Search JIM Advanced Search

Journal of Chinese Integrative Medicine ›› 2007, Vol. 5 ›› Issue (5): 506-509.doi: 10.3736/jcim20070505

Special Issue: Traditional Chinese Medicine

• Original Clinical Research • Previous Articles     Next Articles

Visceral syndrome differentiation in traditional Chinese medicine and the changes of nutrition status or blood gas analysis in patients with chronic obstructive pulmonary disease

Bing Mao, Wen Li, Wen-qiong Liang   

  1. Department of Integrated Traditional Chinese and Western Medicine , West China Hospital , Sichuan University , Chengdu ,Sichuan Province 610041 , China
  • Online:2007-09-20 Published:2007-09-15

Objective: To investigate the relationship between visceral syndrome differentiation in traditional Chinese medicine (TCM) and the changes of nutrition status or blood gas analysis in patients with chronic obstructive pulmonary disease (COPD).Methods: Sixty patients with COPD in stable phase were divided into dysfunction of lung (DL, n=20) group, dysfunction of lung and spleen (DLS, n=16) group and dysfunction of lung, spleen and kidney (DLSK, n=24) group according to syndrome differentiation of TCM. Moreover, the basic electric rhythm, percentage of bradygastria in electrogastrogram (EGG), ratio of actual body weight (ABW) to ideal body weight (IBW) and serum albumin level were determined to evaluate the nutrition status of the patients with COPD. Blood gas analysis was made too.Results: The basic electric rhythm values in the DL, DLS and DLSK groups were (56.20±13.24)%, (47.38±10.24)% and (41.35±10.01)%, respectively. Compared with the DL group, the basic electric rhythm values in the DLS and DLSK groups decreased obviously (P<0.05). The percentages of bradygastria in the DL, DLS and DLSK groups were (45.18±18.13)%, (46.31±15.83)% and (49.90±17.54)%, respectively, and there were no differences among the three groups (P>0.05). The incidence rates of ABW/IBW<90% in the DL, DLS and DLSK groups were 50%, 75% and 54.17%, respectively, and there were no differences among the three groups (P>0.05). The incidence rates of serum albumin less than 35 g/L were 20%, 37.5% and 54.17%, respectively, and there were no differences among the three groups (P>0.05). PO2 in the DLS group [(63.56±15.06) mmHg] and DLSK group [(63.17±19.05) mmHg] were decreased as compared with the DL group [(78.15±16.63) mmHg] (P<0.05). PCO2 in the DL, DLS and DLSK groups were (42.25±12.46) mmHg, (48.60±17.60) mmHg and (49.97±13.43) mmHg respectively, and there were no differences among the three groups (P>0.05).Conclusion: Several dysfunction organs described in TCM were involved in COPD followed by the increased severity, hypoxemia and PCO2. Dysfunction of gastrointestinal tract and malnourishment took place accordingly.

Key words: chronic obstructive pulmonary disease, electrogastrography, malnutrition, blood gas analysis

CLC Number: 

