The Correlation Study On Chronic Obstructive Pulmonary Disease At Stable Stage Traditional Chinese Medicine Syndrome Type And Lung Function

Objective: Designed by chronic obstructive pulmonary disease (Chronic Obstructive Pulmonary Disease, COPD), TCM syndrome and lung function, COPD Assessment Test (of COPD Assessment test, CAT) relationship, to explore COPD TCM syndrome and lung function and CAT inherent laws provide a theoretical basis for clinical diagnosis and treatment of COPD disease.Methods:Collected 200 cases of COPD patients from May 2013 to December 2014 for treatment of Respiratory Medicine at the Zhe jiang dong yang Hospital of TCM outpatient and inpatient department. The general situation of the patient data collection based on questionnaire design, history taking, record patient age, gender, body mass index (BMI), smoking index, and pulmonary function tests CAT score, course of disease, acute exacerbation frequency. According to the patient’s clinical symptoms, tongue, pulse TCM syndrome type. All statistics based on SPSS17.0 statistical software for processing.Results:1.200 patients with COPD were enrolled, including 48 cases of phlegm obstructing lung,71 cases of phlegm obstruct the lung, phlegm lung 36 cases, lung and kidney Qi yin Deficiency 45 cases. No significant difference in gender of four groups of syndrome type (P> 0.05), of which 109 cases of male and female 91 cases; mean age was 73.46±6.95years; Phlegm obstructing lung phlegm obstruct the lung compared with the other two types, the difference was statistically significant (P<0.05). BMI 22.47±3.66. Phlegm obstructing lung phlegm obstruct the lung and phlegm lung compared with lung and kidney Qi yin Deficiency, the difference was statistically significant (P<0.05).2. TCM syndromes and course: phlegm obstructing lung and phlegm obstruct the lung, lung and kidney Qi and Yin Deficiency and phlegm lung disease process comparison, the difference was not statistically significant (P> 0.05). Phlegm obstructing lung phlegm obstruct the lung compared with the other two types, the difference was statistically significant (P <0.05).3.TCM syndrome and pulmonary function:one second forced expiratory volume occupied vital capacity ratio (FEV1/FVC%) and one second forced expiratoryvolume measured/estimated value ratio (FEV1% Pred), phlegm obstructing lung and phlegm obstruct the lung compared with lung and kidney Qi and Yin Deficiency and lungs of phlegm, the difference was not statistically significant (P> 0.05). Phlegm obstructing lung phlegm obstruct the lung compared with the other two types, the difference was statistically significant (P <0.05).4.TCM syndrome and CAT score: phlegm obstructing lung and phlegm obstruct the lung group comparison, the comparison between the lung and kidney Qi and Yin Deficiency and phlegm lung group, phlegm obstruct the lung and lung and kidney Qi and Yin Deficiency group comparison the difference was not statistically significant (P> 0.05).Phlegm obstructing lung and lung and kidney Qi and Yin Deficiency, phlegm lung compared phlegm obstruct the lungs and phlegm lung comparison, the difference was statistically significant (P<0.05). 5.Frequent group and non-group of patients with COPD frequent CAT score differences (P <0.05).Conclusions:1. Age, body mass index has certain reference significance to TCM Syndrome Differentiation Typing of COPD. A relatively small age, body mass index did not decrease obviously in patients with phlegm obstructing lung, phlegm obstruct the lung, phlegm lung is many, the older, body weight index decreased significantly in the patients of lung and kidney Qi yin Deficiency type as much two.2. From phlegm obstructing lung, phlegm obstruct the lungs, phlegm lung, lung and kidney Qi and yin Deficiency, the course gradually extended. The course of< 20 years with phlegm dampness in the lung, phlegm heat obstructing lung type two see; duration> 20 years with phlegm and blood stasis obstructing the lung and kidney yin deficiency type two of two rare.3. The fractionation of lung function can be used for TCM Syndrome Differentiation Typing of COPD reference. From phlegm obstructing lung, phlegm obstruct the lungs, phlegm lung, lung and kidney Qi and yin Deficiency, lung function decreased, which showed the progress trend.4. From phlegm obstructing lung, phlegm obstruct the lungs, phlegm lung, lung and kidney Qi and yin Deficiency,CAT score increased gradually. phlegm obstructing lung, phlegm obstruct the lungs, phlegm lung type in patients with CAT score< 30; lung and kidney Qi and yin Deficiency type two patients CAT score> 30.5.The group CAT frequent score higher than non-frequent group. CAT score-prone group are more.concentrated in 21 to 30 minutes; the CAT score infrequent group are more concentrated in the 11 to 20.