis,and optimize the treatment perscription of the disease,the clinical characteristics of patients with bronchiectasis were an alyzed and the elements of Traditional Chinese Medicine were extracted in this study.Method:The general situation,clinical symptoms,distribution of pathog enic bacteria and TCM factors of the patients were analyzed through the cases of the BE patients in the respiratory medicine Department of the tradi tional Chi nese medicine hospital affiliated to Southwest Medical University from Octobe r 2014 to October 2017.The SPSS 17.0 statistical software is used to process the data.Quantitative data were tested by ANOVA and SNK.Qualitative data were analyzed by chi square test.The correlation between the two variables was analyzed by bivariate correlation analysis.Result:1.533 cases of bronchiectasis patients:male,269 cases;female,264cases,the average age of morbidity was 65.63±12.87years,the urban prevalence rate(65%)was significantly higher tha n that of the rural areas(35%),41.84%of smokers and 58.16%of nonsmokers,and 74.9%of the imaging findings were higher than 25.1%of the undiagnosed infections.2.The average length of hospitalization was 9.91±5.09 days,with an average duration of 15.95±8.76 years.3.Distribution of four seasons:163 cases in spring,122 in summer,110 in autumn and 138 in winter.4.The incidence of hemoptysis was 8.18%in the youth group,22.73%in the middle age group and 69.09%in the elderly group.5.Main clinical manifestations:cough(33.12%),expectoration(24.70%),cardiactiredness(18.37%),air Constraints(11.76%),hemoptysis(7.65%),fever(2.29%),chest pain(1.25%).6.History of past disea ses and combined diseases:combined chronic obstructive pulmonary disease 30.21%,respiratory failure 25.89%,Chronic cor pulmonale 18.01%,tuberculosis 11.07%,therioma 6.75%,asthma 4.13%,arthritis deformans 1.31%,reflux esop hagitis 1.23%,measles 0.75%,nasosinusitis 0.56%.7.The positive rate of sputu m culture was 9.9%,with gram negative bacilli accounting for 71.69%of the total strain,the most common bacterium was Pseudomonas aeruginosa(47.17%),followed by Fungi(26.42%),Haemophilus influenza(11.32%),Klebsiell a pneumoniae(5.66%),Escherichia coli(3.77%),Baumannii,Stenotrophomo nas maltophilia,Staphylococcus haemolyticus(1.89%each).8.Location of dise ase:533 cases involving the lung,445 cases involving the spleen,307 cases involving the heart,285 cases involving the kidney and 3 cases involving the liver.9.Nature of disease:positive(78.05%),deficiency syndrome(6.75%),false and solid inclusion(15.2%).10.The pathological factors:503 Cases of phlegm evil,444 cases of heat evil,380 cases of qi deficiency,240 cases of blood stasis,68 cases of yin deficiency,60 cases of damp evil and 16 cases of wind evil.11.Common syndromes types(top eight):phlegm-heat storing in lung(63.41%),phlegm blocking in lung(10.32%),phlegm-heat storing in lung and Qi-deficiency and blood-stasistype(3.56%),lung-spleen-deficiency(3.56%),lung-kidney-deficiency(3.19%),collateral injury due to heat(2.25%),wind-heat affecting lung(1.13%),phlegm stasis obstructing the lung(0.56%).12.A total of five categories,eleven kinds of syndrome element combinations,two syndrome factors,three elements form the maj ority.Conclusion:1.Patients in the majority of elderly patients,the incidence in spring and winter season,city incidence was significantly higher than that in rural areas,and were mostly associated with acute infection of acute exacerbation bronchiectasis patients,attention should be paid to prevent or reduce acute infection.2.Compared with patients of each age groups in the hospital,the course has many obvious differences,most patients have a long history of bronchiectasis.3.The age of the patient is highly correlated with the occurrence of hemoptysis,older people are also more likely to have hemoptysis.4.Patients with bronchiectasis have symptoms of cough,expectoration,tired heart,shortness of breath,hemoptysis,fever,chest pain.5.Patients with bronchiectasis have Combined with other diseases,attention should be paid to finding the cause of the disease and objective correlation,in order to better control the disease.6.Patients with bronchiectasis sputum culture positive rate is low,the pathogenic bacteria to gram negative bacteria,including Pseudomonas aeruginosa,Fungal infection increased year by year,in the absence of drug sensitivity,can choose empirical medication,but should not ignore the pathogenic bacteria outside.7.In this study,five kinds of syndromes were collected,mainly in two or three syndromes groups.The disease position involved the lung,spleen,Kidney,heart,liver,while the syndromes were related to phlegm,heat,wet and stasis.The causes can be divided into external causes(exogenous pathogenic factors)and internal causes(deficiency of the vegetarian body).The main evolution rule is lung asthenia,and gradually involves other organs,mainly based on the deficiency of Qi and Yin,and the pathological factors such as phlegm,heat,stasis,fire and so on.These factors influence and cause each other. |
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