| Objective: The purpose of this study is to analyze the general Chinese type and proving and distributional features of patients with acute postnatal bronchiectasis in Tianjin Medical University Secondary Hospital We would like to analyze and respond to Chinese medicine diagnosis,treatment and individualization of acute phase expansion.Sex Midwest doctors can combine benefits and provide conception and benefit from being suffering from more diseases.Methods:1.Cross sectional study was used to collect patients with bronchiectasis in the respiratory tract of the second attached hospital in Tianjin traditional medicine.Under the guidance of the doctor with clinical experience over 5 years in the respiratory department,the data collection table of 4 diagnosis of the bronchiectasis patient was made,and the patient 's symptom and the symptom were collected,and the basic demographic data and clinical related data of the patient were recorded.Using spss25.0 statistical software for data statistical analysis.2.According to the treatment situation in hospitalization,it is divided into Western medical treatment group,Chinese medicine and Western medicine group,combination of TCM syndrome differentiation and treatment group.Before and after treatment,the following were analyzed: TCM symptom score,treatment efficiency,weighting time of 1 year,WBC,neutrophil number,CRP,oxygen partial pressure,and oxygen,and the index of carbon partial pressure and blood oxygen saturation was analyzed.Using spss25.0 statistical software for data statistical analysis.Results: 1.Characteristics of Chinese medical records in 117 patients with acute phase bronchiectasis.1.1The present study included 52 patients with acute weight stage matched to the diagnostic criteria.The average age of 117 patients was(68.63 ± 13.02),and the maximum patient was 92 years old and the minimum patient was 16 years old.According to age,24 patients(5.1%),50(60%)patients(20.5%),50(60%),60 to 70(70 years old),36(30.8%)patients aged 60 to 70(70 years),24(20.5%)patients ranging from 70 to 80 years(including 80 years)(20.5%),80 to 90 years(including 90 years),24(20.5%)patients,and 90 year old patients(2.6%)were the largest 60 to 70 years old.The average body mass index of 117 patients with acute weighted dilatation(20.94 ± 2.14 kg / m2)was 27.3,the minimum value was 15.7,and 11 patients were mild,and 9.4% of patients accounted for 9.4%,the normal patients occupied 82.9%,the overweight patients accounted for 7.7%,the obese patients accounted for 0% and 0%.Located in the top 3 in a group of 117 patients,occupy 34.2% of the patients with progressive hypertension,occupies 34.2% of the total heart disease,occupies 30.8% of the heart disease,occupies 30.8% of the total and 33 cases of chronic lung disease,occupies 28.2% of the whole.1.2Patients with acute grafting period of 117 cases,and 10 points before the ranking,here are the symptoms of cough,dyspnea,cholecystia,smear,smear,moss thickness,cough,phlegm,pulse slip,and night shift;the other 30 symptoms are high in the stomach stomach of stomach,poor in stomach stomach,pulse count,bloodstream,cough white phlegm,tongue There are red fever,fever,moss white,moss,no power,palpitations,palpitations,cough and yellowish sputum,cough,and yellowish sputum,the face is scarlet,the pulse is sinking,the body is bad,the urine is frequent,the urine is frequent,the cold is dry,the mouth is dry,the little moss,the mouth is light red,the face is red,and the tongue is thin.The disease element is actually the sputum moisture,and it combines phlegm fever.It is mainly the mind and shade.The disease position is mainly made from the lungs,spleen,kidney,liver,heart,stomach and small intestine.The proof type that can appear is the sputum wet pulmonary capsule and the sputum fever capsule lung cancer certificate.2.Observation of therapeutic effect of syndrome differentiation in patients with acute bronchiectasis.2.1.General information on patients: patients in our hospital have high acceptance of TCM syndrome differentiation therapy.Among 117 cases which caused acute exacerbation of bronchiectasis,92 cases were treated with the combination of Chinese medicine and Western medicine,and 25 cases were treated only by conventional western medicine.The ratio of men and women is 19:27 of the integrated traditional Chinese and Western medicine group,14:11 of the western medicine group.The mean age of 92 patients was 67.Mean body mass index of 92 cases in the combined group was 220.20 ± 0.227,and 25 cases were 19.96 ± 0.334.The sputum culture of 60 patients with bronchiectasis of an integrated group of Chinese medicine and Western Medicine showed the normal flora,65.2%,two cases were Pseudomonas aeruginosa,Klebsiella pneumoniae,Citrobacter Klebsiella and Enterobacter cloacae.1.1% accounting.In the western medicine group,sputum culture of bronchiectasis patients was normal in 15 cases,occupied 60%,and Pseudomonas aeruginosa and Klebsiella pneumoniae were detected in 1 case,and occupied 4%.Sputum culture was not observed in