Research On The Significance Of Traditional Chinese Medicine Syndromes Elements Of ARDS In Clinical Stages

Purpose:Through the analysis and comparison of the early,and aura ARDS late syndromfactor distribution characteristics, to analyze the ARDS syndrome elements of thedynamic evolution rules and explore ARDS syndrome change laws, to make the ARDSdifferent time points of syndrome diagnostic standard, provides the basis.Methods:Collect from March2010to March2012in the shandong province hospital andtraditional chinese medecine hospital of shandong province with a diagnosis of ARDS in232cases.Using the syndrom factor investigation questionnaire to cllect patients breathefrequency,PaO2,PaCO2,oxygen and index(PaO2/FiO2),P(A-a)DO2,chest X-ray results andthe patient’s symptom,signs,the pulse condition and the coating on the tongue,accordingto the1995lushan meeting ARDS diagnosis standard of each installment of the clinicalstages,according to TCM syndrome diagnosis standard elements, extraction of TCMsyndrom actor and the clinical stages statistics every syndrome factor frequency,withSPSS17.0statistical software for statistical analysis results, analysis the clinical stagesof syndrome factor distribution characteristics.Results:1.The clinical stages of a singleARDS disease factors and the clinical stages a correlation (P <0.05); A single disease aelements corresponding sequence of roughly aura period: lung (100.00%), kidney(19.44%), the spleen (16.67%) and early: lung (100.00%), the spleen (51.00%), kidney(31.00%), heart (18.00%) and late: lung (100.00%), the spleen (76.04%), kidney(53.13%), heart (50.00%);2.ARDS composite disease a elements and the clinical stageshave relevance (P <0.05); A composite disease roughly the order of the elementscorresponding for aura period: lung (69.44%), lung, spleen (13.89%) and early: lung kidney (41.00%), lung, spleen (24.00%), heart and lung (15.00%) late: lung spleen andkidney (39.58%), lung renal heart (20.83%), heart lung (13.54%);3. A single diseasefactor (empirical) and the clinical stages relevance (P <0.05), roughly correspondingsequence of aura period: fluid syndrome (69.44%), sputum card (30.56%) and early:phlegm card (94.00%), heat syndromes (44.00%), and blood stasis syndrome (22%) andlate: phlegm card (100.00%), and blood stasis syndrome (82.29%), heat syndromes(61.46%);4.Composite disease factor (empirical) and the clinical stages have relevance,roughly corresponding sequence aura period: fluid syndrome (69.44%), sputum card(16.67%) and early: phlegmy heat (40%), sputum card (32.00%), phlegm stasis (18.00%)and late: phlegmy heat and blood stasis (51.04%), phlegm stasis (31.25%);5.A singledisease factor (deficiency syndrome) and the clinical stages relevance (P <0.05), roughlycorresponding sequence of aura period: no deficiency syndrome (77.78%), qi (22.22%)and early: qi (90.00%), Yin (44.00%), blood deficiency (15.00%) and deficiency of late:(96.00%), Yin (67.71%), blood deficiency (31.25%), Yang (18.75%);6. Compositedisease factor (deficiency syndrome) and the clinical stages relevance (P <0.05), roughlycorresponding sequence of aura period: no deficiency syndrome (77.78%), qi (16.67%)and early: gas (44.00%), deficiency of Yin (31.00%), and the gas blood deficiency (15%)and late: gas Yin (48.96%), gas blood deficiency (31.25%), and the gas deficiency of Yinand Yang (18.75%). Conclusion:1. The results of the comprehensive and ARDS diseasespecificity, this study suggests ARDS disease syndrome factor mainly by a lung is givenpriority to, aura of a disease is more onefold elements, with progress, can spread to otherorgans such as the heart spleen and kidney disease become more a elements and disease,how dirty late is affected.2. ARDS disease sex syndrome factor: the empirical aura phasemainly to fluid syndrome is given priority to, early and late sputum card to give priorityto, mainly due to deficiency syndrome card is given priority to, along with the progressof the clinical stage disease complicated factors, more disease factor can incorporateappear.3. ARDS with clinical stage progress, the syndrome factor in the dynamicevolution is, to follow certain rules.