[1] Liang Keyun Fu Ziyi Zhou Liming Dai Yong Mo Lv Li Peiyong,.The Ｒelationship between TCM Constitutional Classification and Life Quality of Patients with Stable COPD [J]. Journal of Shaanxi University of Traditional Chinese Medicine, 2017, (06): 37-40. [doi: 10.13424/j.cnki.jsctcm.2017.06.013]
The Ｒelationship between TCM Constitutional Classification and Life Quality of Patients with Stable COPD
Journal of Shaanxi University of Traditional Chinese Medicine[ISSN: 2096-1340/ CN: 61-1501/R]
Volumes & Issues:
2017 06
pagination:
37-40
Column:
Publication date:
2017-11-01
- Article number:
- 2096－1340(2017)06－0037－04
- Keywords:
- stable COPD; TCM constitution; tertiary prevention
- ZTFLH:
- Ｒ563.8
- Code:
- A
- Abstract:
- Objective Through comparing the differences of mMＲC and CAT scores of patients with stable COPD and different constitutional types，to understand the relationship between TCM constitutional classification and the patient’ s life quality and establish a COPD tertiary prevention constitution model based on TCM constitution，further to provide the basis for strengthening tertiary prevention for COPD patients and managing susceptible population． Method Ｒesearch method of observation was adopted and constitutional classification of 169 patients with stable COPD were observed，the composition of constitutional classification of the cases were obtained，the differences of mMＲC and CAT scores of COPD patients with different constitutional types were compared，the relevance of TCM constitutional classification and COPD patient’s life quality were understood． Ｒesult The composition of TCM constitutional classification of patients with stable COPD ranked from high to low based on the proportion were: qi deficient constitution ( 49 cases，29．0%) ，yin deficient constitution ( 37 cases，21．9%) ，phlegm－dampness constitution ( 26 cases，15．4%) ，dampness－heat constitution ( 21 cases，12．4%) ，other types of constitution accounted for 21．3%． The relationship between mMＲC scores and constitutional types of patients with stable COPD with different constitutional types was: qi deficient constitution＞dampness－heat constitution＞ yin deficient constitution＞phlegm－dampness constitution． Among the four common constitutional types of COPD patients，CAT score was the highest in patients of qi deficient constitution，followed by dampness － heat constitution， phlegm－dampness constitution，yin deficient constitution got the lowest score，the differences between the groups were significant( P＜0．05) ．Conclusion Patients with asthenia in superficiality such as dampness－heat or phlegm－dampness constitutions have more severe dyspnea and worse life quality，indicating that such people in particular，need to strengthen the daily disease management． COPD is a chronic disease with intermingled deficiency and excess as well as asthenia in origin and asthenia in superficiality． While replenishing and restoring qi of lung，spleen and kidney，treatment on dampness pathogen should be paid attention to，such as therapies of clearing heat and eliminating dampness，of eliminating dampness and phlegm，of improving patient’s clinical symptoms and life quality． Thus，Strengthening body resistance without fueling pathogen，tonifying the body without detaining pathogen should be one of the important principles of the management of patients with stable COPD．
References:
[1]郭珍，盛刚．从中医体质学说淡失眠的治疗［J]．陕西中医学院学报，2007，30( 6) : 70－71．
[2]李建生，李素云，余学庆．慢性阻塞性肺疾病中医诊疗指南( 2011 版) ［J]．中医杂志，2012，53( 1) : 80－84．
[3]Gulsvik A． The global burden and impact of chronic obstrucitive pulmonary disease worldwide［J]． Monaldi Arch ChestDis，2001，56( 3) : 261－264．
[4]王琦．中医体质辨识在公共卫生服务中的应用［J]．福建中医药大学学报，2011，21( 2) : 2．
[5]中华医学会呼吸病学分会慢性阻塞性肺疾病学组．慢性阻塞性肺疾病诊治指南( 2013 年修订版) ［J]．中华结核和呼吸杂志，2013，36( 4) : 255－264．
[6]中华中医药学会．中医体质分类与判定( ZYYXH/T157－2009) ［J]．世界中西医结合杂志，2009，4( 4) : 303－304．
Memo
收稿日期:2016－09－28编辑:方亚利
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基金项目:广东省佛山市卫生局课题(20143002)
Last Update:
2017-11-15