TCM Syndrome Type And Cardiac Function Indicators Of Rheumatic Heart Disease

objective:By researching the case data collection, use of clinical index and equipment check of the related results, were retrospectively analyzed195cases of rheumatism heart disease patients with TCM syndrome of preoperative type distribution and the related factors of contacts for rheumatic heart disease patients with preoperative objective diagnostic basis, for clinical of combining traditional Chinese and western medicine treatment to provide the theory basis.Methods:According to the American heart association of rheumatism heart disease diagnosis standard, elected to the Nanjing drum-tower hospital of thoracic surgeons in January to December of2011of patients with a total of195of rheumatic heart disease。(1) Collect patients preoperative admission of the age, weight, blood pressure, height.(2) Record of patients with biochemical examination of AST、ALT、SC、BUN before the surgery.(3) Records of auxiliary examination of EF.(4) Do6MWT before surgery, record walking distance, judge preoperative heart function grading.(5) Preoperative patients with TCM syndrome dialectical, judge cardiac function by classification (NYHA) from The patient’s chief complaint.(6) According to TCM syndrome type confess the group of cases, discuss the different groups of TCM syndrome type classification and cardiac function6MWT grading(Bittner) difference, and EF value and card type distribution characteristics.Result:(1) Results:The group of "xinmaiyuzu" had3lcases,"xinpiliangxu" had58cases,’ qiyinliangxu" had79cases," xinshenyangxu" had27cases.(2) In195patients, with an average age of51.83±9.38years old, patients age distribution focus on50to59years between, Male, female patients with a percentage of were33.85%,66.15%..(3) The degree of TCM group was group" qiyinliangxu"(40.5%)> group" xinpiliangxu"(29.7%)> group" xinmaiyuzu"(15.9%)> group" xinshenyangxu "(13.8%)(4) TCM group and gender distribution, height, weight, blood pressure, blood urea nitrogen (BUN), alanine aminotransferase (ALT), aspartate aminotransferase (AST) levels compared with no significant difference (P>0.05).(5) TCM Group of preoperative creatinine (SCr) differences by pairwise comparison, this case study xinmaiyuzu group than xinshenyangxu group (p<0.05/3)(6) A higher proportion of qiyinliangxu and xinpiliangxu deficiency in cardiac function II, xinmaiyuzu and xinshenyangxu less; cardiac function III center xinmaiyuzu higher proportion of the remaining permit relativelybalanced; Heart function IV level center xinshenyangxu is more.(7) TCM syndrome type group EF value level:qiyinliangxu syndrome> xinpiliangxu syndrome> xinmaiyuzu syndrome> xinshenyangxu syndrome, qiyinliangxu syndrome and xinshenyangxu between groups distribution card EF significant difference (p<0.05/6)(bonfferoni correction).(8) TCM syndrome type group6MWT between experimental grading significant difference, including qiyinliangxu and xinshenyangxu group distribution between the significant difference (p<0.05/3); Xinpiliangxu with xinshenyangxu group distribution between the significant difference (p<0.05/3)(bonfferoni correction).Conclusion:(1) Patients of Rheumatic heart disease, TCM syndrome differentiation for qiyinliangxu are common, xinshenyangxu belong to the development of rheumatism heart disease end-stage stage. The preoperative TCM syndrome type reflected the different stages of the disease physical changes(2) Heart function classification and and EF are closely related to the type of traditional Chinese medicine syndrome, heart function classification and6MWT grading as rheumatic heart disease differentiation points of a reference type index.(3) Heart function worsen (Ⅱ-Ⅳ) is the process of, originally due by, Yin deficiency and blood stasis primarily characteristics, and gradually turned to the heart and kidney change, to the syndrome of xinshenyangxu change.