Characteristics Of Traditional Chinese Medicine In Treating Acute Exacerbation Of Chronic Obstructive Pulmonary Disease

ObjectiveTo summarize the current status of diagnosis and treatment,the characteristics of TCM symptoms,and the law of medication,by reviewing and analyzing cases of acute exacerbation of chronic obstructive pulmonary disease.MethodsThis study included 484 patients with acute exacerbations of chronic obstructive pulmonary disease admitted to the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from September 2017 to August 2018.The data collected by the case was input into the computer,and data analysis was performed using SPSS 20.0 software.We described themeasurement data by "mean±standard deviation".Data were analyzed by t-test,when the data conformed to the normal distribution and the homogeneity of the variance;otherwise,the Wilcoxon rank sum test was used.We used general statistical descriptions and chi-square tests to analyze counting data.We used rank sum test to analyze the pairing difference and grade distribution of grade data.When p<0.05,the difference was considered statistically significant.According to the Chinese medicine prescription,the specific medication is recorded as "1",and the other is recorded as "0".Using software to perform frequency statistics and cluster analysis on the composition of traditional Chinese medicineResults1.83.1%of the patients were male;90.29%of the patients were aged between 60 and 89 years old;64.3%of the patients had a history of smoking.The number of hospital admissions was the highest in January.2.At admission,251(51.2%)patients had a temperature above 37.3°C,and 303(62.6%)had a respiratory rate greater than 20 beats/min.In 401 patients(82.85%),the auscultation of the lungs was audible and wet.308(63.61%)patients had leukocytes higher than 10,450(92.97%)patients admitted to the hospital for procalcitonin,289 cases were greater than 0.05ng/ml.401 cases(82.85%)patients with chest imaging showed exudation,suggesting that the infection is The main predisposing factors for aeute exacerbation of chronic obstructive pulmonary disease.3.Anti-infective,anti-inflammatory,and diastolic bronchus are the main treatment options.There was no significant difference in the length of hospital stays between the intravenous hormone group and the oral hormone group,under the conditions of the same age,blood analysis,and blood gas combination.4.The main syndromes of patients with acute exacerbation of chronic obstructive pulmonary disease in this study were 219 cases(45.25%)with phlegm obstruction and 168 cases(34.71%)with Heat-phlegm.5.A total of 484 entries were included in the study.According to the drug frequency count,the top 20 drugs are Rhizome pinelilae(Banxia),Radix glycyrrhizae(Gancao),Poria(Fuling),Semen armeniacae(Xingren),Fructus periliae(Zisuzi),Semen raphani(Laifuzi),Radix platycodonis(Jiegeng),Radix asteris(Ziwan),Flos farfarae(Kuandonghua),Semen coicis(Yiyiren),Semen persicae(Taoren),Cortex mori(Sangbaipi),Cortex magnoliae officinallis(Houpo),Rhizoma atractylodis macrocephalae(Baizhu),Rhizoma phragmitis(Weijing),Semen sinapis(Baijiezi),Herba ephedrae(Mahuang),Fructus trichosanthis(Gualou),Radix scutelilariae(Huangqin),Pericarpium citri reticulatae(Huajuhong).The commonly used drugs combination are Rhizome pinelilae-Poria,Semen armeniacae-Radix glycyrrhizae,Fructus periliae-Semen raphani-Semen sinapis.ConclusionThe hospitalized population in this study was mainly middle-aged and older men,and there was a significant seasonal change in admission time.TCM syndromes are mainly phlegm obstruction of the lungs,Heat-phlegm.The commonly used drugs combination are Rhizome pinelilae-Poria,Semen armeniacae-Radix glycyrrhizae,Fruetus periliae-Semen raphani-Semen sinapis.