The Research Of Distribution Characteristics Of Qi Deficiency Of Lung And Kidney Syndrome And Physical Constitution Type Of Elderly Patients With COPD Stabilization

Objective:The study is to know the distribution of Qi deficiency of lung and kidney in elderly patients with COPD stabilization, discuss the distribution characteristics of physical constitution type in elderly patients with COPD stabilization, and analyze distribution characteristics of physical constitution type about the Qi deficiency of lung and kidney syndrome and Qi non-deficiency of lung and kidney syndrome in elderly patients with COPD stabilization,provide theoretical basis for qi deficiency of lung and kidney in elderly patients with COPD stabilization to use traditional Chinese medicine dialectical therapy and prevent COPD acute episodes.Making scientifical management of elderly patients with COPD for clinical and community,providing reference basis for setting individualized management solution for patients with COPD stabilization from constitution theory of TCM and in the combination of TCM “preventive treatment of disease” thinking,are in order to improve patient’s quality of life and delay the onset of end point events.And using this research method to explore he scientific and effective management of chronic diseases, service the vast number of patients.Methods:The study use the theory of TCM constitution, follow the scientific clinical epidemiology investigation method, reference to “Chronic obstructive pulmonary disease diagnosis and treatment guidelines(revised in 2013) ”promulgated by the Chronic Obstructive Pulmonary Disease Committee, Respiratory Society, Chinese Me dical Association, “Chronic obstructive pulmonary disease in TCM diagnosis and treatment guidelines(revised in 2011)” promulgated by the institute of Chinese medicine medical professional committee, branch department of lung disease,“TCMconstitution classification and identification” published by Chinese Medical Association in 2009,in order to established unified questionnaire about syndromes and constitution,investigated the patients with elderly patients with COPD stabilization who are treated in outpatient or inpatient in First affiliated hospital of yunnan college of traditional Chinese medicine “The doctor of traditional Chinese medicine hospital in yunnan province” cardio-pulmonary depton and geriatrics on January 2014-December 2014.The patients were divided into Qi deficiency of lung and kidney syndrome and Qi non-deficiency of lung and kidney syndrome according to TCM Syndrome Differentiation, and to know the distribution of elderly patients with COPD stabilization in Qi deficiency of lung and kidney syndrome and Qi non-deficiency of lung and kidney syndrome,and also to analyze the physical constitution of elderly patients with COPD stabilization,the study use spass 20.0 statistical analysis software package to analyze the correlation of patient’s age,sex,body mass index, occupation, cultural level, smoking index, course of disease, complications, combined diseases, COPD severity classification with syndromes(Qi deficiency of lung and kidney syndrome and Qi non-deficiency of lung and kidney syndrome), discuss the constitution type, and explore the physical constitution distribution about Qi deficiency of lung and kidney syndrome and Qi non-deficiency of lung and kidney syndrome.Results:1.This study collected valid 187 cases of elderly patients with COPD stabilization, an average of the age is 68.84±5.60 years, a ratio of the male and female is 2.82:1, an average of the body mass index is 19.07±3.59, one of the most profession is agriculture, forestry, animal husbandry, fisheries and water conservancy, a large proportion of cultural level is primary school or below,smoking index ≥ 400 has 122 cases, an average of the course of disease is 20.12±4.60 years, 163 cases have complications, 156 cases have combined diseases, one of the most COPD severity classification tends to level III.2.The case study of syndrome differentiation, because the Qi deficiency of lung and kidney are 85 cases(45.5%),and Qi non-deficiency of lung and kidney are 102 cases(54.5%), which is divided into Qi deficiency of lung and kidney and Qi non-deficiency of lung and kidney group according to syndrome differentiation of TCM.3.In this study,the patient’s nutritional condition in Qi deficiency of lung and kidney and Qi non-deficiency of lung and kidney group differences were no statistical significance.4.The patients in this study divided into normal constitution which had 12 cases(6.4%),and abnormal constitution which had 175 cases(93.6%). The single in abnormal constitution were 47 cases(26.9%),the complex were 128 cases(73.1%). Abnormal constitution in single cases were Qi deficiency constitution 13 cases(27.7%)> Yang deficiency constitution 12 cases(25.5%) >blood stasis constitution 9 cases(19.1%) >phlegm-dampness constitution 8 cases(17.0%)>Yin deficiency constitution 2 cases(4.3%)>Dampness-heat constitution 2 cases(4.3%) > Qi stagnation constitution 1 cases(2.1%) > hypersensitivity constitution 0 cases(0%). Composite constitution appear frequency is Qi deficiency constitution 116 cases(30.8%)> Yang deficiency constitution 107 cases(28.4%) >blood stasis constitution 57 cases(15.1%) >phlegm-dampness constitution 43 cases(11.4%)>Yin deficiency constitution 19 cases(5.0%)> Qi stagnation constitution 17 cases(4.5%) > Dampness-heat constitution 15 cases(4.0%) >hypersensitivity constitution 3 cases(0.8%). Compound two constitution appeared cases of the most three is Qi deficiency merge of Yang deficiency constitution 27 cases(21.1%) >Qi deficiency merger of blood stasis constitution 21 cases(16.4%) > Yang deficiency merger of blood stasis constitution 15 cases(11.7%).5.In this study,the patient’s nutritional condition and TCM Constitution distribution were no statistical significance.6.In this study,the patients who belong to Qi deficiency of lung and kidney group are 85 cases, the normal constitution are 5 case(5.9%),the abnormal constitution are 80 cases(94.1%). The patients who belong to Qi non-deficiency of lung and kidney group are 102 cases, the normal constitution are 7 cases(6.9%),the abnormal constitution are 95 cases(93.1%).The distribution abnormal constitution of Qi deficiency of lung and kidney group and Qi non-deficiency of lung and kidney group hao significant difference, it had statistical significance(P=0.005<0.01).The most three of abnormal constitution in Qi deficiency of lung and kidney group are Qi deficiency constitution 64 frequencies(35.6%),Yang deficiency constitution 49 frequencies(27.2%),blood stasis constitution 29 frequencies(16.1%),the most three of abnormal constitution in Qi non-deficiency of lung and kidney group are Yang deficiency constitution 70 frequencies(28.7%),Qi deficiency constitution 65 frequencies(26.6%),blood stasis constitution 37 frequencies(15.2%).Conclusion:1. The Qi deficiency of lung and kidney syndrome is an important syndrome type of infertility.2.Elderly patients with COPD stabilization is predominantly abnormal constitution, amd Qi deficiency constitution and Yang deficiency constitution is the most common constitution type.3.Most of Qi deficiency of lung and kidney of elderly patients with COPD are abnormal to qualitative, Qi deficiency constitution,Yang deficiency constitution,and blood stasis constitution;most of Qi non-deficiency of lung and kidney of elderly patients with COPD are Yang deficiency constitution,Qi deficiency constitution,and blood stasis constitution.