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Research On The Correlation Of Five Viscera Of Acute Exacerbations Of COPD

Posted on:2008-07-10Degree:MasterType:Thesis
Country:ChinaCandidate:W GuanFull Text:PDF
GTID:2144360215965199Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Background"Doctrine of the correlation of five viscera" stem from "wu-xing"theory. It inherites the Chinese medicine "wu-xing" theory scientific spirit.Withdraws "wu-xing" scientific essence—mutually relates dialecticsthought. And entrusts to the modern systematologic content. Although"wu-xing " theory have its one side of syndrome, arise misfitting, unifiedof the content and the form, process of copy and limitation of content.Accoradiagly, it is necessary to withdraw core of "wu-xing" theory, endow withit modern systematologic content, unifies the clinical practice, for cominginto being "Doctrine of the Correlation of five Viscera". Inquiry at presentthe domestic medical literature, you will discove, from inquirying at presentthe domestic medical literature, although doctrine of the Correlation of FiveViscera has not certainly formed one kind of mature theory and completely tobe acceptted by the Chinese medicine colleague, many experts and the scholarthought the disease involves many internal organs, and using doctrine of theCorrelation of Five Viscera instructe linical. But, as one kind of a theory,doctrine of the Correlation of Five Viscera still lacks systemmicreorganization and research, shallowly paper, scattered content, has not beenable to analyze its essential the material base. Because doctrine of theCorrelation of Five Viscera may have different performances at the differentdisease, the research of therefore Doctrine of the Correlation of Five Visceraneed concrete disease as carrier, it more syllabify disclosure scientificconnotation, and helpful to instruct clinic effectively.COPD is the common diseases of older persons. With the extended lifeexpectancy and the ageing of the population trends are significant, COPD hasgradually become the important public health issue which afflicts many doctorsand patients because of its characteristics of high morbidity, relapse rate,mortality rate, and its treatment difficulty, heavy socio-economic burden, etc.So far there have been no effective and specificit treatments of Western medicine for the disease. While there are exceptional advantages of ChineseMedicine (CM) treatments for COPD, which is named "lung-distention","dyspnea","phlegm","cough" by CM. Therefore, take COPD this significant,the undiagnosed cases as a carrier, not only helpful to the disease itselfthorough understanding, but also helpful studying mutually relations of fiveViscera.PurposesTake the literature review as the foundation. Establish questionnaire ofacute exacerbations of COPD. Then survey and study through many clinic ofcentre, discussion relation of COPD correlation of Five viscera. Then, coachclinical treatment.MethodTake the literature review as the foundation, consulte ideas of groupsexpert opinion of scientific research, set up COPD epidemiology research andinvestigation table of systematic evaluation. Data analysis performed in thestatistical analysis software package for SPSS13.0. The descriptivestatistical method was adopted to analyze demography date, general diseasedate about Acute Exacerbations of COPD. The case samples cluster analysismethod was adopted to analyze CM syndromes sub-type of the disease anddifferential classification date. The variable samples cluster analysismethod was adopted to analyze correlation of viscera.Results1. Basic characteristics of Acute Exacerbations of COPD from clinicalresearch: the disease is most likely to take place in midlife and agednessmen, people with low degtrees of branching(primary), manual workers. The diseasecourse of hospitalized patients mostly fluctuat between 10 and 29 years, andthe common complications of which are chronic pulmonary heart disease,respiratory failure, pneumonia. Smoking, infections, severe air pollution,occupational exposure to dust are the common risk factors, and cold, the weatherchanges, smell stimulate are the increased common inducements.2. The distribution of CM syndromes sub-types: Feipiqixu tanzhuozufei,Feipiqixu Shenyinkuixu tanreyufei, feiyinkuixu xinpiqixu tanreyufei, feipishenxu tanreyufei are common syndromes.3. The samples cluster analysis method was adopted to deficiency syndromeabout Acute Exacerbations of COPD. The results show that:feipiqixu feishenqixu feipishenxu. Another part to involve xinqixu and feiyinxu.4. Correlation of five Viscera can gather lung spleen correlation, lungspleen kidney correlation, lung heart correlation.5. The descriptive statistical method was adopted to analyze developmentmode of Acute Exacerbations of COPD. The results show that: more is deficiencyof the lung affect spleen and deficiency of the lung affect kidney.Respectively is 65.4% and 59.1%. deficiency of the lung affect heart (30.2%), and deficiency of the kidney affect lung (19.5%) are more. Otherdevelopment mode is less.ConclusionClinical syndrome data of acute exacerbations of COPD show the relation of lung and spleen is closest, then is lung and kidney, lung spleen andkidney frequently mutually affect. The relation of lung and heart is worse than spleen and kidney. But, the relation of lung and liver is more estronger. In development mode aspect, lung affect spleen, lung affect kidneyand lung spleen kidney mutually effect are development mode, too. Heart and lung mutually affect. Other development mode, lung affect liver and liveraffect spleen are less.
Keywords/Search Tags:COPD, acute Exacerbations, Correlation of five Viscera
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