The Distribution Of TCM Syndrome Type And Influence Factors Of Adult Women Who Have Not Control Asthma

Background:In recent years, asthma morbidity and mortality have significantly increased. Around the world, there were about300million patients with asthma, and every year more than250000people died of asthma. There is concern that in the recent epidemiological survey, the pathogenesis of asthma and risk factors exist obvious gender differences,and the morbidity of women of asthma was significantly higher than men:Before adolescence or during puberty, male asthma rates is higher than women, but after puberty, the prevalence of women is higher than men,so is the incidence, and disease than men are more serious degree.Therefore,the gender differences and the relationship between factors such as obesity and asthma at home and abroad is more and more attention. The syndrome differentiation and treatment is the features and advantages of the traditional Chinese medicine, including gender, constitution and other aspects of content.But at present, there is fewer systematic study on relationship between risk factors of not controlling asthma for women and traditional Chinese medical syndrome characteristics,which can lead to asthma treatment lack target.This subject is to investigate TCM syndrome and part triggers of the poor control asthma among women.Objectives:Use clinical epidemiology and mathematical statistics method, analyzes the asthma symptoms of traditional Chinese medicine distribution rules of adult women who have poor control asthma,and explore the traditional Chinese medicine basic card type,and whether age or obesity has an impace on asthma,as the basis for clinical diagnosis and treatment of asthma medicine,and the symptoms of the disease of traditional Chinese medicine and traditional Chinese medicine further quantitative research provide relative regular basis effect assessment.Methods:Through the literature summarize the current research of TCM syndrome of asthma basic situation, make adult women not controlling asthma symptoms of traditional Chinese medical questionnaire;And take a cross-section investigation in the Chinese academy of sciences Xiyuan hospital HuXiKe in September2011to March2012,including outpatient and inpatient who meet the criteria.Use descriptive statistics method to calculate the syndrome, symptoms of frequency, constitute a ratio; Through the sample clustering analysis of statistical method, and concludes that the women did not control asthma of syndromes of distribution and the basic card type.For the analysis of age or weight of the influence of asthma, measurement data using descrips as mean±standard deviation, detection level a=0.05, two groups of independent sample mean differences with more t test, more samples compares the duration of variance analysis. Count the material of the chi-square test (P<0.05for differences with a statistical significance. Inductive adult women not controlling asthma symptoms of traditional Chinese medicine distribution rules and basic card type.Discusses the relevance between age, weight and asthma control level.Results:Participants included172women in patients with asthma who,mainly concentrated in the40-57years old before or after menopause,highly educated,have allergic rhinitis history of the crowd.With shortness of breath,chest tightness, cough, sputum for the main fetures.Clinical results show that cold phlegm obstruction lung certificate, phlegmy heat closed lung diseases YuZhi card and card, liver and spleen disorders card as the main card type,clustering analysis shows that cold phlegm obstruction card, pulmonary lung kidney deficiency syndrome, lung health two deficiency of certificate phlegmy heat closed lung certificate,liver and spleen and stomach disorders card and card to give priority to.Age and obesity (BMI) have no obvious influence on TCM syndrome type distribution; Obesity and the obese patients in age,FEV1/FVC and FVE1%are no evident difference;Age has no significant effect on FEV1%,but with the increase of age,FEV1/FVC has a trend of gradual decrease.Conclusions:In adult women not controlling asthma, phlegm obstruction in the lung certificate, phlegmy heat closed lung diseases YuZhi card and card, liver and spleen disorders card are the main card types. Age and obesity (BMI) have no obvious influence on TCM syndrome type distribution; Obesity in FEV1/FVC%and FVE1without influence; Age has no significant effect on FEV1%, but with the increase of age, FEV1/FVC has a trend of gradual decrease.