| Purpose:This paper discusses the relationship between TCM syndromes and quality of life of IPF patients,analyzes the relevant factors affecting the quality of life of IPF patients,and provides the basis for improving the quality of life of IPF patients and research methods and ideas for related research.Methods:The subjects of the study are confirmed IPF outpatients and inpatients,and the research period is from January 2019 to December 2019.The research center is affiliated hospital of Liaoning University of traditional Chinese medicine,and there is no repeated collection of cases.60 patients with IPF were investigated by SF-36,SGRQ,tcm-ipf and TCM syndrome type and general information collection.SF-36 is composed of physiological and psychological aspects,SGRQ is composed of symptoms,activity limitation and daily life,tcm-ipf is composed of Chinese and Western Medicine symptoms,physiological function,emotion / psychological field and social adaptation;TCM syndrome type and general information form are composed of TCM syndrome type,basic information and disease-related information of patients.Results:(1)General situation: 33 males,accounting for 55%,27 females,accounting for 45%,the ratio of males to females is about 1.2:1,males are more than females,the average age is(70.7± 9.11)years old,among which the age group of 50-59 years old accounts for 10%,the ratio of 60-69 years old accounts for 43.33%,the ratio of 70-79 years old accounts for 25%,and the ratio of over 80 years old accounts for 21.67%.Due to the age factor,the proportion of retired(retired)workers was 75%,among the rest,5% were mental workers,5% were manual workers,and 15% were unprofessional workers.In the non data statistics of retired(retired)workers,64.4% were manual workers(workers,farmers,etc.),significantly more than 35.6%were mental workers,35% of them live in rural areas,65% in urban areas,31.68% in smoking,and 25% in exposure history(dust or lampblack).(2)The proportion of yin deficiency,lung dryness,lung qi deficiency,lung kidney qi deficiency,phlegm dampness and blood stasis were 41.67%,21.67%,36.67%,31.67% and48.33%,respectively.In the analysis of related factors of TCM syndrome types,there was no significant difference in gender(P > 0.05),and there was significant difference in age(P <0.05).Compared with other general conditions,there was significant difference in environmental exposure history(dust and lampblack)between syndrome types(P < 0.05),and there was no significant difference in other syndrome types(P > 0.05).(3)The total score of SF-36,SGRQ,tcm-ipf and QOL were 389.606 ± 146.327,12.636± 5.137 and 30.677 ± 6.788 respectively.It was not difficult to find that the quality of life of IPF patients was generally poor,and there were different degrees of physiological and psychological problems.In the analysis of quality of life,in the Age IPF There were statistically significant differences in the total score of SF-36,SGRQ and tcm-ipf(P < 0.05)There were significant differences in six dimensions(P < 0.05)of social function(SF)and emotion influence on role function(RE).Four of the six dimensions belonged to physical health and two to mental health.In SGRQ scale evaluation,different syndromes had a total of influence on SGRQ symptom score(so),activity restriction score(LA)and daily life score(DL)There were significant differences in three dimensions(P < 0.05);in tcm-ipf scale evaluation,different syndrome types showed significant differences in four dimensions(SY,p H,PS)of tcm-ipf scale,which showed that the physical and mental health of IPF patients were affected by different degrees,According to the scores of SF-36,tcm-ipf and SGRQ,different syndrome types have different influence on the quality of life,among which the syndrome of deficiency of lung and kidney qi and stasis of blood has significant difference with other syndrome types(P < 0.05),and the lowest score.(4)Among the factors that affect the total score of SF-36,SGRQ and tcm-ipf of IPF patients,the total score of SF-36,SGRQ and tcm-ipf are the dependent variables,and the single factor with statistical significance(lung kidney qi deficiency and blood stasis syndrome,age)is the independent variable for multiple linear stepwise regression analysis Kidney qi deficiency and blood stasis syndrome,age are the independent risk factors to reduce the total score of SF-36,the weighted average score of TCM-IPF and increase the weighted average score of SGRQ,among which age has the greatest impact on the QOL score.Conclusion:(1)The results show that the disease is more common in the elderly patients,and the male patients are more than the female patients;IPF patients mainly have middle and high education background,and the proportion of retired(retired)patients is the highest in the occupation,and the general inducement is the previous respiratory disease,smoking,environmental exposure to dust or oil smoke.(2)The syndrome types are mainly Yin deficiency and lung dryness syndrome(main syndrome),blood stasis syndrome(concurrent syndrome),followed by lung kidney qi deficiency(main syndrome),phlegm dampness syndrome(concurrent syndrome).The combined syndrome of lung kidney qi deficiency and blood stasis has the greatest impact on the quality of life,which should be paid attention to in the process of dialectical treatment.In the process of treatment of IPF patients,attention should be paid to invigorating lung qi,nourishing yin and kidney,promoting blood circulation and unblocking collaterals.(3)The quality of life of patients with IPF is poor due to the influence of diseases,and the quality of life will be different due to the different types of TCM syndromes.In clinical practice,we should combine the TCM syndromes to develop diagnosis and treatment programs,so as to improve the therapeutic effect and quality of life of patients with IPF.(4)IPF patients are suffering from great psychological pressure at the same time.In addition to alleviating the pain caused by the disease,appropriate psychological intervention should also be carried out to improve the treatment effect and quality of life of patients. |
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