other patients.2.3.Combination of the addition of groups of Chinese and Western medicine: Traditional Chinese medicine is dialectically used based on traditional treatment of Western medicine.Commonly used traditional Chinese medicines are licorice,scutzaria,mulberry bark,bitter almond,Qianhu,Zhebei,Houttuynia cordata,Platycodon grandiflorum,tangerine skin,Pinellia ternata,etc.Its primary effect removes heat and sputum,reduces cough and asthma,removes heat and moisture,regulates Qi,removes heat and toxins,promotes blood circulation,and removes hemostasis.Prescription: Qingjin Huatan Decoction,Sangbaipi decoction,maxingsigan decoration,yinqiao powder,Liujunzi decoupling,Wuling powder.Clinical pharmacology is consistent with the study of the distribution of TCM syndrome consistent with the differentiation and treatment of the syndrome.2)western medicine group: antiinflammation,sedation,expectoration and anti asthma treatment.2.4.Effect analysis 1)TCM symptom score and effective rate: 13.00(10.00-17.75)before treatment,5.00(4.00-7.00)after treatment,12.00(9.00 to 16.50)before treatment,7.00(5.00 to 9.00)after treatment.The score of TCM symptoms in patients with bronchiectasis decreased after the combination of traditional Chinese medicine and Western medicine and treatment of Western medicine.The difference between the two groups before and after treatment was statistically significant.The difference between the two groups after treatment was statistically significant.The effectiveness of treatment of Integrated Chinese medicine and Western medicine group was 95.7%,and it was significantly higher than 80% in the western medicine group.2)the number of acute exacerbation: the average number of aggravating numbers of Integrated Chinese medicine and Western medicine group was 1.24,and the average aggravation number of the year in western medicine group was not statistically different between 2.08 and P > 0.05 and 2 groups.3)test data: Blood routines and CRP: WBC: before treatment(9.0696 ± 3.49806),after treatment(7.2592 ± 2.60542),before treatment(10.0292 ± 3.79046),after treatment(8.3287 ± 4.09472).There was no significant difference between the two groups.Neut: 5.9650(4.088-8.7125)before treatment,4.2400(3.2450-6.4475)after treatment,6.3400(5.2300-10.0150)before treatment,5.2800(3.2350-6.5387)after treatment of Western medicine group.Statistical differences between the integrated Chinese medicine and the western medicine group were not statistically different in the western medicine group,and statistical differences were not observed between the two groups after treatment.CRP: 5.3550(3.5725?11.4000)after treatment of 18.7200(8.1525?58.7000)prior to treatment,37.3300(7.5950?100.200)prior to treatment and17.5000(7.2400?34.5674)after treatment.There were statistical differences between the two groups before and after treatment.There was no statistical difference between the two groups before treatment.There was statistical difference between the two groups after treatment.Hemopoiesis: Pa O 2: 74.15(67.05 to 86.35)before the treatment of Nakanishi Medical Association group,84.50(77.13 to 90.58)after treatment,77.90(68.00 to 87.00)prior to western medicine group treatment,78.40(68.95 to 83.15)after treatment.Western medicine and Western medicine have differences in statistics within groups.Comparison within Western medicine groups has no significance in statistics.Comparison between two groups after treatment has the significance of statistics.Pa CO2: 45.15(41.10-49.30)before treatment,40.40(37.60-45.57)after treatment,45.60(41.80-50.55)before treatment and 40.73(37.11-47.80)after treatment in the western medicine group.The difference between the two groups before and after treatment was statistically significant,but there was no significant difference between the two groups after treatment.Sa O2: 93.60(91.20-95.50)before treatment,96.70(94.88-98)after treatment,93.30(91.40-94.85)before treatment and 96.50(93.65-98.13)after treatment in the western medicine group.The difference between the two groups before and after treatment was statistically significant,but there was no significant difference between the two groups after treatment.Conclusion: According to the study,the prospective distribution of acute weight bronchiectasis shows that the disease element is actually sputum and the sputum fever.It is mainly the mind and shade.The disease is mainly made from the lungs,spleen,kidney,liver,heart,stomach and small intestine.The main proof types include phlegm pulmonary lung exposures,sputum fever,lung excision,hepatitis 2,blood loss,pulmonary fever and lung cancer.In this study,the treatment of Chinese medicine improves the integration of the symptoms of Chinese medicine and has the efficiency of treatment,the direction of the CRP and the partial pressure of oxygen is remarkable,and is superior to the treatment of Western medicine.The dialectic theory of Chinese medicine has the advantage of the feature,and it can improve the whole. |
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