| BackgroundChina has entered the aging society in the late1990s to2020, China’s elderly population will reach248million, and aging will reach the level of about17%;2050, the elderly population will be more than400million aging level of more than30%, entered the aging plateau. Chinese medicine has been an integral and important part of medicare, how to play to the characteristics and advantages of Traditional Chinese Medicine, health maintenance and disease prevention and treatment of the elderly, syndromes occupies a pivotal position in which is the foundation and core of TCM clinical research. Beijing Hospital senior cadres of the health care center, large general hospitals to focus on geriatrics, traditional Chinese medicine has always converge for doctors, has accumulated a wealth of experience in the integrated TCM modulating the field of geriatric thinking on their academic, clinical ideas, medication characteristics to be collected and analyzed to investigate the entry point of the present study.PurposeCombing analysis of124cases of multi-system disease and syndrome while and see the complete medical records of elderly patients and the clinical data of Chinese and Western medicine, preliminary multi-system disease in elderly see basic syndromes characterized, common symptoms, disease, card, disease, drugsThe correspondence between the frequency and treatment medication inferior.MethodTake a retrospective study, the use of statistical software,"spssl6" as comprehensive as possible, objective, standardized collection of clinical data, and based on the systemic syndrome, combined with specific organs, data entry following the diagnosis and treatment law. Reference to the methods of clinical epidemiology, clinical data be aggregated, statistical analysis.Result1Basic information:the inclusion of patients suffering from at least three system disease, the primary treatment of diseases3-9, an average of4.78±1.24,60-69year-old group, the average illness prevalence of4.3,70-79-year-old group to4.780-89-year-old group, the average prevalence of5.72, more than90-year-old group, the average prevalence of5.18; increasing with increasing age, type of illness, in which the distribution of diseases in chronic gastritis, dyslipidemia, hypertension sharein proportion to the ratio of75.8%,74.2%,70.2%, followed by56.5%of the chronic lung diseases, coronary heart disease53.3%and diabetes46%.2Study of syndrome 2.1syndromes distribution:Disease elements:Yin65.3%,58.1%qi deficiency, hot41.1%,37.9%blood stasis, qi stagnation and36.3%,28.2%wet yang12.1%yang hyperactivity6.5%, sputum5.6%.Disease location elements:spleen54.8%,49.2%kidney, liver24.2%,23.4%lung, heart19.4%,17.7%of the stomach, colon6.5%,0.8%bladder.2.2syndrome elements and age:Old age group for the elderly (≥80years) Qi deficiency occurrence rate of75%, significantly higher than the ordinary old age group (60-79years old)50%, no significant difference between the other syndromes elements occur in different age groups. In addition, with increasing age, multi-system disease in elderly patients are more likely to Qi deficiency; younger and folders FHP.2.3of syndrome elements with related diseases:Patients with coronary heart disease than those without coronary heart disease patients with Qi deficiency more; Yin Deficiency in diabetics than non-diabetics, phlegm, lung; phlegm, damp the disease elements as well as the lung, spleen syndrome, kidneypermits and other disease-bit elements more common than in patients with chronic lung disease in patients with chronic lung diseases, while fiery yang hyperactivity, stomach certificate syndrome elements in patients with chronic lung disease than in patients without chronic lung diseasesmore common; syndrome elements in the gas stagnation, phlegm, spleen syndrome of cerebral insufficiency in patients than in non-cerebral insufficiency patients more common.2.4Syndromes elements commonly used dose:Traditional shengdi, maidong, wuweizi, zhimu, gouqi Ziyin conventional doses of drugs widely used in the multi-system disease in elderly Yin Deficiency, the conventional dose taizishen, danshen is also more common in the Yin Deficiency. Large doses of raw shenghuanqi and conventional measurement taizishen, dangshen, chaobaizhu fried multi-system disease qi deficiency in elderly widely used conventional doses of huangqinrarely appear in the diagnosis and treatment of multi-system di sease i n elderly qi deficiency. Conventional dose the shengdi, zhimu, and huangqin are widely used in the treatment of multi-system disease in elderly FHP, while the conventional dose of raw shenghuangqi, taizishen, dangshen, chaobaizhu drugs and conventional dose of qi drug woody pole fewer applications.Conventional dose of danggui, sharen, chuanxiong and large doses of danshen other blood drug widely used in the treatment of elderly multi-system disease blood stasis which the conventional dose taizishen than commonly used. Regular doses of dried chenpi, sharen, muxiang, qi drug commonly used in the treatment of multi-system disease in elderly Qi Stagnation of qi medicine taizishen conventional dose rarely applied to Qi Stagnation.2.5Multi-system disease and syndrome elements:Suffering from coronary heart disease, diabetes, chronic lung disease, old age, multi-system disease syndromes is more complex, more complex syndrome factor, and the elderly suffering from chronic gastritis multi-system disease, the composite certificate prime number less syndromes are relatively simple.3Symptoms and diseases, drug3.1(6) of the main symptoms:dry mouth,37.1%,33.9%, weakness, constipation28.2%24.2%, poor sleep, shortness of breath15.3%, dizziness12.9%.3.2Symptoms commonly used drugs:Of conventional dose shengdi, zhimu widely used in the multi-system disease in elderly patients with symptoms of dry mouth, the conventional dose of Dangshen is rarely applied. Conventional dose of raw shenghuangqi, taizishen, danggui, huomaren is often applied to elderly multi-system disease in patients with symptoms of dry mouth. Conventional dose of Angelica and large doses of Trichosanthes, hemp seed is widely used in the multi-system disease in elderly constipation.3.3Symptoms related diseases:Patients with coronary heart disease than non-coronary heart disease in patients with shortness of breath symptoms more common in diabetic patients compared with non-diabetic patients with dry mouth symptoms more common in patients with chronic lung disease are more common than the non-poor sleep in patients with chronic lung disease and shortness of breath symptoms, compared with non-chronic patients with chronic gastritisgastritis patients fatigue symptoms are more common.4Higher frequency of administration of drugs is as follows (first24): Maidong, Chaobaizhu, Shenghuangqi, Shenggancao, Shengdihuang, Danggui, Danshen, Taizishen, Guanlou, Gouqizi, Chuanxiong, Zhimu, Chishao, Wuweizi, Sharen, Dangshen, Shihu, Muxiang, Fu Shen, Huangqin, Chenpi, Tianma, Maziren.ConclusionAgeing multi-system disease TCM syndrome not only have the characteristics of a single disease syndromes, but there is more cross and see, and there may even be a new syndrome characteristics, initial confirmation that the complexity of the elderly multi-system disease TCM syndromes, notcertainty and particularity. Multi-system disease and syndrome in elderly prescription drug is not a single disease documents, not all-inclusive, multi-target therapy, but rather on the basis of TDS, to weigh specimens priorities, modulating. |
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