Pulmonary Embolism With Chronic Bronchitis Or Chronic Obstructive Pulmonary Disease With TCM Syndrome Distribution

Objective:By collecting clinical data of patients with pulmonary embolism complicated with chronic bronchitis or chronic obstructive pulmonary disease;the distribution of TCM syndromes was summarized,and the differences were explored,so as to provide references for disease evaluation,disease prognosis and TCM treatment rules.Methods:This study used a retrospective case analysis,draw on our hospital since January 2011 to December 2018,432 cases of patients with medical record first clear diagnosis of pulmonary embolism,merger of 57 patients with chronic obstructive pulmonary disease patients,and to merge the 52 cases of chronic bronchitis,collect general data,auxiliary examination,pulmonary embolism in patients with risk factors,TCM four diagnostic information,such as using Epidata3.1 for data entry,set the choice scope of each variable,and double entry(the second input error alarm mode)check to ensure data accuracy,SPSS21.0 was selected as the statistical software to obtain the differences between TCM syndromes of each group.Results:1.General information:109 patients were included,with an average age of 77.01 years old,82 patients over 70 years old,and 26 patients under 70 years old,with a median length of hospitalization of 12.5 days.2.Distribution and comparison of TCM syndrome types:50 cases of qi deficiency and blood stasis type,41 cases of phlegm and blood stasis blocking type,17 cases of phlegm and blood stasis blocking type,1 case of Yang qi and blood stasis blocking type,most cases of patients over 70 years old and phlegm and blood stasis blocking type,most cases of patients under 70 years old and phlegm and blood stasis blocking type.There was no difference in pulmonary embolism site,risk stratification and severity score among different syndromes.The number of lower extremity symptom positive patients with qi deficiency and blood stasis type were more than those with phlegm and blood stasis mutual resistance type.Compared with qi deficiency type and blood stasis type,the median of lactic acid was higher,and the median of inner diameter of right ventricle was higher.3.Comparison of pulmonary embolism with chronic bronchitis and pulmonary embolism with COPD;:there was no difference in the number of patients with pulmonary embolism,pulmonary embolism site,risk stratification and embolism severity score between the two groups;4.The number of cyanos is and moist rales in the lung in he COPD group was higher than that in the chronic bronchitis group;5.In terms of examination results,differences in PT activity,right ventricular outflow tract,pulmonary artery diameter,pulmonary artery pressure and tricuspid regurgitation pressure in the COPD group were usually higher than those in the chronic bronchitis group.Conclusion:1.In patients with pulmonary embolism,qi deficiency and blood stasis type,phlegm and blood stasis type are more common,phlegm and blood stasis mutual resistance type is the second,yang qi sudden detachment type is occasionally seen.2.2.patients over 70 years old are more common with qi deficiency and blood stasis type and phlegm and blood stasis blocking type,while patients under 70 years old are more common with phlegm and turbidity blocking type and phlegm and blood stasis blocking type.3.Patients with qi deficiency and blood stasis may be more likely to have deep venous thrombosis of lower limbs compared with those with mutual obstruction of phlegm and blood stasis.4.Compared with qi deficiency and blood stasis type,patients with mutual phlegm and blood stasis type are more prone to lactic acid rise and right ventricular enlargement.5.Pulmonary embolism patients with COPD are more prone to cyanosis,lung moist rales,abnormal coagulation function and pulmonary hypertension than pulmonary embolism patients with COPD.