The Rule Of Perioperative TCM Syndrome In The Patients With Sick Sinus Syndrome Implanting Artificial Cardiac Pacemaker

Objective:TO research the rule of perioperative TCM syndrome in the patients with sick sinus syndrome Implanting artificial cardiac pacemaker,and analyse the relationship between perioperative TCM syndrome and gender,age,course of diseases,the TCM syndrome before operation and primary disease,the change rule of TCM syndrome before and after operation,the TCM syndrome before operation and the effect after operation,in order to enhance the veracity and standardization of the clinical TCM analyse and estimating prognosis, and to enhance the clinical cure effect.Method:This subject survery the patients in Guangdong Province hospital of TCM from January 2003 to January 2008 diagnosed sick sinus syndrome implantation artificial cardiac pacemaker,a total of 128 cases.All the information get from the case management system in the medical record room of the Guangdong Provincial Chinese medicine hospital.All cases were detailedly realized medical history,collection the four symptom information at one day before surgery,fill out the observation forms of Chinese medicine syndrome, discerning the TCM Syndrome,four day after surgery gathering information to fill in TCM Syndrome Watcblist,discerning the TCM Syndrome and judging the effect.Statistics 128 cases of sick sinus syndrome artificial pacemaker implantation in patients with the TCM-frequency,and the analysis of the various syndromes of the general situation of relations with sick sinus syndrome incidence of the original,with the implantation of pacing The relationship,as well as various cards and the effect of the relationship. Data processing and statistical analysis using SPSS13.0 statistical analysis package,the measurement data used variance test,counting card information using the test.Result:In 128 patients,before operation,the deficiency of heart-QI is 30,the spleen kidney yan-deficiency is 28,the heart yin-deficiency is 22,the yan-deficiency blood- Stagnation is 28,the turbid phlegm Stagnation is 20, and after operation,the deficiency of heart-QI is 12,the spleen kidney yan-deficiency is 24,the heart yin-deficiency is 33,yan-deficiency bloodStagnation is 25,the turbid phlegm Stagnation is 34.The result of Chi-square test between the genders in each perioperative TCM syndrome is P＞0.05;The analysis of variance between the age and course of diseases in each perioperative TCM syndrome is P＞0.05;The result of Chi-square test between each TCM syndrome before operation in primary disease is P＞0.05;The result of Chi-square test between the TCM syndrome before and after operation is P＜0.01;The result of Chi-square test between each effective rate in each TCM syndrome is P＞0.05,but the result of Chi-square test between recovery excellence rate of the deficiency of heart-QI,the yan-deficiency blood-Stagnation and the spleen kidney yan-deficiency,the heart yin-deficiency,the turbid phlegm Stagnation is P＜0.05;Conclusion:There is no interrelation between the TCM syndrome and gender,age,course of diseases;The patients with sick sinus syndrome Implanting artificial cardiac pacemaker due to coronary heart disease in the main,this study shows that sick sinus syndrome patients with coronary heart disease before operation of the TCM to the spleen kidney yan-deficiency,the deficiency of heart-QI, the yan-deficiency blood-Stagnation,the number of other causes in this study is less,in each card even less,not very meaningful.There is significant difference between the TCM syndrome before and after operation;There is mainly to the deficiency of heart-QI,the spleen kidney yah-deficiency,the yah-deficiency blood-Stagnation before operation;There is mainly to the heart yin-deficiency and the turbid phlegm hinder after operation,While the deficiency of heart-QI is reducely and the heart yin-deficiency,the turbid phlegm Stagnation is increasedly comparing that of before operation,This may be related to the role played by the pacemaker,equivalent the TCM effect of "heart-yan inspired,heart-qi replenishing",so the deficiency of heart-QI after surgery significantly reduce,and the gas lines with the blood lines, pacemaker also have the effect of Huayu Tongmai,so the yah-deficiency blood-Stagnation after operation also difinitely reduce;But the pacemaker is foreign body relative to the human body,the surgery implanting the pacemaker have the effect of Injury-gas consumption,so the heart yin-deficiency after operation definitely manifold,plus waixie intrusion,waixie arose neixie,so the turbid phlegm Stagnation after operation definitely manifold;by compare the curative effect after operation between each TCM syndrome before operation, it is more recovery excellence rate in the deficiency of heart-QI and the heart-yan hinder before operation than that in the spleen kidney yan-deficiency,the heart yin-deficiency and the turbid phlegm hinder before operation,but there is no Significant difference in the effective rate after operation between each TCM syndrome before operation,This may be related to the role played by the pacemaker,equivalent the TCM effect of "heart-yan inspired,heart-qi replenishing",improve the effect of the heart dominating blood,and amend the heart-QI deficiency symptom of blood stream slowing heart-throb breathe hard,So the curative effect of the deficiency of heart-QI is very evidence,and the gas lines with the blood lines,pacemaker also have the effect of Huayu Tongmai,so the effect to the yan-deficiency blood-Stagnation is also obviously evidence;the focus of the disease is in the heart,so the effect of heart-yah inspired,heart-qi replenishing by the pacemaker also have effect to the deficiency of heart-QI and the heart-yan and heart-pluse illogical,This subject make know that pacemaker have effect to the spleen kidney yan-deficiency and the heart yin-deficiency and the turbid phlegm Stagnation,it may be according this effect.