Clinical Study On Dialectical Relationship Between Cardiac Indicators And Yangxu Of Chronic Obstructive Pulmonary Disease(COPD)

Objective: Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory diseases. May 2004 American Thoracic Society (ATS) and European Respiratory Society (ERS) formally promulgated the new "chronic obstructive pulmonary disease diagnosis and treatment guidelines" will be chronic obstructive pulmonary disease is defined as: COPD is a preventable, treatable disease, not entirely restricted to irreversible airflow characteristics of a regular flow of the limited increase, and more with the lungs of harmful particles or gases, mainly the abnormal inflammatory response of smoking-related. Chronic obstructive pulmonary disease of Chinese medicine "lung expansion," "Chuanke", "Tanyin", "Shuiqi" and so on, is a course of slow, difficult for the high prevalence rate, high mortality of the disease, has become an important public health problem.Methods: This study was retrospective analysis of 422 cases, as hospital treatment of the medical records of patients with COPD , were treated from October 2004 to October 2007 in the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and Chinese medicine hospital of Guangdong Province. Design an uniform questionnaire, to explore in the laws of patients with chronic obstructive pulmonary disease between deficiency syndrome characteristics and Cardiothoracic ratio, electrocardiogram, 24-hour dynamic electrocardiograms, Echocardiography, and the relationship with sputum, stasis and exopathy. To grope between Yang-deficiency syndrome with heart-related indicators and prognosis of disease, and emphasize the importance of yang of chronic obstructive pulmonary disease and provide a theoretical basis for The treatment of Supporting the Healthy Energy and Strengthen the Body. Result: In Yang-deficiency, the comparison of Cardiothoracic ratio , lower right diameter pulmonary artery and pulmonary artery of the protrusion with qi-deficiency and yin-deficiency group showed marked significance (P<0.05). ECG indicators (lung-P wave, power steering axle, right bundle branch block) and dynamic electrocardiograms of arrhythmia (room early, tachycardia) Yang-deficiency Group were higher than the incidence of qi-deficiency and yin-deficiency Group, Echocardiography in the right pulmonary artery diameter, the right ventricular outflow diameter, the right ventricular outflow Road / left atrial diameter with qi-deficiency and yin-deficiency group also increased significantly, there are significant (P<0.05).The proportion of Yang-deficiency composition of blood stasis, Yang-deficiency induced by exopathy higher than qi-deficiency and Yin-deficiency Group, a significant difference (P <0.05).Conelusion : Descript that the extent of damage to the heart of Yang-deficiency Group was serious than qi-deficiency and Yin-deficiency Group, And more easier to merge blood stasis and exopathy. Yangxu Syndrome is closely related to the occurrence , development and prognosis of chronic obstructive pulmonary disease. Suggested that we do not to abuse the drugs of bitter and cold, antibiotics and anti-hormone drugs in clinical. Analysis from the pathogenesis of Traditional Chinese Medicine, From the phlegm-heat, phlegm-dampness and other evidence to deficiency of both qi and yin to yang injury is more severe condition of the process, this study also verified the initial point of view, to emphasize the importance of yang of the chronic obstructive pulmonary disease and provide a theoretical basis for The treatment of Supporting the Healthy Energy and Strengthen the Body.