| Objective:To review and analyze the clinical data and distribution of traditional Chinese medicine constitution of patients with pulmonary nodules,and to provide ideas for the application of traditional Chinese medicine Constitution theory in the early diagnosis and treatment of pulmonary nodules.Methods:From March 2017 to January 2018,the patients of lung nodules in the MDT Clinic of lung nodule of Jiangsu Provincial Hospital of Traditional Chinese Medicine,an d the People's Hospital of Jiangsu province were treated with VATS.All patients collect ed general information and nodule characteristics.According to its recent year of self-con scious symptom of Traditional Chinese Medicine Physique classification and Judgment ta ble carries on the physique identification.During the same period of follow-up,the patie nts with definite diagnosis were divided into benign group and malignant group,and all the relevant data were collected and analyzed by Excel and SPSS 24.0 statistic software.Results:? This study included 798 cases,317 males,481 females,male and female ratios ofl:1.3,and average age 54.80±11.07(years).The diagnosis of pulmonary nodules was 366 cases and 30 cases of nodules were absorbed or disappeared during the follow-up,121 cases of benign nodule group and 245 cases of malignant nodule group.204 cases of mild and moderate in 798 patients with pulmonary nodules,biased physique in 594 cases(74.4%),of which 154 cases(25.9%)of Qi stagnation were in 94 cases(15.8%),the deficiency of 92 cases(15.5%),damp-heat quality 66 cases(11%),phlegm-dampness quality 52 cases(8.8%)= The Blood Stasis 52 cases(8.8%)and the Yin deficiency were 48 cases(8.1%)and the specificity of 36 cases(6.1%).? Inflammatory nodules and AAH were found in the benign group and 95.5%in the malignant group were early lung cancer.There was no statistically significant difference in sex between two groups of benign and malignant group(p>0.05),but in age,smoking history,history of malignant tumor,the difference was statistically significant(p<0.05),and the nodule size,burr sign,growth position(upper lung)and benign and malignant groups were statistically different(p<0.05).? The distribution of traditional chinese medicine constitution of Benign group is as follows:Mild to moderate 39 cases(32.2%),Qi-stagnation constitution in 29 cases(24%),damp-heat quality 10 cases(8.3%)= Qi deficiency quality 10 cases(8.3%)deficiency of 8 cases(6.6%)= Yin Deficiency in 8 cases(6.6%),phlegm and dampness quality 7 cases(5.8%)and blood stasis in 6 cases(5%)? 4 cases(3.2%).The Constitution distribution of malignant group is as follows:There were 48 cases(19.6%)with mild-Yang deficiency in 43 cases(17.6%),Qi deficiency in 42 cases(17.1%)= Qi-stagnation constitution in 42 cases(17.1%),hot and humid mass 20 cases(8.2%),blood stasis in 16 cases(6.5%),and phlegm-dampness quality in 14 cases(5.7%)The 12 cases of Yin deficiency(4.9%)and the specificity were 8 cases(3.3%).There was a statistically significant difference in the benign group of the malignant group of Qi deficiency and Yang deficiency(p<0.05).There was a statistically significant difference between benign group and homogeneous group(p<0.05).Conclusion:The majority of the patients in the lung nodules are females,middle-aged and elderly people see more.Qi-stagnation constitution is the most been see.The probability of malignant nodules increases with age.The history of smoking and previous malignant tumors was higher than those with no relevant history.The greater the nodule diameter,the higher the probability of malignancy.The nodules located on the upper lobe and the burr sign were suggestive of malignant possibility.From the point of view of physique,it is suggested that Yang-deficiency and qi deficiency are susceptible to malignant pulmonary nodules,and that peace and quality may be the protection of benign pulmonary nodules. |
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