The Correlation Analysis Of Chronic Obstructive Pulmonary Disease And Anxiety Depression And TCM Syndrome Type Distribution

Objective:The retrospective methods to collect 109 cases of chronic obstructive pulmonary disease(COPD)patients’ general information,disease characteristics,analysis the influence factors of anxiety depression may occur and the distribution of TCM syndrome types,which provide reference basis for clinical treatment,strengthen intervention capabilities,improve patient quality of life.Methods:From January 2017 to December 2017,109 patients with COPD who were admitted to the lung disease department of central hospital of shandong province were collected,and the medical records were reviewed.The questionnaire survey was conducted to analyze the general situation,disease characteristics,TCM syndromes and emotional states of the patients,and summarize the influence factors of COPD and depression anxiety and the distribution of TCM syndromes.Results:In the 109 patients,analysis found that the incidence of anxiety depression were 47.7% and 42.2% respectively,indicating higher possibility of anxiety depression disease;Gender was correlated with anxiety and depression(P < 0.05),and the overall frequency of women was higher than that of men;Different age groups and anxiety depression were different,and the older the difference was,the more obvious the difference was;There was no correlation between smoking history and anxiety and depression(P >0.05);The course of disease was correlated with anxiety and depression,and the correlation between the course and depression was more significant(P < 0.01).The quality of sleep was different from anxiety and depression(P < 0.05),and there was significant difference between good and poor(P < 0.01).There was a correlation between malnutrition and anxiety and depression(P < 0.05),and the correlation with anxiety was more significant.Different groups of CAT score were different from anxiety and depression(P < 0.05).TCM syndrome type of frequency arrangement order of phlegm and blood stasis resistance lung > phlegm yu lung heat syndrome > phlegm turbidity indicates pulmonary certificate > Yang deficiency water flooding certificate > lung spleen deficiency syndrome,after statistics analysis,the TCM syndrome type and anxiety,depression,no correlation(P > 0.05).Conclusion:Patients with COPD were prone to depression and anxiety;Among them,gender,age,course of disease,sleep quality,albumin,CAT score and other factors were related;There was no correlation between smoking history and TCM syndrome.The results of multivariate Logistic regression analysis suggested that CAT score could be a risk factor for anxiety.Duration and quality of sleep may be a risk factor for depression.