Chronic Obstructive Pulmonary Disease Of TCM Syndrome And2011GOLD Guide Clinical Research Group Relations

Background Chronic obstructive pulmonary disease is a common chronic respiratorydisease,that seriously harms human health,affects the life quality of patients. it hasbeen an important public health problem of the medical and health fields.GOLD on the basis of the original version, according to the latest progress in thestudy of clinical COPD has carried on the significant changes, issued A "chronicobstructive pulmonary disease diagnosis, treatment and prevention of global strategy(2011revision)" at the end of2011.2011GOLD guide, deepen the understanding ofCOPD, particularly in COPD diagnosis and evaluation, established the comprehensiveevaluation system that is the symptoms in patients with lung function evaluation,classification and assessment of the risks of acute exacerbation of together, and then,the new evaluation system to produce new treatment strategies, the evaluation ofpatients with COPD divided into group A and group B, group C and group D, andrecommendations are proposed according to assess group in patients with medication,condition of COPD patients getting further matching between assessment andtreatment measures, to promote the treatment of COPD individualization.Since2007,with the COPD clinical research work has been obtained significantprogress,the department of lung disease professional committee of China associationof Chinese medicine in2011issued a "chronic obstructive pulmonary disease in TCMdiagnosis and treatment guidelines", It’s clearly put forward the COPD stabilizationstandards and dialectical differentiation syndromes of traditional Chinese medicinetreatment and comprehensive multiple high quality level of evidence to suggest thatthe combination of traditional Chinese and western medicine treatment of COPDstabilization has obvious curative effect.Objective On the basis of the present study,it is to further figure out thecorresponding relationship between the2011GOLD guide comprehensive evaluationgroup and TCM syndrome.analysis the correlation between COPD stabilization ofTCM syndrome distribution and2011GOLD guide comprehensive evaluation group, lay a foundation for the clinical research of TCM.Methods Select469COPD patients clinical cross sectional surveys.Records prior tothe treatment patients age, sex, CAT, mMRC,FEV1%pred,course,and duration of acutedisease;According to2011to evaluate GOLD guide grouping, the assessment points ingroup A and group B, group C and group D four groups as the researchobject,Separately for each group of patients based on lung disease professionalcommittee of China association of Chinese medicine "chronic obstructive pulmonarydisease standards (2011edition)" syndromes of TCM syndrome classification, explorechronic obstructive pulmonary disease of TCM syndrome and2011GOLD guidegroup relations.Results1the distribution of COPD stabilization of TCM syndrome types of groups of2011gold guideGroup A are mainly distributed in patients with lung spleen deficiencysyndrome of46cases (46.9%), lung qi deficiency syndrome,34cases (34.7%), lungand kidney deficiency syndrome,17cases (17.3%), lungs kidney Yin deficiencysyndrome,1case (1.0%) and group B are mainly distributed in patients with lung andkidney deficiency syndrome in87cases (73.7%), lung, spleen deficiency in16cases(13.6%), lung and kidney Yin deficiency syndrome two8cases (6.8%), lung qideficiency syndrome,7cases (5.9%) in group C are mainly distributed in patientswith lung kidney deficiency syndrome in78cases (62.9%), lung and kidney Yindeficiency syndrome two34cases (27.4%),12cases (9.7%), lung spleen deficiencysyndrome, lung qi deficiency syndrome0cases (0%), group D mainly lungs kidneyYin deficiency syndrome in patients with102cases (79.1%), lung and kidneydeficiency syndrome,26cases (20.2%), lung spleen deficiency syndrome in1(0.8%),pulmonary qi deficiency syndrome0cases (0%).And the blood stasis were92cases,mainly distributed in group D lungs kidney Yin deficiency syndrome in71cases(77.2%), lung and kidney deficiency syndrome group C,13cases (14.1%).2COPD stabilization of TCM syndrome in2011gold guide distribution ofgroupsLung qi deficiency syndrome patients mainly distributed in A group of34cases(82.9%),7cases (17.1%) in group B, group C0cases (0%), group D0cases (0%) inthe patients with spleen deficiency syndrome are mainly distributed in46cases(61.3%) in group A and group B in16cases (21.3%),12cases (16%) of group C, group D1case (1.3%), lung and kidney deficiency syndrome patients mainlydistributed in group B87cases (41.8%),78cases (37.5%) of group C, D group of26cases (12.5%), A group of17cases (8.2%), lung and kidney Yin deficiency syndromein patients with two mainly distributed in group D102cases (70.3%),34cases ofgroup C (23.4%),8cases (5.5%) in group B, group A in1case (0.7%), and the bloodstasis were92cases, mainly distributed in group D lungs kidney Yin deficiencysyndrome in71cases (77.2%), lung and kidney deficiency syndrome group C,13cases (14.1%).3the correlation between2011gold guide each grouping and the distribution ofTCM syndrome types2011gold guide group and TCM syndrome type distribution of correlationanalysis results: Spearman correlation coefficient=0.748, P=0.000, Kendallcorrelation coefficient=0.678, P=0.000;ConclusionThere is correlation relationship between2011GOLD guide comprehensiveevaluation group and COPD stabilization of TCM syndrome distribution.1each group syndromes distribution of GOLD guideGroup A are mainly distributed in patients with lung and spleen deficiencysyndrome, lung qi deficiency syndrome, group B patients mainly lung and kidneydeficiency syndrome, lung spleen deficiency syndrome, group C are mainlydistributed in patients with lung and kidney deficiency syndrome, lung, kidney Yindeficiency syndrome, group D are mainly distributed in patients with lung kidney Yindeficiency syndrome, lung and kidney deficiency syndrome;Syndrome, blood stasisand mainly distributed in group D and group C lungs kidney Yin deficiency syndrome,lung and kidney deficiency syndrome.2COPD stabilization of TCM syndrome distribution in2011gold guide eachgroupLung qi deficiency syndrome patients are mainly distributed in group A andgroup B patients with spleen deficiency syndrome are mainly distributed in groupA, group B and group C, lung and kidney deficiency syndrome patients mainlydistributed in group B, C, D group, the lungs kidney Yin deficiency syndromepatients mainly distributed in group D, C group, among them and the blood stasismainly distributed in group D lungs kidney Yin deficiency syndrome, lung andkidney deficiency syndrome in group C.