Correlation Between The Physical Characteristics And Clinical Indices Of Patients With Chronic Obstructive Pulmonary Disease In Mongolian Medicine

Objective:In this study,we investigated the correlation between Mongolian physical characteristics and age,gender,disease duration,body mass index,smoking history,family history of respiratory disease,lung function,blood gas analysis,blood count,6-minute walking distance,CAT score,and Mongolian medical evidence of Monkeri disease by clinically observing the distribution of Mongolian physical characteristics in patients with chronic obstructive pulmonary disease.The study was conducted to investigate the influence of Monk’s physical characteristics on the development of chronic obstructive pulmonary disease,and to provide clinical data for Monk’s medical evidence-based treatment,effective prevention,and individualized and precise treatment of chronic obstructive pulmonary disease.Methods:The 300 COPD patients who met the inclusion criteria were selected and divided into 7 groups according to the physical characteristics of Mongolian medicine,including Hye,Hira,Badagan,Hye Hira mixed,Hye Badagan mixed,Hira Badagan mixed,and Convergence.General data such as age,gender,disease duration,body mass index,smoking history,family history of respiratory disease,and pulmonary function,blood gas analysis,blood routine,6 min walking distance,CAT,etc.were collected and recorded in detail for each group,and analyze the correlation between Monk’s physical characteristics and each clinical index of COPD patients by SPSS 26.0 statistical software.Results:1.Distribution of Mongolian physical characteristics in patients with chronic obstructive pulmonary disease:among the 300 patients with chronic obstructive pulmonary disease included in this study,there were 40 cases（13.33%）of Hye type,29 cases（9.67%）of Hira type,55 cases（18.33%）of Bada dry type,28 cases（9.33%）of Hye Hira mixed type,91cases（30.33%）of Hira Bada dry mixed type,30 cases of Hira Bada dry mixed type（10.00%）,and 27 cases of aggregation type（9.00%）.2.There was no statistical difference in the comparison of age,gender,disease duration,body mass index,smoking history,and family history of respiratory disease among the patients with different physical chronic obstructive pulmonary disease in Mongolian medicine（P>0.05）.3.Comparison of pulmonary function in patients with slow obstructive pulmonary disease of different body types in Mongolian medicine:（1）FEV1:FEV1 in the Bada dry type and Hye Bada dry type groups were lower than those in the Hye,Hira,Hye Hira,Hye Bada dry type,and Convergence groups（P<0.05）,and the differences between the remaining groups were not statistically significant（P>0.05）.（2）FEV1/FVC:FEV1/FVC in the Bada dry type and Hye Bada dry type groups were lower than those in the Hye,Hira,Hye Hira,Hira Bada dry type,and polymerization groups（P<0.05）,and FEV1/FVC in the Hye Hira and polymerization groups were lower than those in the Hye group（P<0.05）,and the differences between the remaining groups were not statistically significant（P>0.05）.（3）FEV1/Pred:FEV1/Pred was lower in patients with Bada dry type and Hye Bada dry type than in patients with Hye,Hira,Hye Hira,Hira Bada dry type and aggregation type（P<0.05）,and the difference between the remaining groups was not statistically significant（P>0.05）.（4）GOLD pulmonary function classification:Among the 300 COPD patients in this study,23were of mild（grade 1）,131 were of moderate（grade 2）,105 were of severe（grade 3）,and 41were of very severe（grade 4）pulmonary function classification.Among them,there were 6cases of mild patients,28 cases of moderate patients,5 cases of severe patients,and 1 case of very severe patients in the Hye group,3 cases of mild patients,17 cases of moderate patients,8 cases of severe patients,and 1 case of very severe patients in the Hira group,0 cases of mild patients,9 cases of moderate patients,29 cases of severe patients,and 17 cases of very severe patients in the Badagan group,2 cases of mild patients,20 cases of moderate patients,4 cases of severe patients,and 2 cases of very severe patients in the Hye Hira group,0 cases of mild patients,21 cases of moderate patients,52 cases of severe patients,and 18 cases of very severe patients in the Hira Badagan group.2 patients,20 moderate patients,4 severe patients,2 