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The Clinical Research on the Relationship between TCM Syndromes in CPHD and Physical and Chemical Indexes of Chronic Cor Pulmonale Patients

Author: XuDeZe
Tutor: LiuXiaoHong
School: Guangzhou University of Traditional Chinese Medicine
Course: Chinese medicine
Keywords: Chronic pulmonary heart disease TCM syndromes Logistic regression analysis
CLC: R259
Type: Master's thesis
Year: 2010
Downloads: 42
Quote: 0
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Abstract


The background article access at home and abroad for nearly six years on chronic pulmonary heart disease TCM type and physical and chemical indicators of large amounts of data , recalled Benbingfasheng etiology and pathogenesis , diagnosis and treatment and other reports , a more comprehensive grasp Benbingfasheng the etiology and pathogenesis , diagnosis and treatment, especially microcosmic syndrome differentiation of TCM literature - oriented papers and lay a solid theoretical foundation . The purpose of using logistic regression analysis of TCM syndrome and physical and chemical indicators of chronic pulmonary heart disease , Diagnostic Criteria of unified, standardized , quantified , objective , and to provide an objective basis for the classification and treatment of chronic pulmonary heart disease . To extract our hospital from January 2003 to December 2008 , in line with the 480 cases of hospitalized cases of chronic pulmonary heart disease diagnosis ( samples were taken from 80 cases per year ) , a retrospective survey , record the patient's gender , age, occupation , the onset of the season predisposing syndromes , blood , blood gas , sputum culture and other information , and then check against type and physical and chemical indicators using mathematical statistics methods (such as logistic regression analysis , T - test , chi-square test ) to explore and analyze . Results of the survey found that our hospital inpatients , the incidence rate in rural areas was significantly higher than the city , smoking is an important factor for the disease . Sputum culture positive accounted for 22.1 % of the check , which the majority of gram-negative bacilli . Syndrome distribution mostly phlegm obstruct the pulmonary type , accounting for 47.1% Yin Deficiency type , accounting for 32.9% ; less phlegm-heat Mongolia Khieu type the yang water generics proportion accounted for 8.0% , 12.0 %. Indicators in the WBC, NEU%, LYM% , phlegm obstruct the pulmonary type with phlegm-heat Mongolia awakened the yang deficiency water generic and Qiyinliangxu of type there is a significant difference ( P lt; 0.01 ) are statistically significant ; indicators of PH, HDL-C : the phlegm heat Mongolia phlegm obstruct the orifices type lungs , yang water generic and Yin Deficiency type there are differences ( P lt; 0.05 ) , with statistical significance. Conclusion phlegm obstruct the pulmonary type often appear WBC, NEU% rise to WBC increased most significantly , many accompanied by LYM% decline ; the phlegm heat Mongolia Khieu type often appear PH value , HDL - C decline , and more with PO2 decline ; The yang water generics often appear to reduce or in the low-normal WBC , with or without platelet reduce the total number ; Yin Deficiency type often appear normal WBC and decreased PO2 and accompanied PCO2 increased .

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