Chronic Obstructive Pulmonary Disease With Acute Exacerbation Of Respiratory Failure On Standardization Of Traditional Chinese Medicine Treatment

BackgroundChronic obstructive pulmonary disease (COPD) is a disease with the feature of airflow-limitat ion, which can be prevented and cued, not fully reversible airflow limitation, showing progressive development. COPD is often associated with respiratory failure, pulmonary heart disease and other complications Because of its big number of patients, high mortality, social and economic burdens, it has become an important public health problem. However, it is not yet possible to reverse the disease. Frequent episodes of acute exacerbation of this disease will worsen the disease even threaten the lives of patients Overall, TCM treatments for respiratory failure of COPD with acute exacerbation have a certain effect. But, until now there is no uniform classification of TCM standards, no scientific, standardized diagnostic criteria and standard for determining the efficacy, making comparability of results and scientific research poor, and influences the application and promotion of clinical TCM and further improvement of TCM effect.Object ivesThrough cross-sectional survey study of the syndromes and treatment of respiratory failure in Acute exacerbation of COPD, observation on the laws of the syndrome, and understanding of the epidemiological characteristics of TCM, distribution and the corresponding treatment law of COPD with acute exacerbation of respiratory failure, it is able lo build TCM Syndrome specifications of acute exacerbation of COPD with respiratory failure preliminarily. MethodsUsing cross-sectional survey of clinical research methods to do cross-sectional survey on cases that meet the inclusion criteria and complete the information collecting form; after inspecting the finishing information collection form for qualification, construct cute respiratory failure Syndrome Information Database using EpiData 3.02 COPD; Researching methods use spssl7.0 statistical package for statistical analysis, use Descriptive analysis and cluster analysis method for data processing, and discuss COPD acute respiratory failure in the distribution of the Syndrome and Treatment Law.Result1,Basic characteristics of COPD patients with acute respiratory failure The disease often occurs in middle-aged male, distribute in the 76-85 years old, and 10-19 years of the course of the disease, smoking is the common risk factor, exogenous and weather changes are common causes of the acute exacerbation, Epidemiological characteristics and epidemiology of the di sease at home and abroad there is great consistency.2,Symptoms Distribution:According to statistics, cough, expectoration, wheezing frequency greater share for respiratory failure in COPD with acute exacerbation of the primary disease. Dark red tongue, yellow greasy moss, pulse a few slip, slippery pulse string are their common tongue-pulse, frequency fluctuations in the 38%-44%.3,TCM Distribution:By Cluster analysis, Phlegm obstruct pulmonary, lung phlegm syndromes are common, followed by lung and spleen deficiency, phlegm stasis, lung and spleen kidney, lung phlegm, sputum God awakened.4,TCM treatments Distribution:The disease is more to treat the symptoms when it is acute, accounting for 65.3%, followed by treating the symptoms and its origin,34.7%, while those who simply tonic are rare. As for treatment, heat phlegm, promoting blood circulation mainly phlegm which accounted for 99.4, fol lowed by blood circulation, heat, respectively,82.4%,50.3%.