  • R563
[1] 蔡柏蔷 . 21世纪医师丛书——呼吸内科分册(第1版)[M]. 北京: 中国协和医科大学出版社, 2000,( 第1版):375
Cai BQ. 21st century physician serial--The section of respiration medicine(1st ed)[M]. Beijing: Peking Union Medical College Press, 2000,( 1st ed):375
[2] 施毅, 陈正堂 . 现代呼吸病治疗学[M]. 北京: 人民军医出版社,2002 193
Shi Y , Chen ZT.Modern therapeutics of respiration disease[M].Beijing: People's Military Medical Publisher, 2002 193
[3] Celli BR , MacNee W, ATS/ERS Task Force.Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper[J]. Eur Respir, 2004,23(6):932-946
[4] 中华医学会呼吸病学会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南[J]. 中华结核和呼吸杂志, 2002,25(8):453-460
Group of Chronic Obstructive Pulmonary Diseases, the Branch of Respiratory Disease of China Medical Association. Diagnosis and treatment guidance of chronic obstructive pulmonary diseases[J]. Zhonghua Jie He He Hu Xi Za Zhi, 2002,25(8):453-460
[5] Wang G, Li TQ, Mao B , et al. Relationship between bone mineral density and syndrome types described in traditional Chinese medicine in chronic obstructive pulmonary disease: a preliminary clinical observation[J]. Am J Chin Med, 2005,33(6):867-877
[6] 王秋月, 张鸿, 闫雪 , 等. 慢性阻塞性肺疾病患者血清抵抗素和瘦素水平及其与营养状况的关系[J]. 中华结核和呼吸杂志, 2005,28(7):445-447
Wang QY, Zhang H, Yan X , et al. Serum resistin and leptin in patients with chronic obstructive pulmonary disease and their relationship to nutritional state[J]. Zhonghua Jie He He Hu Xi Za Zhi, 2005,28(7):445-447
[7] 蒋朱明 . 临床肠外与肠内营养[M]. 北京: 人民卫生出版社,2000 174-197
Jiang ZM. Clinical parenteral and enteral nutrition[M]. Beijing: People's Medical Publishing House,2000 174-197
[8] 林江涛 . 缓解期慢性阻塞性肺疾病患者的营养状态与营养治疗[J]. 中华结核和呼吸杂志, 1996,19(5):261-264
Lin JT . Nutritional status and treatment in patients with stable chronic obstructive pulmonary disease[J]. Zhonghua Jie He He Hu Xi Za Zhi, 1996,19(5):261-264
[9] 李南夷 . 慢性阻塞性肺疾病、支气管哮喘、肺结核[M]. 广州: 羊城晚报出版社,2004 13
Li NY. Chronic obstructive pulmonary disease, bronchial asthma, pulmonary tuberculosis[M]. Guangzhou: Yangcheng Evening News Press,2004 13
[10] 杨勤兵, 林江涛 . 稳定期慢性阻塞性肺疾病和肺心病患者营养状况分析[J]. 中国临床营养杂志, 2003,11(2):85-87
Yang QB, Lin JT . Nutritional status in patients with stable chronic obstructive pulmonary disease and cor pulmonale[J]. Zhongguo Lin Chuang Ying Yang Za Zhi, 2003,11(2):85-87
[11] 孔祥辉, 侯苏娟 . 84例慢性阻塞性肺疾病患者营养状况分析[J]. 基层医学论坛, 2005,9(10):881
Kong XH, Hou SJ . Nutritional status in 84 cases of chronic obstructive pulmonary disease[J]. Ji Ceng Yi Xue Lun Tan, 2005,9(10):881
[1] Xin-fang Zhang, Shui-ying Xiang, Wen-ye Geng, Wen-juan Cong, Jing Lu, Chuan-wei Jiang, Kun Wang, Zi-bing Liu . Electro-acupuncture regulates the cholinergic anti-inflammatory pathway in a rat model of chronic obstructive pulmonary disease. Journal of Integrative Medicine, 2018, 16(6): 418-426.
[2] Wen-ye Geng, Zi-bing Liu, Na-na Song, Gui-hong Zhang, Wei-zhong Jin, Wang Zhou, Li Li, Yin-xiang Cao, Da-nian Zhu, Lin-lin Shen. Effects of electroacupuncture at Zusanli (ST36) on inflammatory cytokines in a rat model of smoke-induced chronic obstructive pulmonary disease. Journal of Chinese Integrative Medicine, 2013, 11(3): 213-219.
[3] Xue-qing Yu, Jian-sheng Li, Su-yun Li, Yang Xie, Ming-hang Wang, Hai-long Zhang, Hai-feng Wang, Zhi-wan Wang. Functional and psychosocial effects of pulmonary Daoyin on patients with COPD in China: Study protocol of a multicenter randomized controlled trial. Journal of Chinese Integrative Medicine, 2013, 11(2): 140-146.
[4] Lu-ming Chen, Hui Yu, Da-rong Wu , Xun Hu , Lan Zheng. Investigation on response of the patient-reported outcome scale of the main-symptoms of chronic obstructive pulmonary disease complicated with pulmonary heart disease. Journal of Chinese Integrative Medicine, 2012, 10(9): 970-974.
