Study On The Relationship Between Bronchoscopic Images And TCM Syndromes Of Pneumonia In Children

Objective: Under the guidance of TCM(traditional Chinese medicine)syndrome differentiation thinking,with clinical symptoms as the main basis for syndrome differentiation and combination of pediatric fiberoptic bronchoscopy,analysis of pediatric asthma of pneumonia each card type bronchoscopy microscopic pathological changes,research on infantile pneumonia and asthma syndrome type fiber bronchoscope under as the relationship between which provide new ideas for TCM syndrome differentiation and treatment and more objective reference.Methods: In this study,235 children with pneumonia who met the inclusion criteria and exclusion criteria were selected from the Pediatric Respiratory Comprehensive Department of Shandong Provincial Hospital from October 2020 to November 2021.By means of clinical investigation,the correlation between TCM syndrome type and bronchoscopy was analyzed by observing and recording the case data of children with pneumonia.Results:1.General data analysis: the male to female ratio was about 1.31:1;The proportion of preschool children was the largest,followed by schoolage children.The course of the disease is concentrated within two weeks;The main inducement was cold temperature disorder,about 57.87%,followed by others infection,about 39.15%.2.The relationship between TCM syndromes and the general situation of children:(1)Among the children with pneumonia syndrome included in the study,there were 79 children with phlegm-heat closed lung syndrome,accounting for 37.87%,and there were 79 children with wind-heat closed lung syndrome,accounting for 33.62%.The number of children with deficiency syndrome(lung-qi deficiency syndrome,Yin deficiency lung syndrome)and dialectic syndrome(Xinyang deficiency and weakness syndrome,evil depression and jue Yin syndrome)is small.(2)There was no difference in gender distribution of syndrome type.(3)There were differences in age distribution of syndrome types: school-age children were in the majority of wind-heat syndrome and phlegm-heat syndrome of lung closure,while toxin-heat syndrome of lung closure was in the majority of pre-school-age children.(4)There were differences in the distribution of syndrome types in the course of disease: the course of wind-cold closed lung syndrome was mostly within 1 week,the course of phlegm-heat closed lung syndrome was8-14 days,and the course of Yin deficiency lung heat syndrome and lung qi deficiency syndrome was more than half a month.3.Relationship between TCM syndrome type and bronchoscopic image of children :(1)mucosal abnormalities under bronchoscopy of various syndrome types are mainly manifested as mucosal edema and mucosal congestion,and the other manifestations are longitudinal mucosal wall wrinkling and mucosal erosion successively.There was no significant difference in mucosal changes under microscope among different syndrome types.(2)There were 53 cases of bronchoscopic stenosis,accounting for 22.55%,and there was statistical significance(P=0.005 < 0.05).The most cases of bronchoscopic stenosis were wind-heat syndrome of lung closure,followed by phlegm-heat syndrome of lung closure.(3)The sputum condition under bronchoscopy of different syndrome types: the number of sputum attached to the wall was 179 cases,accounting for 76.17%,the proportion of plastic sputum plug and ordinary sputum plug was similar,accounting for about13.8%,and the proportion of sputum scabs attached to the wall was 5.96%.There were statistically significant differences in the manifestations of lumen sputum of different syndromes.Children with wind-heat closed lung syndrome and phlegm-heat closed lung syndrome were the main manifestations of sputum gusher,children with phlegm-heat closed lung syndrome were the main manifestations of phlegm-heat attached to the wall,and children with phlegm-heat closed lung syndrome were the main manifestations of shaping sputum plug.Conclusion: Pneumonia in children in early school age,school age high incidence;The main causes of the disease are cold and temperature disorders and other infections;The most common syndrome type was phlegmheat closed lung syndrome.Wind-heat closed lung syndrome and phlegm-heat closed lung syndrome were most common in school-age children,while windcold closed lung syndrome and toxin-heat closed lung syndrome were most common in preschool children.The changes of luminal mucosa under bronchoscopy had nothing to do with TCM syndrome type.Lumen stenosis under bronchoscope is related to TCM syndrome type.Under bronchoscopy,sputum gusher,sputum wall adhesion and plastic sputum plug were related to TCM syndrome type.