| 摘要 |
[Objectives] To observe the distribution characteristics of TCM syndrome types, previous underlying diseases, and concurrent infections in inpatients with osteoarthritis, providing a basis for clinical precision treatment and chronic disease management. [Methods] Using an Access database, clinical data from 701 discharged patients with osteoarthritis who were admitted to the Rheumatology Department of Wuxi Traditional Chinese Medicine Hospital from January 2018 to December 2024 was collected. The statistical analysis on TCM syndrome types, previous diseases, and concurrent infections was conducted. [Results] Among inpatients with osteoarthritis, the highest proportion (55.21%) was attributed to the syndrome of liver and kidney deficiency in traditional Chinese medicine (TCM), followed by the syndrome of wind-dampness obstruction (15.98%), the syndrome of phlegm and blood stasis obstruction (13.27%), and the syndrome of dampness-heat obstruction (8.13%). The comorbidity rate of previous underlying diseases reached 87.87%, with the top three being hypertension (59.42%), osteoporosis (30.68%), and cerebral infarction (27.60%). Diabetes mellitus (19.80%), neuropathy (19.32%), and other conditions also accounted for a certain proportion. The main types of concurrent infections were urinary tract infections (36.21%) and pulmonary infections (33.62%), and upper respiratory tract infections accounted for 13.79%. [Conclusions] The TCM syndrome types of inpatients with osteoarthritis are primarily characterized by liver and kidney deficiency, as well as wind-dampness obstruction. Hypertension, osteoporosis, and cerebral infarction are the main comorbidities. Urinary tract and pulmonary infections are common types. Clinically, emphasis should be placed on syndrome differentiation and treatment, strengthening the comprehensive management of multi-system comorbidities, and optimizing prevention and control strategies of chronic diseases. |
