Clinical Characteristics Of Pulmonary Interstitial Fibrosis In Chinese And Western Medicine

ObjectiveBy collecting the relevant clinical data of pulmonary interstitial fibrosis patients,and analyzing,summarizing,summarizing and summarizing the clinical characteristics of pulmonary interstitial fibrosis patients,to explore the clinical characteristics of pulmonary interstitial fibrosis and to understand the pathogenesis of pulmonary interstitial fibrosis,and to provide the relevant basis for clinical diagnosis and treatment of TCM.MethodThe general data,onset season,course of disease,diagnosis,smoking history,occupational exposure history,laboratory examination,respiratory system and systemic symptoms were collected by questionnaire.Statistical analysis was made to summarize the distribution of clinical characteristics of traditional Chinese and western medicine.Result1.Pulmonary interstitial fibrosis mainly occurred in middle and old age patients with IPF,it occurred more in male than female in SPF patients.2.Smoking and occupational exposure are important inducement and aggravating factors of pulmonary interstitial fibrosis3.The patients with pulmonary interstitial fibrosis were often complicated with immune system,circulatory system,endocrine and metabolic diseases and digestive system diseases.4.Pulmonary dysfunction was found in most of the patients with pulmonary fibrosis.The diffuse function of pulmonary fibrosis(DLCO%)was negatively correlated with the two indexes of red cell volume distribution width(RDW).5.The diffusive function of the patients with "lung arthralgia" is mostly mild-moderate disorder,the condition is mild,and the diffusion-function of "lung impotence" patients is mostly moderate-severe disorder,the disease is more serious."Lung arthralgia" and "lung impotence"also exist in the middle stage of disease progression and moderate decrease of diffusive function.6.The order of syndrome types of patients with pulmonary interstitial fibrosis is deficiency of qi and yin,phlegm and dampness to lung,deficiency of lung and spleen qi,deficiency of lung qi,phlegm and stasis of lung stagnation of water and dampness,deficiency of both yin and yang.7.With the extension of the course of disease,phlegm dampness,blood stasis,yang deficiency,water stop syndrome occurrence ratio has increased,wind and heat syndrome significantly reduced,involving more organs,more involvement of the heart and kidney.8.With the decrease of dispersion function,the distribution of patients' syndromes was mainly caused by the deficiency of Qi,which gradually changed into multiple deficiency syndromes and multiple empirical studies.Among the patients with secondary pulmonary interstitial fibrosis,the syndrome type of primary Sjogren's syndrome was deficiency of qi and deficiency of qi and yin,and the most common type of primary disease was deficiency of lung qi in patients with undifferentiated connective tissue disease.Primary rheumatoid arthritis patients with the most syndrome type of phlegm dampness obstruction of lung and deficiency of Qi and Yin,primary ANCA related vasculitis syndrome type of the most is qi deficiency and blood stasis syndrome.Conclusion1.The age of pulmonary interstitial fibrosis is older,and there is a certain gender difference.Smoking and occupational exposure are important inducements for pulmonary interstitial fibrosis and risk factors for many lung diseases.Patients with this disease are often associated with other multi-system diseases,and there are varying degrees of pulmonary dysfunction.There is a negative correlation between the diffuse function of patients with pulmonary fibrosis and the two indexes of RDW,and it is possible to evaluate the RDW of pulmonary diffuse function in patients with pulmonary interstitial fibrosis.2.Lung arthralgia and lung asthenia are different aspects of pulmonary fibrosis disease,with the aggravation of the illness,pulmonary fibrosis patients gradually from pulmonary arthralgia to pulmonary impotence.3.The main syndromes of pulmonary fibrosis were deficiency of qi and yin,phlegm and dampness,and the distribution of the syndrome type was related to the course of disease and the degree of decline of lung function.The longer the course of disease,the worse the lung function,the more serious the deficiency,the more involved in the viscera,and the more complicated the pathogenesis.In patients with secondary pulmonary fibrosis,the distribution of syndromes is different because of the difference of the primary disease.The primary patients with Sjogren's syndrome were mainly deficiency of qi and deficiency of qi and yin,the primary disease of undifferentiated connective tissue disease was deficiency of lung qi,and the primary disease of rheumatoid arthritis was phlegm and dampness to block lung and deficiency of qi and yin.Primary patients with ANCA associated vasculitis were mainly qi deficiency and blood stasis syndrome.