The Study Of Correlation With Lung Function Of Traditional Chinese Medicine Of Qi Deficiency Syndromes Of Stable Chronic Obstructive Pulmonary Disease

ObjectiveRetrospective survey study on correlation with lung function of TCM of Qi Deficiency Syndromes of Stable Chronic Obstructive Pulmonary Disease.Subjects and MethodsCollecting the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and Respiratory Medicine Respiratory Medicine specialist outpatient ward diagnosed with chronic obstructive pulmonary disease and in patients with stable, and collect general information (age, height, weight, smoking history), duration and TCM four diagnostic information, according to TCM four diagnostic parameters dialectic, is divided into the lung qi, lung spleen, lung and kidney qi deficiency Ⅲ, and its recording pulmonary lung function testing results. Using SPSS19.0 statistical software to analyze these data.Results1. Stable Chronic Obstructive Pulmonary Disease in patients with TCM Syndrome and duration:short duration in patients with lung qi group in DLS group, DLS set shorter than lung and kidney qi deficiency group, there are significant differences among the three groups (P<0.05).2. Stable Chronic Obstructive Pulmonary Disease of TCM Syndrome and ventilatory dysfunction type:Lung Qi group with obstructive ventilatory dysfunction mainly DLS group obstructive ventilatory dysfunction with mixed mixed ventilatory dysfunction, kidney qi deficiency Group mixed ventilatory dysfunction, there are significant differences between the groups (P<0.05).3. Stable Chronic Obstructive Pulmonary Disease and lung function of TCM Syndrome Classification:Lung Qi lung function classification mainly Class Ⅰ,Ⅱ level; DLS group classification of pulmonary function mainly in Class Ⅱ, Class Ⅲ; kidney qi deficiency mainly in lung function grading Ⅲ, Ⅳ level. A significant difference between the groups (P<0.05).4. Stable Chronic Obstructive Pulmonary Disease of TCM Syndrome and small airway function:the lung qi group→DLS→kidney qi deficiency evolution, PEF%, MEF50% gradual decline among the three groups except PEF% Pred lung qi DLS group and between groups P=0.352> 0.05, not statistically significant, among other groups were significantly different (P<0.05).5. Stable Chronic Obstructive Pulmonary Disease of TCM Syndrome and ventilatory function:the lung qi→DLS→kidney Qi and evolution, the performance values of FEV1 decline, decline of FEV1% Pred, aggravated degree of airflow limitation. In addition to FEV1 values lung qi and DLS group P= 0.167>0.05, not statistically significant, among other indicators comparison groups were significantly different (P<0.05)6. Stable Chronic Obstructive Pulmonary Disease of TCM Syndrome and residual gas targets:from lung qi→DLS→kidney qi deficiency evolution, RV% Pred increase, TLC% Pred increase, RV/TLC% Pred increased.7. Stable Chronic Obstructive Pulmonary Disease of TCM Syndrome and diffusion functions:from lung qi→DLS→kidney qi deficiency evolution, diffusing DLCO-SB% Pred gradually decline.Conclusion1.With the increase in the course of chronic obstructive pulmonary disease. COPD lung qi by the Chinese dialectical→DLS→kidney deficiency, disease location evolved from lung→→ spleen and kidney.2. With COPD by lung qi→DLS→ kidney qi evolution, classification of lung function level by level Ⅰ→Ⅱ→Ⅲ→Ⅳ grade level change trend. Small airway dysfunction increased, increasing the severity of airflow limitation, diffusing from the normal evolution of the dispersion function is impaired and the extent of the damage gradually worse. COPD TCM Qi Deficiency Syndrome and pulmonary function were significantly correlated.3. COPD with early obstructive pulmonary dysfunction mainly late progressively restrictive ventilatory dysfunction.