Clinical Study On Treatment Of Pulmonary Nodules With Liqi Jieyu And Huatan Sanjie Method

Objective:1.On the basis of summarizing the clinical experience of the instructor on the treatment of pulmonary nodules,243 cases of patients with Depression Syndrome are observed to investigate the syndrome's influencing factors,Syndrome type distribution,which provided a reference and treatment direction for clinical syndrome differentiation.2.Combined with the experience of the teacher's diagnosis and treatment,the pulmonary nodule patients with Qi Depression and Phlegm Obstructin type were treated with Liqi Jieyu and Huatan Sanjie method to observe the clinical efficacy and explore its mechanism.Methods:1.Collect the constituent ratio of depression of all 243 depression cases and the major clinical manifestations and diagnostic data of traditional Chinese medicine(TCM),fill in the clinical syndrome type observation scale of pulmonary nodules,establish a database,analyze it by statistical methods,and analyze the distribution characteristics and syndrome distribution of TCM syndromes.2.1n the clinical trial,64 of the 243 patients with pulmonary nodules were selected as patients with Qi Depression and Phlegm Obstructin type and were randomly divided into treatment group and control group according to 1:1.The control group were followed up for observation and just take an equal amount of warm water,the treatment group were treated with Liqi Jieyu and Huatan Sanjie method(Jiajian Yueju Pills).The difference after 3 months of treatment were compared between the two groups of TCM syndrome scores,lung nodule volume,and nodular malignant changes.The data were statistically analyzed to investigate the clinical efficacy and possible mechanism of the treatment of pulmonary nodules with this theory.Results:1.This study investigated 243 patients with pulmonary nodules,most of whom were female,accounting for 58.0%.The age distribution was mostly in the middle and old population,accounting for 76.54%.Small nodules of 5-10mm were the most common in size distributions,accounting for 63.79%.Among them,31 patients were asymptomatic,accounting for 12.76%;in the symptomatic population,there were 19 symptoms with a frequency of ?31,mainly with symptoms of depression;The most common syndrome type was Qi Depression and Phlegm Obstructin type,accounting for 31.28%.There were more females than males in each syndrome type,and there was no significant difference in the distribution of syndrome type in age and nodule size.2.(1)Analysis on the general data:There was no statistical difference(p>0.05)between the two groups(including gender,age,maximum nodule volume,nodular malignant risk score,TCM symptom score)before treatment,which was comparable.(2)Analysis on the maximum volume:the volume of pulmonary nodules in the treatment group was significantly reduced(P<0.05),while the improvement rate of pulmonary nodules in the control group was not significant(P>0.05).There was a statistically significant difference between the two groups after treatment(P<0.05).(3)Analysis on the malignant risk scores:The before and after comparison of the treatment group was statistically significant(P<0.05);the comparison of malignant risk scores before and after the control group was p>0.05,no statistical difference.There was no · statistically significant difference between the two groups after treatment(P<0.05).(4)Analysis on the TCM symptoms scores;The total scores of the symptoms after treatment in both groups were lower than before,but the treatment group was more effective than the control group in reducing symptom scores and relieving clinical symptoms.(5)Analysis on the total effective rate:The total effective rate was 93.10%in the treatment group and 22.58%in the control group,there were significant differences between the two groups(P<0.05).The total effective rate of the treatment group(37.93%)was higher than the control group(6.45%),The difference between the two groups was statistically significant(P<0.05).Conclusions:1.Patients with pulmonary nodules are more common in women,and the majority of them have depressive symptoms,which are related to emotional factors.The most common syndrome type is Qi Depression and Phlegm Obstructin type.2.The clinical research results confirmed that Liqi Jieyu and Huatan Sanjie method(Jiajian Yueju Pills)is effective in treating pulmonary nodules,which can reduce the size of lung nodules and can significantly improve the TCM symptoms of patients with Qi Depression and Phlegm Obstructin type,and no adverse reactions.Therefore,the treatment of pulmonary nodules with Liqi Jieyu and Huatan Sanjie method(Jiajian Yueju Pills)has clinical application value and further research significance.