Distribution Characteristics Of TCM Syndrome Elements In Pulmonary Nodules And Their Correlation With Life Style

Objective:In this study,by means of syndrome differentiation,the disease location,distribution characteristics of syndrome elements and lifestyle of patients with pulmonary nodules were analyzed,the correlation between syndrome elements and lifestyle of patients with pulmonary nodules was discussed,and the risk factors for the occurrence and development of pulmonary nodules were analyzed,so as to provide evidence for clinical syndrome differentiation and prevention and treatment of pulmonary nodules.Method:A total of 200 patients with pulmonary nodules in inpatients,outpatients and physical examination centers of the pulmonary Department of the People’s Hospital Affiliated to Fujian University of Chinese Medicine and the Third People’s Hospital Affiliated to Fujian University of Chinese Medicine were selected as the research objects.Four-diagnosis information collection form,lifestyle collection form and general information collection including patients’ gender,age,smoking,drinking habits and lung CT examination were adopted.The TCM health status identification system was applied to identify syndrome elements in patients with pulmonary nodules,Excel tables were developed to make statistics on the lifestyle and general information of patients,and SPSS26.0 software was used for correlation analysis,so as to study the distribution characteristics of TCM syndrome elements in patients with pulmonary nodules and their correlation with lifestyle.Results:1.Characteristics of syndrome elements in patients with pulmonary nodules: lung,liver,spleen,stomach and kidney ranked top 5 in the frequency of syndrome elements in disease location;Top 5 of the frequency of solid syndrome elements were qi stagnation,phlegm,dampness,heat and blood stasis.Top 4 of the occurrence frequency of deficiency syndromes were qi deficiency,Yin deficiency,Yang deficiency and blood deficiency.2.Characteristics of syndrome element analysis in patients with pulmonary nodules at different ages: kidney scores and frequency in the elderly group were higher than those in the young and middle-aged groups,and the difference was statistically significant(P<0.05);The blood stasis integral and frequency of the aged group were higher than those of the young group and the middle-aged group,and the difference was statistically significant(P<0.05).3.Syndrome element analysis characteristics of patients with different lung nodules:sputum scores and frequency of ground glass group were higher than solid group and partial solid group,and the difference was statistically significant(P<0.05);The blood stasis integral of solid group was higher than that of ground glass group and partial solid group,and the difference was statistically significant(P<0.05).4.Correlation between syndrome elements and lifestyle in patients with pulmonary nodules: total interpersonal score was negatively correlated with liver score(r=-0.267,P<0.05);There was a negative correlation between total nutrition score and sputum score(r=-0.326,P<0.001).There was a negative correlation between total nutrient score and humidity score(r=-0.379,P<0.001).The total score of physical activity was negatively correlated with the sputum score(r=-0.293,P<0.001).There was a negative correlation between the total score of sports and the wet score(r=-0.336,P<0.001).The total score of spiritual growth was negatively correlated with the total score of qi stagnation(r=-0.253,P<0.05).The total score of pressure management was negatively correlated with the total score of qi stagnation(r=-0.309,P<0.001).Conclusion:1.The main syndromes of pulmonary nodules were lung,liver,spleen,stomach and kidney;The main solid syndromes were qi stagnation,phlegm,dampness,heat and blood stasis.The main deficiency syndromes were qi deficiency,Yin deficiency,Yang deficiency and blood deficiency.2.In the patients with pulmonary nodules,the lesion location syndrome elements kidney and disease syndrome elements blood stasis in the elderly group were more obvious than those in the young and middle-aged groups;3.The pathological syndrome of lung nodules in the ground glass group was more obvious than that in the solid group and partial solid group;The blood stasis of syndrome elements in solid group was more obvious than that in ground glass group and partial solid group.4.There is a correlation between syndrome elements and life style in patients with pulmonary nodules.The possibility of syndrome elements in patients with pulmonary nodules can be reduced by improving the scores in five aspects,namely interpersonal relationship,nutrition,sports,spiritual growth and stress management.The purpose of this study is to delay the occurrence and development of pulmonary nodules by changing the lifestyle,and further achieve the purpose of preventing the disease before and after the disease.