The Study On The Correlation Between TCM Syndrome Type Of Bronchiectasis And High Resolution CT Of Chest

Objective: The clinical questionnaire was designed according to the cross-sectional study method.The basic information of bronchiectasis was collected,and the distribution characteristics of the TCM syndrome type of bronchiectasis were analyzed,and the correlation between bronchiectasis syndrome and of chestof high resolution CT,dilated bronchus(tube wall,tube diameter,diameter of tube,diameter of vessel)and the number of pulmonary lobes)was discussed.To explore the feasible objective index of the treatment of the microcosmic syndrome differentiation of Chinese medicine,and to provide a reference for the evaluation of the high resolution CT of the chest in the scientific research and the curative effect of the Chinese medicine.Methods:This study collects 155 hospitalized and outpatient patients diagnosed with bronchiectasis in the First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine from December 2016 to December2017.Finally 128 cases of bronchiectasis were included in the relevant study,According to the collected general information and clinical data to distinguish the TCM syndromes,recording bronchiectasissyndromesquestionnaire.A high resolution CT survey project for patients with bronchiectasis was collected: The type of bronchiectasis,dilated bronchus(tube wall,tube diameter,diameter of tube,diameter of vessel)and the number of pulmonary lobes were studied.The collection table of high resolution CT survey of bronchiectasis was recorded,and the data were recorded in the Excel.The data were analyzed using SPSS22.0 software,such as ???S,composition ratio,binomial distribution,Chi square test,single factor analysis of variance,multiple logistic regression correlation analysis and so on.Results: 1.In this study,the average age of 128 cases of bronchiectasis was 64? 14.15 years old,which was mainly concentrated at 70-80 years old,accounting for 34.37% of the total.The average course of disease was 95.85 ? 94.27 months,mainly in 12-60 months,accounting for 34.38%.Among the patients surveyed,85.94% of the total number of non smoking history and 14.06% smoking patients were combined.The most common disease was lung infection(84.38%).Comparison of bronchiectasis gender composition and the seasonal incidence is no difference.2.In this study,the frequency of TCM Syndrome Types in 128 cases of bronchiectasis was at least in turn: phlegm dampness syndrome(28.13%),phlegm heat accumulation(28.13%),the liver fire attacking lung syndrome(11.72%),wind cold and lung syndrome(9.38%),lung yin deficiency syndrome(8.59%),lung qi deficiency syndrome(6.25%),wind and heat syndrome(4.69%),lung and kidney two deficiency syndrome(3.1 3%).The frequency of tongue and pulse appeared more frequently: tongue red(32.81%),lingual red(15.63%),vein slide number(24.22%),pulse moistening(22.66%),yellowish greasy(27.34%),and greasy fur(25%),suggesting that the bronchiectasis machine often pinch phlegm and heat,two can appear individually,or intersse with each other.3.By chi square test,the results of this study suggest that t In this study,the main expansion of the syndrome of phlegm dampness and lung accumulation was cystic dilatation(41.70%).The main syndrome of phlegm heat accumulation was cystic dilatation(30.60%),and the liver fire and lung syndrome was mainly columnar dilatation(73.30%).4.By single factor analysis of variance,there were significant differences in the mean of the dilated bronchial wall thickness,the mean of the diameter of the tube,the mean diameter of the tube and the diameter of the accompanying vessel(P<0.05),and the thickening of the dilated bronchus(1.87?0.74mm)in the phlegm heat accumulation(1.87? 0.74mm).It is the syndrome of phlegm dampness(1.80 ? 0.70mm)and the syndrome of wind and fever(1.55?0.45mm),the expanded bronchial diameter is obviously increased in the syndrome of phlegm damp accumulation(10.75?5.72 mm)and two deficiency of lung and kidney(10.44?1.18 mm),and the dilated bronchus diameter is obviously enlarged in the two deficiencysyndrome of the lung and kidney(9.74?2.67 mm),and the second is next to the thickness of the lung and kidney.It is phlegm dampness syndrome(8.21 ? 