慢性阻塞性肺疾病不同表型的中医证型分布规律的研究

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1、研究生优秀毕业论文TostudythedistinctphenotypesofdistributionreguIarityofTCMsyndrormesofCOPDSpeciaIty：TraditionaIOhinesemeditionAuthor：LiChengTutor：ProfessorZhangWeAbstractObiective：ThroughcollectingandarragingtheclinicaldataofCOPDpatients，wecandiSCUSSthe1awofdiffrentTCMsyndromesdistribu

2、tinginCOPDphenotypes．itwi1lbethefoundationoftheconbinedtreatmentof’traditionalChinesemedicineandwesternmedicineofCOPDpatientsindividually．Methods：Usingretrospectivestudyandarragingtheclinicaldataincludingtheage，sex，symptoms，smokingindex，BMI，mMRC，therateofAE，CTreport，TCMsyndrome

3、s，medicalhistory，thetongueandpulseofallCOPDpatientsofthedepartmentofthefirstaffiliatedhospitalofGuangzhouuniversityofChinesemeditionduringJan2010toDec2014．AccodingtoTCMtheory，COPDpatientsaredividedinto6kindsofsyndrometypes：phlegmyulungheat，phlegmturbidityresistancelung，phlegman

4、dbloodstasisresistancelung，lungandkidneydeficiency，Yangdeficiencywater，andaccordingtotheSpanishguideandTheCzechrepublicguideof2013，wecandividedthosepatientsinto5differentkindofphenotypics：Frequentexacerbationsofemphysemaphenotype，Frequentphenotype，COPDexacerbationsofchronicbron

5、chitiswithbronchiectasisphenotype，acosine，Frequentexacerbationsphenotype．Throughstatisticalanalysis，wewould1iketodiscoverthelawofdiffrentTCMsyndromesdistributinginCOPDphenotypes．ResuIts：Includedinthestudyof639patients，phenotypeandTCMsyndrometypeshavesignificant-correlation(X=25

6、2．344，P=O．000)．DifferentphenotypesofTCMsyndrometypedistributionisasfollows：belongingtoCOPDcombinedwith90casesinthephenotypeofbronchiectasis，withphlegmandbloodstasisresistanceiSclosetothelung，thedistanceiS0．813，andthefrequencyforamaximumofphlegmheatyulungoccupies45cases，andnoout

7、sidecolddrinksandYangdeficiencywaterwithinit．Phenotypeoffrequentexacerbationsofchronicbronchitis，oremphysema，atotalof198caseswithsputumheatyulungrelationshipisrelativelyclose，thecorrelationdistanceis0．446，thelargestdistributionfrequencyforphlegmheatyulung，atotalof63cases．Belong

8、stofrequentexacerbationsofchronicbronchitisphenotype，a