| ObjectivesBy the retrospective medical record research in patients who with Chronic obstructive pulmonary disease (chronic obstructive pulmonary disease, referred to as COPD) and chronic pulmonary heart disease (chronic pulmonary heart disease), sum of chronic obstructive pulmonary disease in patients with chronic pulmonary heart disease The clinical incidence, Chinese basic syndrome, diagnosis and treatment for clinical medicine to treat the disease and provide valuable reference for standardization of traditional Chinese medicine treatment programs and the establishment of clinical pathways to provide a reliable basis.MethodsIn this study, retrospective investigation of the way, in accordance with strict inclusion criteria reviewed the Guangdong Provincial Hospital of Respiratory Medicine, January 2007-December 2009 3 years were diagnosed as COPD patients with chronic pulmonary heart disease medical records of 204 cases, extraction of patient details In general, the incidence of the season, the prognosis outcome, predisposing factors, clinical main symptoms, tongue, pulse, complications, therapy, herbs, etc., on the integration of the information collected, the use of Eipdata3.0 to establish a database, using SPSS16.0 Statistical software, to organize the information collected, statistics and analysis to a preliminary understanding of the basic conditions of patients hospitalized patients and hospital treatment programs, explore the evolution of the pathogenesis of Chinese medicine and syndrome and law, so as to better guide clinical treatment. Results1. Patients generally:through inpatient 204 medical records reviewed, the results show that hospital patients in the sex difference no significant difference in inpatient. The maximum age was 89 years, the minimum age was 55 years, the mean age was 73.75±8.007 years; In the 3 years, times of hospitalization was at least 1, up to 15 times, an average times was 3.76±3.128 times,≥2 times more accounted for 97.55%, with an average course of disease was 13.12±8.842 years; the average hospital stay was 13.33±7.855 days; hospital charges at least 3049.26 yuan, a maximum was 15,326.16 yuan, the average cost of 13313.13±6660.86 yuan; prognostic outcome, the most for the better after active treatment hospital, accounting for 96.08% the number of recalls.2. Chronic obstructive pulmonary disease in chronic pulmonary heart disease, predisposing factors, smoking is still ranked the first, followed by occupational dust as a result of environmental pollution. Result in acute exacerbation of the disease was mainly due to exogenous six excesses disease, followed by diet, the others such as Laojuan and seven emotions was a smaller proportion. Among hospitalized patients, the COPD conditionⅢ,Ⅳclass-based. The main distribution of syndromes in accordance with the order of frequency:lung, spleen and kidney deficiency>lung and spleen deficiency>Qiyinliangxu>Qi deficiency evidence-Phlegm Stagnation> phlegm blocking lung> phlegm> sputum Hot Yu Lung> lung and obstruct blood stasis within the drinks cold outside, but look at this disease, almost no pure or empirical deficiency exists, and more oriented virtual real, actual situation permits inclusion Hou, phlegm, congestion, water Wet heat toxin-based major cause of disease and pathological product of hospitalized patients with lung and spleen kidney is the main deficiency type.3. Treatment, Western medicine is still controlled oxygen therapy, antibiotics, anti-inflammatory antispasmodic asthma, phlegm, reduce airway hyperresponsiveness, expanding tube-based, there heart failure, respiratory failure and other complications to be strong when the heart, diuretic, assisted ventilation and other symptomatic based. In the treatment of the terms, conditions for dialectical analysis of patients at different times, but if the early stage in order to treat the acute, post to tackling the problem as you; governing law, pre-clearing heat and resolving phlegm, stasis-based, late in the spleen Qi, expectorant and antiasthmatic based; the Chinese native medicine, the early top was Sanziyangqintang (33.33%), Erchen Tang(31.37%), Ding Chuan Tang (27.45%), late applications the highest frequency for Chen Xia Liu Jun Zi Tang (31.37%), followed by the DCT (5.88%) and three sons and Their Parents soup (5.88%); the application of proprietary Chinese medicines, blood circulation to the highest frequency of proprietary Chinese medicines (42.65%), followed by benefit category (33.82%).Conclusions1. COPD with pulmonary heart disease is a serious statein the development of COPD, the disease in patients hospitalized for long-term smoking men more actively to persuade patients to stop smoking to reduce the incidence of this disease have a certain significance. At the same time a long course of the disease, multiple repeated exacerbations, repeated hospitalization rate, longer hospital stays, high cost of treatment, the disease after active treatment, the condition can ease the majority, but not completely cure.2. Complex etiology and pathogenesis of this disease, illness and more mixed for the actual situation, clinical diagnosis and treatment difficult, but the incidence of people with similar characteristics of the evidence Hou, multi-inclusion for the actual situation, in medical treatment have a certain regularity, and many more stasis, phlegm, Heat, qi, qi and yin, such as the main tune lungs, spleen and kidney, can form a relatively standardized diagnosis and treatment process, to guide clinical treatment. |
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