very severe patients,0 mild patients,21 moderate patients,52 severe patients,18 very severe patients in the Hierbad dry group,5 mild patients,20 moderate patients,3 severe patients,2 very severe patients in the Hierbad dry group,7 mild patients,16 moderate patients,4 severe patients,0 very severe patients in the aggregation group.The difference was statistically significant（P<0.05）.4.Comparison of blood gas analyses in patients with different types of chronic obstructive pulmonary disease in Mongolian medicine:（1）Pa O₂:Pa O₂in the Bada dry type and Hye Bada dry type groups was lower than that in the Hye,Hira,Hye Hira and polymerization groups（P<0.05）,Pa O₂in the Hye Bada dry type group was lower than that in the Hira Bada dry type group（P<0.05）,and the differences between the remaining groups were not statistically significant（P>0.05）.（2）Pa CO₂:Pa CO₂in the He-y and He-y Hira groups was lower than that in the Hira and Hey Bada dry groups（P<0.05）,Pa CO₂in the He-y Hira group was lower than that in the polymerization group（P<0.05）,Pa CO₂in the polymerization group was lower than that in the He-y Bada dry group（P<0.05）,and the differences between the rest of the groups were not statistically significant（P>0.05）.（3）Sa O₂:Sa O₂in the Hye Bada dry group was lower than that in the Hye,Hye Hira,Hira Bada dry,and polymerization groups（P<0.05）,and Sa O₂in the Bada dry group was lower than that in the polymerization group（P<0.05）,and the differences between the remaining groups were not statistically significant（P>0.05）.5.Comparison of blood counts of patients with different physical conditions of chronic obstructive pulmonary disease in Mongolian medicine:（1）WBC:no statistically significant difference between the 7 groups（P>0.05）.（2）NEUT%:no statistically significant difference between 7 groups（P>0.05）.（3）NLR:no statistically significant difference between the 7groups（P>0.05）.6.Comparison of the 6-min walking distances of patients with different types of chronic obstructive pulmonary disease in Mongolian medicine:the 6-min walking distances of the Bada dry and Hye Bada dry groups were lower than those of the Hira and Convergence groups（P<0.05）,the 6-min walking distances of the Hye and Hye Hira groups were lower than those of the Hira group（P<0.05）,the 6-min walking distances of the Hye Bada dry group were lower than those of the Hira Bada dry group（P<0.05）,the rest of the differences between groups were not statistically significant（P>0.05）.7.Comparison of CAT score values in patients with slow obstructive pulmonary disease of different body types in Mongolian medicine:the CAT score values in the Bada dry type and Hye Bada dry type groups were higher than those in the Hye,Hira,Hye Hira,Hira Bada dry type,and Convergence groups（P<0.05）,and the differences between the remaining groups were not statistically significant（P>0.05）.8.Comparison of Mongolian medical evidence types in patients with different physical conditions of chronic obstructive pulmonary disease:no statistically significant difference between the 7 groups（P>0.05）.Conclusions:1.This study initially found no correlation between the Mongolian physical characteristics of patients with slow obstructive pulmonary disease and the indicators of patients’age,gender,disease duration,body mass index,smoking history,family history of respiratory disease,routine blood indices and Mongolian medical evidence of Monkeri disease.2.In this study,it was tentatively confirmed that the Mongolian physical characteristics of patients with chronic obstructive pulmonary disease had some correlation with the indexes of patients’pulmonary function,blood gas analysis,6 min walking distance and CAT score value.Among them,patients with Bada dry type and Hye Bada dry type physique had lower indices of pulmonary function FEV1,FEV1/FVC,FEV1/Pred,etc.,patients had more severe airflow obstruction,higher CAT score values,and patients had lower quality of life compared with patients with other types of physique.3.The results of this study can objectively reflect the influence of the Mongolian physical characteristics on the development of slow obstructive pulmonary disease,and can provide clinical data for the Mongolian medical diagnosis and treatment,effective prevention,and individualized and precise treatment of slow obstructive pulmonary disease.