支气管扩张并感染患者气流受限程度与肺功能状态、中医证候积分的相关性分析

Correlation Analysis of Airflow Limitation Degree,Lung Function Status and TCM Syndrome Score in Patients with Bronchiectasis and Infection

目的:探讨支气管扩张并感染患者气流受限程度与肺功能状态、中医证候积分的相关性。方法:选择2022年3月至2024年3月我院收治的100例支气管扩张并感染患者作为研究对象,所有患者均进行气流受限程度检测与评估,根据FEV1% pred进行气流受限程度分级,并将患者对应纳入轻度、中度、重度、极重4个组别中。另外对患者肺功能状态及中医证候积分进行评估,比较4组患者肺功能相关指标水平与中医证候积分评分结果的差异,明确肺功能状态、中医证候积分与患者气体受限程度的相关性。结果:伴随患者气流受限程度的增加,其病程、急性加重次数均明显增加(P<0.05)。伴随患者气流受限程度增加,其肺功能PEF、FEV1、FVC指标水平均明显降低,且中医证候积分评分结果明显增加(P<0.05)。pearson相关性分析结果显示,支气管扩张并感染患者气流受限程度与肺功能3项评分指标的水平均呈负相关,与中医证候积分的评分结果呈正相关(P<0.05)。结论:支气管扩张并感染患者肺功能存在明显损伤,且伴随其气流受限程度逐渐加重,患者肺功能状态更差,中医证候积分也会明显增加,通过对患者肺功能与中医证候积分进行检测,可一定程度反映患者气流受限程度与疾病严重程度。

Objective:To investigate the correlation between the degree of airflow restriction in patients with bronchiectasis and infection and the status of lung function and TCM syndrome scores.Methods:100 patients with bronchiectasis and infection admitted to our hospital from March 2022 to March 2024 were selected as the study objects.The degree of airflow limitation was detected and evaluated for all patients,and the airflow limitation degree was graded according to FEV1%pred,and the patients were correspondingly included in four groups:mild,moderate,severe and extremely severe.In addition,the lung function status and TCM syndrome scores of patients were evaluated,and the differences between the levels of lung function related indicators and TCM syndrome scores of patients in the 4 groups were compared,so as to clarify the correlation between lung function status,TCM syndrome scores and the degree of gas restriction of patients.Results:With the increase of airflow limitation,the duration of disease and the number of acute exacerbations were significantly increased(P<0.05).With the increase of airflow limitation,the levels of pulmonary function PEF,FEV1 and FVC were significantly decreased,and the TCM syndrome score was significantly increased(P<0.05).The results of pearson correlation analysis showed that the degree of airflow restriction in patients with bronchiectasis and infection was negatively correlated with the levels of the three indexes of lung function,and positively correlated with the scores of TCM syndrome scores(P<0.05).Conclusion:Patients with bronchiectasis and infection have obvious impairment of lung function,and with the gradually increasing degree of airflow limitation,the lung function status of patients is worse,and the TCM syndrome score will be significantly increased.The detection of lung function and TCM syndrome score of patients can reflect the degree of airflow limitation and the severity of disease to a certain extent.