Correlation Analysis Of TCM Syndromes And Constitution In Patients With Bronchiectasis In Acute Aggravation Stage

PurposeThis topic mainly investigates the physical distribution of patients with bronchiectasis and the TCM syndromes in the acute exacerbation period,explores the internal relationship between the two,and provides a basis for the combined treatment of clinical physique and syndrome differentiation,thereby improving the therapeutic effect and reducing the acuteness of patients.Increase the number of times and improve their quality of life.MethodSelect the patients with bronchiectasis that meet the inclusion criteria in the outpatient ward of the First Affiliated Hospital of Tianjin University of TCM,fill out the patient information collection form after obtaining the patient's informed consent,and the "Self-test Form for TCM Constitution Classification and Judgment" issued by the Chinese Medical Association.Diagnose information to determine its syndrome type,and then establish a database,use SPSS22.0 software to analyze and draw conclusions.ResultA total of 69 patients who met the inclusion criteria were included in this subject,including 32 males(46.38%)and 37 females(53.62%);the age distribution of disease in order of frequency was 60-80 years old(56.52%),40-59 Years old(39.13%),18-39 years old(4.35%);the causes of acute exacerbation include 33 cases(46.38%)of exogenous factors,16 cases of improper diet(23.19%),10 cases of overwork(15.94%),emotional There were 7cases(10.14%)of arrhythmia,and only a few patients had no obvious inducement(4.35%);from high to low,TCM constitutions were Yang deficiency(27.54%),Qi deficiency(15.94%),Yin deficiency(13.04%),Qi stagnation(11.59%),phlegm and dampness(10.14%),special qualities(7.25%),dampness and heat(5.80%),blood stasis(4.35%);phlegm and heat in the lung syndrome of TCM syndrome type(37.68%)is the most common,and the frequency of other syndrome types is reduced to phlegm obstruction lung syndrome(30.43%),wind-heat offending lung syndrome(17.39%),liver-fire offending lung syndrome(14.49%);after examination,bronchodilator acute exacerbation period The physique of the patients wasstatistically different from that of the general population(P <0.01).Age and aggravating incentives are statistically different in physique and syndrome type(P <0.05),but not statistically different from gender(P> 0.05).After examination,there was a significant difference between the type of constitution of patients with acute exacerbation of bronchiectasis and TCM syndrome type(p <0.01).Conclusion(1)The physique distribution of patients with bronchiectasis is mostly biased,and only a few are of mild nature.Among them,yang deficiency,qi deficiency,yin deficiency,qi depression and phlegm-dampness constitute a larger proportion.(2)The most common type of TCM syndrome is phlegm-heat syndrome and lung syndrome,followed by phlegm-dampness lung and wind-heat offending lung syndrome,and liver-fire offending lung syndrome is rare.(3)The physique of patients with acute bronchiectasis is closely related to TCM syndromes.Different constitutions show different TCM syndrome types during the acute exacerbation period: Pinghe quality and traits do not show obvious cold and heat bias,and patients with qi deficiency,damp heat and yin deficiency constitution often have phlegm and heat syndrome;patients with yang deficiency mainly due to yang deficiency Phlegm obstruction is mostly due to phlegm turbidity blocking lung syndrome;Qi depression patients are closely related to liver fire offender lung syndrome.(4)The constitution and TCM syndrome of patients with acute exacerbation of bronchiectasis are related to age and incentives,but not to gender.