The Standardization Study On The Disease Name Of Traumatic Brain Injury And Syndrome Differentiation During The Acute Phase

Objective:Access to a large number of ancient and modern literature of TCM, to collate,summarize,reference to expert advice,combined with clinical practice,screening to identify,to add the perfect brain injury Names of Diseases.Through the use of modern means of diagnosis,and explore the correlation between the common clinical types and examination indicators,in order to establish the clinical evidence supporting the diagnosis of type-related basis for the formation of brain injury in acute phase of the standardization of TCM syndrome differentiation criteria.Methods:1.Summarizing the literature,referencing to expert advice and reasonable innovation to improve the Names of Diseases of Traumatic brain injury.2.90 patients with traumatic brain injury in accordance with the degree of injury was divided into light,medium,heavy and extra heavy-type 3 groups. Each group was treated by conventional Western medicine.Meanwhile differentiate syndrome but don' t prescribe herbal on the first,3rd,4th,7th, 10th day after the patients to be in our hospital.Analysis the TCM syndrome of the acute phase of traumatic brain injury,compare the difference of brain CT,blood white cell(WBC) and fasting blood glucose between types and explore the correlation between types and examination indicators.Results:1.There isn' t a specific name in the ancient literature of Chinese medicine for traumatic brain injury.Nowadays,the Names of Diseases tend to the overall disease of TBI not enough differentiation.The extension and connotation of the concept are lack of clarity.In this paper,we propose the preliminary Names of Diseases system of TCM about TBI. 2.Qi stagnation and blood stasis type and brain qi restless type are more than any other type during the acute phase of light and medium-type.There is no difference between the two types(P>0.05),however,compared with the other types were significantly different(P<0.01).Blood block upper orifices type is the most common type during the acute phase(1-3d) of heavy and severe-type, with more significant difference(P<0.01).In the acute phase(4-10d),blood block upper orifices type and sputum cover upper orifices type are common. There is no difference between the two types(P>0.05),however,compared with the other types were different(P<0.05).Qi stagnation and blood stasis type is mainly expressed of scalp hematoma and skull fracture,followed by the limitations of cerebral contusion and a small amount of subarachnoid hemorrhage on brain CT image.Comparison between the two was no significant difference(P>0.05),respectively,compared with other CT performance,the difference was significant(P<0.05).Brain qi restless type showed the limitations of the major cerebral contusion and a small amount of subarachnoid hemorrhage,followed by brain swelling. Comparison between the two was no significant difference(P>0.05), respectively,compared with other performance,the difference was significant (P<0.05).Blood block upper orifices type in the acute phase(1-3d) is mainly expressed of intracranial hematoma on CT image.Performance compared with others,the difference was significant(P<0.01).In the acute phase(4-10d), mainly for the brain CT of brain contusion,compared with others,the difference was significant(P<0.05).Sputum cover upper orifices type is not a specific performance on CT image.The case number of spirit escape from body type is too small for statistical analysis.In the acute phase(1-3d),blood white cell count was significantly different (P<0.05) between qi stagnation and blood stasis type and blood block upper orifices type.And significant difference(P<0.05) also in qi stagnation and blood stasis type and Sputum cover upper orifices type.Blood white cell count was also significantly different(P<0.05) between brain qi restless type and blood block upper orifices type.And significant difference(P<0.05) in brain qi restless type and Sputum cover upper orifices type,too.In the acute phase (4-10d),in addition to qi stagnation and blood stasis type and brain qi restless type,the remaining groups compared with each other,blood white cell count were significantly different(P<0.01). In the acute phase(1-3d),fasting blood glucose levels were significantly different(P<0.05) between qi stagnation and blood stasis type and blood block upper orifices type.And significant difference(P<0.05) also in qi stagnation and blood stasis type and sputum cover upper orifices type.Qi stagnation and blood stasis type and spirit escape from body type,too.And significant difference(P<0.05) in brain qi restless type and blood block upper orifices type,too.In the acute phase(4-10d),fasting blood glucose levels were significantly different(P<0.05) between qi stagnation and blood stasis type and sputum cover upper orifices type.And significant difference(P<0.05) in brain qi restless type and sputum cover upper orifices type,too.Conclusion:1.In this paper,we propose the preliminary Names of Diseases system of TCM about TBI.2.Acute phase type of TCM have a certain regularity.There is a certain correlation between the common clinical types and examination indicators.And the above examination have a certain value for the Syndrome Differentiation of TBI.