The Change Of Spleen Stomach Damp Heat Syndrome After Funetional Endoscope Sinus Surgery

Objection:To investigate syndrome type of traditional Chinese medicine for spleen stomach damp heat syndrome in patients with functional nasal endoscope operation treatment before and after the change of symptoms and signs, and traditional Chinese medicine syndrome and tongue and pulse condition, analysis of postoperative TCM regularity, thinking FESS on CRS TCM influence.Method:This project implementation is divided into three steps, the first step for the preparation of the research program, CRS TCM syndrome patients with Spleen first line the same perioperative treatment and the FESS postoperative TCM syndrome type of possible changes of5expert advice, combined with the results of the expert advice 《Chinese disease diagnosis and the efficacy of standard)), produced the corresponding TCM syndrome score sheet. The second step is the clinical research, the collection of clinical cases before and after surgery line the same treatment one day investigation CRS patients before FESS surgery syndromes and symptom score, the FESS postoperative regular weekly nasal endoscopy nasal dressing, observe and record all patients with each clinical symptoms, physical signs, and adverse reactions, scoring TCM syndrome score table. The third step of TCM syndrome score, finishing with statistical processing and results analysis to explore the impact of FESS in the treatment of type and symptoms of CRS Spleen.Results:After the first week of TCM syndrome distribution compared to Qi deficiency29cases, accounting for48.3%;15cases of blood deficiency, accounting for21%; seven cases of blood stasis syndrome, accounting for11.7%; Damp-heat the nine cases,15%; and surgery, P valuesless than0.05, the traditional Chinese medicine syndrome with preoperative significant difference.After the second week of TCM syndrome distribution,23cases of qi deficiency, accounting for38%;21cases of blood deficiency, accounting for35%;13cases of blood stasis syndrome, accounting for21.7%; three cases of damp-heat syndrome, accounting for5%; the first week after surgery, P value0.306,0.231,0.313,0.067, P values greater than0.05, indicating that the FESS two weeks after TCM syndromes was no significant difference. After the third week of TCM syndrome distribution,23cases of qi deficiency, accounting for38%;21cases of blood deficiency, accounting for35%;12cases of blood stasis, accounting for21.7%; three cases of damp-heat syndrome, accounting for5%; designate one cases other evidence, accounting for1.7%; and after the second week of the P values were1,1,0.822,1P values close to or equal to1, indicating that the FESS2,3weeks after TCM syndrome to designate no significant change. Third week after surgery compared with the first postoperative week, the P value for0.306,0.231,0.211,0.067, P values greater than0.05, indicating that the FESS three weeks after TCM syndromes was no significant difference. After1month of TCM syndrome distribution of qi deficiency22cases (36.7%);20cases of blood deficiency, accounting for33.3%;11cases of blood stasis syndrome, accounting for18.3%; two cases of damp-heat syndrome, accounting for3.3%; other syndrome in5cases (8.3%); and after the first week of the P values were0.171,0.315,0.306,0.026,0.022shows qi deficiency, blood deficiency, blood stasis after1month no significant change in Damp-heat differences, and other syndromes. Qi deficiency,blood deficiency, blood stasis after surgery in January no significant differences, but basically can be seen after surgery is a process of virtual real change.Conclusion:Nasal mucosa cilia system have gradually restored after the FESS, and Biyuan Heji can improved the nasal ciliary transport function and the subjective symptoms.in the same time，to speed up the recovery of nasal cilia.We can get the test for the postoperative Biyuan Heji provides more objective datafor the Chinese medincine in the future.