5.62mm)and deficiency syndrome of lung yin(7.02?3.58 mm);the dilated bronchus accompanied by the diameter of blood vessels in the deficiency syndrome is obviously increased,in turn,two deficiency syndrome of lung and kidney(3.44?1.00mm),lung qi deficiency syndrome(2.90?0.94mm),lung yin deficiency syndrome(2.57?1.51mm),and the liver fire attacking lung syndrome in the above HRCT measurement project The lung syndrome was significantly smaller than the other syndrome types.The number of lesions in the lung bronchiectasis bronchiectasis among.TCM syndromes distribution difference was not statistically significant.5.Analysis of 128 cases of patients with bronchiectasis HRCT survey and TCM Syndrome Correlation by using multiple logistic regression method.The results suggested that in a survey of 128 cases of bronchiectasis in the bronchial wall thickness of pulmonary spleen qi deficiency and phlegm retention in the lung syndrome is negative related.The thickness of the bronchial wall is 2.456 times that of the lung qi deficiency syndrome.the investigation of 128 bronchiectasis cases,the relationship between the syndrome of phlegm damp syndrome is negative correlation.That is,the thickness of the bronchiectasis of the dilatation of the phlegm dampness syndrome is about 2.456 times that of the deficiency of the lung and temper.Conclusion: 1.The general data of 128 cases of bronchiectasis from this study showed that there was no difference in the incidence of sex,and the age of the disease was more than60 years,.There is no difference in the distribution of the four seasons because of the local pathological factors of the bronchiectasis.And the acute attack often combines with pulmonary infection.The course of the disease mainly concentrates between 12 and 60 months.2.From the analysis of the distribution of TCM syndrome type,the most common TCM syndrome type of bronchiectasis is phlegm damp syndrome,phlegm heat accumulation,the liver fire attacking lung syndrome,lung,wind and fever,lung and lung,and deficiency syndrome of lung yin,qi deficiency syndrome of lung and spleen and two deficiency of lungand kidney.With the common pathogenesis of common tongue tips bronchiectasis phlegm heat and deficiency,three can appear alone,also can interact with.Bronchiectasis pathogenesis is phlegm,heat,deficiency on the basis of tongue and pulse,the three can appear alone,also can interact with.3.The relationship between the TCM syndrome type of 128 cases of bronchiectasis and high resolution CT survey showed that the main expansion of the syndrome of phlegm dampness and lung accumulation was cystic dilatation.The main syndrome of phlegm heat accumulation was cystic dilatation,and the liver fire and lung syndrome was mainly columnar dilatation.In 128 cases of bronchiectasis,dilated bronchiolar wall thickening is related to phlegm,phlegm heat,or pinch wind,and the obvious increase of the outer diameter of the tube is related to the phlegm dampness and deficiency of the pathogenesis,and the inner diameter of the tube is obviously related to phlegm dampness,deficiency and phlegm heat.It is suggested that the dilated bronchi with the diameter of the blood vessel is obviously increased in the deficiency syndrome.The clinical effect of bronchiectasis with vascular diameter can also provide a reference of bronchiectasis.4.Combined with the single factor ANOVA analysis and multiple logistic regression analysis results of the TCM syndrome type and high resolution CT survey project of this study,it is suggested that the bronchial wall thickness of the bronchiectasis is obviously greater than the deficiency syndrome in this study,and the concomitant vessel of this type is obviously greater than that of the liver fire and lung syndrome.On the other hand,it is suggested that the mechanism of bronchiectasis is more likely to destroy the bronchial structure and lung function in phlegm,so it should pay more attention to the pulmonary function of the patients in the early period of treatment,so as to prevent the disease progression.Therefore,the thickness of dilated bronchial tube wall can be used to evaluate the clinical efficacy of bronchiectasis phlegm syndrome.The dilated bronchus diameter can also provide reference for the clinical curative effect of asthenia syndrome of bronchiectasis.After the gradual improvement,they can be used as an objective evaluation index for the study of the bronchiectasis in the Department of traditional Chinese medicine.The thoracic HRCT wasintroduced into the Micro syndrome differentiation of TCM for certain research,and the high resolution CT correlation index was preliminarily explored to provide reference significance for the scientific research and therapeutic evaluation of traditional Chinese medicine.