[5] Yuan-hong Xu , Jun-hua Wang, Hai-feng Li , Xiao-hu Zhu, Gang Wang. Efficacy of integrative respiratory rehabilitation training in exercise ability and quality of life of patients with chronic obstructive pulmonary disease in stable phase: A randomized controlled trial. Journal of Chinese Integrative Medicine, 2010, 8(5): 432-437.
[6] Ning Chen , Hui Li , Li-yun Zhao , Jian-bo Liu , Qin Huang , Tong-han Wang , Xiao-mei Hao . Therapy for clearing heat and resolving phlegm in treatment of systemic inflammatory response syndrome in acute deterioration stage of chronic obstructive pulmonary disease: A randomized controlled trial. Journal of Chinese Integrative Medicine, 2009, 7(2): 105-109.
[7] Wei Chen, Zhi-yong Guo, Hao Wu, Li-jing Sun, Li-li Cai, Hai-yan Xu. Effects of low-protein diet plus α-keto acid on micro-inflammation and the relationship between micro-inflammation and nutritional status in patients performing continuous ambulatory peritoneal dialysis: a randomized controlled trial. Journal of Chinese Integrative Medicine, 2008, 6(5): 473-477.
[8] Hui-qun Pang, Xu-dong Xiong. Treatment of respiratory failure in patients with chronic obstructive pulmonary disease with traditional Chinese medicine. Journal of Chinese Integrative Medicine, 2005, 3(1): 66-69.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Zhao-guo Li. Discussion on English translation of commonly used sentences in traditional Chinese medicine: part one. Journal of Chinese Integrative Medicine, 2008, 6(1): 107-110
[2] Jin-zhou Tian, Jing Shi, Xin-qing Zhang, Qi Bi, Xin Ma, Zhi-liang Wang, Xiao-bin Li, Shu-li Shen, Lin Li, Zhen-yun Wu, Li-yan Fang, Xiao-dong Zhao, Ying-chun Miao, Peng-wen Wang, Ying Ren, Jun-xiang Yin, Yong-yan Wang, Beijing United Study Group on MCI of the Capital Foundation of Medical Developments. An explanation on "guiding principles of clinical research on mild cognitive impairment (protocol)". Journal of Chinese Integrative Medicine, 2008, 6(1): 15-21
[3] Jin-rong Fu. Establishment of multivariate diagnosis and treatment system of modern gynecology of traditional Chinese medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 22-24
[4] Yi-ting He, Qing-lin Zha, Jian-ping Yu, Yong Tan, Cheng Lu, Ai-ping Lv. Principal factor analysis of symptoms of rheumatoid arthritis and their correlations with efficacy of traditional Chinese medicine and Western medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 32-36
[5] Dong Yang, Yong-ping Du, Qing Shen, Wei Chen, Yan Yu, Guang-lei Chen. Expression of alpha-smooth muscle actin in renal tubulointerstitium in patients with kidney collateral stasis. Journal of Chinese Integrative Medicine, 2008, 6(1): 41-44
[6] Zhi-chun Jin. Problems in establishing clinical guideline for integrated traditional Chinese and Western medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 5-8
[7] Wei Zhang, Xiang-feng Lu, Xiao-mei Zhang, Jian-jun Wu, Liang-duo Jiang. A rat model of pulmonary fibrosis induced by infusing bleomycin quickly through tracheal intubation. Journal of Chinese Integrative Medicine, 2008, 6(1): 60-67
[8] Xi Lin, Jian-ping Liu. Tai chi for treating rheumatoid arthritis. Journal of Chinese Integrative Medicine, 2008, 6(1): 82
[9] Guo-hong Yuan, Xiao-jing Pang, He-chao Ma. Synergic effects of Danggui Buxue Decoction in reducing toxicity of cytoxan in tumor-bearing mice. Journal of Chinese Integrative Medicine, 2008, 6(1): 83-88
[10] Li Zhou, Hong-xing Zhang, Ling-guang Liu, Wen-jun Wan. Effect of electro-acupuncture at Fenglong (GV 16) on nitric oxide and endothelin in rats with hyperlipidemia. Journal of Chinese Integrative Medicine, 2008, 6(1): 89-92