Discussion On The Participation Of Clinical Pharmacists Of Traditional Chinese Medicine In The Clinical Treatment Of Chronic Bronchitis

Objective: in order to study the distribution law of syndrome types and medication characteristics of patients with chronic bronchitis,and to explore the mode and work content of clinical pharmaceutical care of traditional Chinese medicine,to provide more scientific and broader treatment ideas for clinical treatment,and to explore the clinical significance of clinical pharmacists of traditional Chinese medicine participating in the treatment process of patients with chronic bronchitis,so as to further promote the development and improvement of the discipline.Methods: 1.The cross-sectional study was used to collect the four diagnostic information of 527 patients with chronic bronchitis in recent five years,and the Excel database was established for cluster analysis;2.A total of 246 inpatient prescriptions for chronic bronchitis were randomly selected from the respiratory department of Heilongjiang Provincial Hospital of traditional Chinese medicine from October 2018 to October 2020.To analyze the use of traditional Chinese medicine and comment on the prescription;3.68 patients with chronic bronchitis hospitalized in the respiratory department of Heilongjiang College of traditional Chinese medicine from June 2019 to December 2020 were randomly divided into intervention group and control group,with 34 patients in each group.The intervention group received conventional treatment and pharmaceutical care,while the control group received conventional treatment FEV1)were used to evaluate the curative effect,and the therapeutic effect of the two groups was compared.Results: 1.By expert analysis,the tree diagram of cluster analysis showed that the results were the most reasonable when divided into three groups,which were spleen lung qi deficiency type,blood stasis obstructing collaterals type and phlegm heat obstructing lung type;2.Drug analysis found that cough,phlegm and asthma relieving drugs(Pinellia ternata,bitter almond,perilla seed,etc.),deficiency tonifying drugs(licorice,Ophiopogon japonicus,Atractylodes macrocephala,etc.),exterior relieving drugs(ephedra,asarum,Cinnamon Twig,etc.),heat clearing drugs(Scutellaria,Anemarrhena asphodeloides,gypsum,etc.)were the most commonly used,and the most frequent tablets were licorice root,Pinellia ternata,bitter almond,Poria cocos,ephedra,tangerine peel,etc.Among the prescriptions,37 were unqualified,accounting for 15.04% of the total prescriptions.Among them,40.54% were not marked with dispensing and special Decoction according to the requirements;3.After clinical treatment,the effects of the intervention group and the control group were evaluated as follows:(1)TCM syndrome score: before treatment,two independent sample t tests were conducted on the symptom score and total TCM syndrome score of the two groups,and the results showed that P was greater than 0.05,and the two groups were comparable.Before and after the treatment of the two groups of patients with symptoms of single integral and TCM syndrome total integral were compared within the group,P were less than 0.05,and the integral were reduced,indicating that the treatment of the two groups can improve the quality of life of patients from the symptoms.After treatment,the scores of the two groups were lower than that of the control group except for the single symptom of wheezing(P < 0.05),indicating that the effect of the intervention group was better than that of the control group(2)LCQ questionnaire score: before treatment,two independent samples t test was conducted for LCQ questionnaire score of two groups of patients,and the result was p > 0.05,so the two groups were comparable.The LCQ questionnaire scores of the two groups before and after treatment were compared within the group,P < 0.05,and the LCQ questionnaire scores of the two groups were increased,indicating that the health status of the two groups were improved.After treatment,the LCQ score of the two groups was compared,P < 0.05.The LCQ score of the intervention group was higher than that of the control group,indicating that the effect of the intervention group was better than that of the control group(3)Before treatment,FVC and FEV1 of the two groups were tested by two independent samples t test,P > 0.05,the two groups were comparable.FVC and FEV1 of the two groups before and after treatment were compared within the group,P < 0.05,both increased,indicating that the treatment of the two groups can improve lung function.After treatment,FVC and FEV1 of the two groups were compared,P < 0.05.FVC and FEV1 of the intervention group were higher than those of the control group,indicating that the effect of the intervention group was better than that of the control group.Conclusion: 1;2.For the treatment of chronic bronchitis in our hospital,we used to use antitussive,expectorant and antiasthmatic drugs(Pinellia ternata,bitter almond,perilla seed,etc.),tonic drugs(licorice,Ophiopogon japonicus,Atractylodes macrocephala,etc.),antidepressant drugs(ephedra,asarum,Cinnamon Twig,etc.),antipyretic drugs(Scutellaria,Anemarrhena asphodeloides,gypsum,etc.),which were in line with the characteristics of dialectical treatment of traditional Chinese medicine.The irrational rate of prescriptions is slightly high,so it is necessary to strengthen relevant education,especially the labeling of special dispensing Chinese medicine;3.The participation of clinical pharmacists of traditional Chinese medicine in the treatment of chronic bronchitis can improve the treatment effect in all aspects,which indicates the great role it can play in clinic.