Study On The Correlation Between Solar Term Based On Syndrome Differentiation And Acute Exacerbation Of Chronic Obstructive Pulmonary Disease In The Elderly

Objective:Through syndrome differentiation,this study analyzed the location,distribution of syndrome elements and m MRC and CAT in elderly patients with chronic obstructive pulmonary disease accompanied by acute exacerbation(AECOPD),and preliminatively explored the correlation between syndrome elements and solar terms,m MRC and CAT in elderly patients.To provide the basis for clinical syndrome differentiation and prevention of the occurrence and development of elderly AECOPD.Method:A total of 120 elderly AECOPD inpatients and outpatients in the pulmonary department of Fujian Provincial People’s Hospital and the Third People’s Hospital of Fujian Province were selected as the research objects.Four diagnosis information collection table,CAT and m MRC collection table were used to identify the syndrome elements of elderly AECOPD patients with traditional Chinese medicine health status identification system.In addition,Excel tables were developed to calculate the m MRC grading and CAT score of patients,and SPSS26.0 software was used for correlation analysis to study the distribution characteristics of TCM syndrome elements in elderly patients with AECOPD and their correlation with solar terms,m MRC and CAT.Results:1.Distribution characteristics of syndrome elements in elderly patients with AECOPD:The common syndromes from high to low were lung,kidney,spleen,surface,liver and heart.The distribution of solid syndromes from high to low was phlegm,dampness,heat,qi stagnation,drink,cold and blood stasis.Syndrome elements of deficiency syndromes from high to low are qi deficiency,Yang deficiency,Yin deficiency,blood deficiency and qi deficiency.2.Distribution of common syndrome elements in each group:In Qingming group,lung > liver > kidney > spleen > table > gallbladder;The order in summer solstice group was lung > spleen > kidney > heart > stomach > liver.In Shuangjian group,the order was lung > kidney > surface > spleen > liver > heart.Minor cold group was lung > spleen >kidney > surface > heart > stomach.3.Distribution of common syndrome elements in each group : Solid disease:Qingming group was phlegm > heat > Qi stagnation > dampness > blood stasis > cold;In summer solstice group,phlegm = dampness > heat > Qi stagnation > drink > cold;The order of phlegm > dampness > cold = qi stagnation > drink > heat was in Shuangjian group.In minor cold group,phlegm > Qi stagnation > cold > drink = dampness > cold.Deficiency disease: Qingming group is qi deficiency > Yang deficiency > Yin deficiency =blood deficiency > Qi deficiency;Qi deficiency > blood deficiency > Yin deficiency >Yang deficiency > qi deficiency in Xia solstice group.In Shuangjian group,qi deficiency >Yin deficiency > Yang deficiency > blood deficiency > qi deficiency.In minor cold group,qi deficiency = Yang deficiency > Yin deficiency = qi deficiency > blood deficiency.4.Correlation between m MRC grading,CAT score and syndrome elements:There was a positive correlation between disease location syndrome element kidney and m MRC grade;disease syndrome element blood stasis,qi deficiency and blood deficiency were positively correlated with m MRC grade;CAT score was positively correlated with kidney,drink and blood deficiency.Conclusion:1.The main disease sites of elderly AECOPD patients are lung,involving spleen,kidney,heart,liver and surface;Its main solid disease is phlegm,involving drink and dampness,affecting cold,heat,qi stagnation and blood stasis.The main deficiency is Qi deficiency,which involves blood deficiency,Yang deficiency,Yin deficiency and qi deficiency.2.The incidence of elderly patients with AECOPD is correlated with the solar terms.Patients with AECOPD in different solar terms have different characteristics of disease location and syndrome elements.3.m MRC grade and CAT score in elderly AECOPD patients were correlated with solar terms;There were differences between CAT score and m MRC score.