The Correlation Between TCM Syndromes And High Resolution CT In Interstitial Lung Disease

Objective:This study in Changchun University of Chinese Medicine Affiliated Hospital pulmonary disease patients with interstitial lung disease cases and HRCT imaging data as the foundation,through the analysis of interstitial lung disease of TCM syndrome types and chest HRCT imaging change characteristics,study of interstitial lung disease macroscopic syndrome differentiation of traditional Chinese medicine and western medicine micro dialectical relationship between the syndrome differentiation and treatment of preliminary explore feasible objective indicators,to provide the reference for the future research work.Methods:Cases and HRCT imaging data of patients with interstitial lung disease in our department from January 2018 to October 2020 were collected,including general information of patients,combined diseases,TCM syndrome types,HRCT signs,stages,etc.,and a database was established.All data were logically checked and analyzed by means of composition ratio,frequency,X~2test,X±S,independent sample T test,principal component analysis and other methods,and analysed by SPSS 21.0 statistical software.Results:1.Among the 558 ILD patients in this study,males accounted for 47.85%and females accounted for 52.15%.There was no difference in the incidence of gender(P>0.05);the average age was 65.02±9.94 years old,with 61-70 years old(39.07%)The most;patients with no history of smoking accounted for 72.94%,and patients with a history of smoking accounted for 27.06%;the average course of disease was 57.94±76.75 months,with the most widespread distribution of 12-60 months(45.52%),followed by the course of disease<1 year(26.52%),Or suggest that with the widespread application of HRCT technology,ILD is being detected early,so the course of the disease is gradually shortening.2.Distribution of combined diseases:In combined respiratory diseases,type I respiratory failure(30.11%)is the main type;combined with cardiovascular and cerebrovascular diseases,coronary heart disease(46.77%)is the main type;combined with CTD and GERD Among the epidemics,RA(12.19%)was the main disease.3.The distribution of TCM syndrome types:the spleen meridian converging fire,phlegm-heat internal accumulation syndrome(44.27%),cold drink convulsing the lung,pulmonary collateral obstruction syndrome(41.58%)are the majority,and there are significant differences in frequency distribution among the various syndrome types(P<0.05).4.TCM syndrome type and HRCT sign distribution:cold drink obliterates the lung,pulmonary collateral obstruction syndrome and spleen meridian obsessive fire,phlegm-heat endogenous syndrome has differences in the distribution of ground glass,honeycomb,and consolidation(P<0.05)Intestines and stomach damp-heat,phlegm dampness in the lungs and lung and kidney deficiency and cold,phlegm and blood stasis obstructing the collaterals syndromes are different in the distribution of stretched bronchiectasis(P<0.05);insufficient kidney essence,pulmonary collateral blockage syndromes and damp-heat accumulation in the three-burner syndromes There were differences in the distribution of trellis and traction bronchiectasis(P<0.05).5.Cold drink in the lung,the main component of the syndrome of pulmonary collateral obstruction:grid,stretched bronchiectasis,honeycomb;component 2:consolidation;component 3:ground glass;spleen meridian burning,phlegm-heat internal accumulation syndrome main component 1:Consolidation,honeycomb;component 2:ground glass;component 3:stretched bronchiectasis,mesh.Xie Sheng Bizhong’s Principal Component 1:Traction Bronchiectasis,Honeycomb;Component 2:Ground Glass;Component 3:Consolidation;Xie Wei Bihuan’s Principal Component 1:Mesh,Honeycomb;Component 2:Ground Glass.Conclusion:1.The relationship between the two certificates and HRCT imaging:(1)The main signs of HRCT imaging changes of cold drink and pulmonary obstruction syndrome are:grid,stretched bronchiectasis,honeycomb and consolidation;secondary signs are ground glass.(2)The main signs of HRCT imaging changes of the spleen meridian and internal phlegm-heat syndrome are:consolidation,honeycomb and ground glass;secondary signs are traction bronchiectasis and mesh.(3)Comparing the two syndromes,the main signs of HRCT of cold drink obliterating lung and pulmonary obstruction syndrome are grid-like changes;HRCT signs of spleen meridian obliterating fire and phlegm-heat internal accumulation syndrome are actualized into specific manifestations.2.The relationship between the two phases and HRCT imaging:(1)The main signs of HRCT imaging changes in severe stage of Xieshengbizhong’s arthralgia are:stretched bronchiectasis,honeycomb and ground glass;secondary signs are consolidation.(2)The main signs of Xieweibihuan’s postoperative HRCT imaging changes are:grid and honeycomb;the minor signs are ground glass.(3)Compared with the two phases,Xieweibihuan’s delayed HRCT showed more ground-glass-like changes and less consolidation;Xieshengbizhong’s severe HRCT showed more ground-glass and consolidation-like changes.3."Grid","honeycomb",and"stretched bronchiectasis"are the main images of pulmonary collateral obstruction,which is considered as the main imaging pathological basis of"bi".4.The images of Xieweibihuan stage to Xieshengbizhong stage show ground-glass to high-density consolidation shadow changes;the paralysis image is mainly manifested by grids,and the paralysis and severe images are mainly manifested by solidification.Interstitial lung disease in traditional Chinese medicine There is a dynamic linkage relationship between syndrome types and Western medicine HRCT.