A Study On The Syndrome Differentiation Of The Triple Focus Of Bronchiectasis

This thesis is mainly divided into two parts.The first part is a literature review:The literature review summarizes the research progress of bronchiectasis in recent years from two aspects of western medicine and Traditional Chinese Medicine(TCM).The western medicine review summarizes the research progress of bronchiectasis from the epidemiological investigation,pathogenesis,pathogenesis and treatment methods of bronchiectasis.On the one hand,it summarizes the Chinese medicine's understanding of branch expansion from the name,etiology,pathogenesis,and treatment progress of the bronchiectasis.relationship.The second part is clinical research:Objective:To study the tri-jiao syndrome differentiation of bronchiectasis;to study the relationship between tri-jiao syndrome differentiation-objective indicators-bronchodilation;to provide ideas for the clinical differentiation of bronchiectasis.Methods:This study collected medical records of patients with bronchiectasis who were admitted to the Respiratory Department of Dongzhimen Hospital of Beijing University of Chinese Medicine from January 2010 to January 2020,and collected the basic information of the patients,the four diagnostic information of TCM,and the objective exaination index information.Microsoft Excel established a clinical case database and used SPSS 25.0 software for data analysis.Results:General information:According to the admission criteria,a total of 120 patients with expansion and expansion,including 47 males and 73 females,were included;the youngest was 27 years old and the oldest was 94 years old,with an average age of 66.54 ± 13.54 years;the longest course was 50 In the shortest year,the shortest diagnosis was confirmed for this admission.The majority were those with a disease duration of 10 years or less,accounting for 73.3%;the onset season was mainly autumn;the factor that aggravated admission was mainly cold,accounting for 59.2%;Syndrome characteristics:Most of the cough exacerbations are mostly those without obvious rules,accounting for 74.2%;moderate coughs are mostly among patients,accounting for 43.3%;and the amount of sputum is mostly 51-100ml day and night,accounting for 52.5%;The most colorant is yellow sticky sputum,accounting for 50.8%;most patients do not have hemoptysis(90 cases,75%).Among patients with hemoptysis,the majority are hemoptysis,accounting for 22.5%;clinical symptoms It is mainly accompanied by chest tightness,dry mouth,wheezing,dry throat,palpitation,etc.;the tongue is mainly dark and red;the tongue coating is mainly yellow,thin yellow,and white;the pulse is mainly slippery string and slippery number.Tri-jiao syndromes:26 cases of single focus disease,60 cases of double focus disease,34 cases of triple focus disease;after splitting according to upper,middle and lower parts,19 cases of upper focus disease,7 cases of middle focus disease,and 47 cases of upper and middle focus disease 9 cases of upper and lower focal scorch disease,4 cases of middle and lower scorch disease,34 cases of upper,middle and lower scorch disease;after dissection,the overall distribution of tri-jiao syndrome is 109 cases of upper scorch disease,92 cases of middle scorch disease,47 cases of lower scorch disease;tri-jiao Syndrome Differentiation with Gender,Course,Season of Onset,Cough Degree,combined hypercapnia,combined hypoxemia,BMI,pulmonary ventilation function,and sputum bacterial culture;tri-jiao syndrome differentiation was related to age,sputum volume,hemoptysis rate,and FEV1%pred.Summary:1.There are more females than males in patients with branch expansion,mainly in the elderly,and they can occur throughout the year,mostly in autumn,with cough and expectoration as the main symptoms,most with moderate cough,and most with sputum volume..2.Patients with dilatation of the triple focus mainly have sputum fever above the upper focal lesions,sputum fever above the two focal syndromes+mid-damp moist fever,mainly sputum fever above the triple focal syndrome+mid-damp heat+lower coke hydrothermal.3.The tri-jiao syndrome classification of patients with branch expansion has nothing to do with the patient's gender,course of disease,time of diagnosis,season of onset,history of drug sensitivity and smoking history.4.The trif-jiao syndrome classification of patients with branch expansion is related to the amount of sputum and hemoptysis of the patient.The trifocal is the channel of human gas,fire and water.5.The tri-jiao syndrome of patients with branch dilatation is related to pulmonary ventilation function?fev1%pred and age,considering that the trifocal syndrome of bronchiectasis may be related to the severity of branch dilatation.