Correlation Of Liver Cirrhosis TCM Dialectical Type And Objective Indicators

Objectives: Ascites of cirrhosis is one of the serious complications of Decompensated liver cirrhosis,the quality of patient’s life is getting lower if he has the ascites of liver cirrhosis, since the ascites may induce complications which are fatal. Thus, there is a high mortality that cirrhosis ascites may cause. This study of TCM syndrome types analyzes the distributed characteristics of ascites of cirrhosis retrospectively. The purpose of this study is to investigate the correlation between disease clinical epidemiology, laboratory indicators, ultrasound characteristics and TCM Syndrome Differentiation Type, so it can seek the value of each type with ascites of cirrhosis of Chinese medicine indicator. It provides a clinical basis for judging TCM objective,and provides the foundation for the further study of clinical science of ascites of cirrhosis.Methods: The article uses a retrospective study of methods to collect complete information of the 94 ascites patients in Hebei province Chinese medicine hospital from Feb, 2012 to Dec, 2014, which is diagnosed with decompensated cirrhosis,asciting color ultrasound and shows positive improvement information. These patients are not accompanied by other predisposing factors ascites..This article classifies these patients according to their clinical symptoms, sex, age, type, coagulation, ultrasound results. Syndrome type summarizes the clinical features of liver cirrhosis according to uniform standards, which processed by SPSS21.0 statistical software to explore the correlation between TCM Syndromes and objective indicators.Results:1 There are 94 cases matches the selection criteria, including 31 females(32.98%) and 63 males(67.02%).The minimum age is 33, and the maximum age 84 years, average is 59.40±11.31. Most of cirrhotic patients are from 50 to 59 years old. Most patients with cirrhosis of the liver are caused by viral hepatitis(62.77%). Male patients with liver cirrhosis mainly viral cirrhosis, accounting about 69.84% of all male patients, and female patients with viral cirrhosis and autoimmune liver cirrhosis mainly account about 74.19% of all females. The incidence of liver cirrhosis is mainly in middle-aged. Its main cause of disease is viral hepatitis, autoimmune liver disease, and alcoholic liver disease. The ascites of cirrhosis is significantly gender preference.2 Excluding the the groups which sizes are too small, there are four types which according to TCM syndrome type are Qi stagnation dampness, water heat stagnation syndrome, Yang water syndrome, Yin deficiency and water stagnation. Albumin(ALB) level in Qi stagnation dampness is the highest and it is statistically significant comparison with the other three groups. PT is measured at the highest among Yin deficiency and water stagnation, and it has the difference comparing with Qi stagnation dampness, water heat stagnation syndrome, Yang water syndrome. HGB in Qi stagnation dampness type is the highest and which has statistical significance with the other three groups. With the differences in remaining group, WBC is highest in the water heat stagnation syndrome type. PLT highest water appears in Yang water syndrome, and the lowest is in Yin deficiency and water stagnation.3 With the differences in remaining group, Portal vein diameter is lowest in the water heat stagnation syndrome type. Portal vein blood flow velocity is the highest in the water heat stagnation syndrome, and it has statistically significant which is filled with Yang water syndrome, Yin deficiency and water stagnation.Those results above are analyzed out that P<0.05 by statistical software. The research about the correlation between TCM syndrome type and color Doppler ultrasonography shows the less amount of ascites syndrome of qi stagnation and dampness. The volume of ascites water heat stagnation syndrome,Yang water syndrome, Yin deficiency and water stagnation filled water stagnation relatively, but the difference was not statistically significant.4 ALP, GGT, splenic vein diameter in different TCM syndrome types have no statistical difference(P>0.05).Conclusion:This topic proofs that there is a certain correlation between the TCM syndrome differentiation in patients with cirrhotic ascites type and ALB, PT, HGB, WBC, PLT, diameter of portal vein, portal vein blood flow velocity laboratory objective index. It preliminarily explains that the quantification of various syndromes of patients with cirrhosis ascites objective index has certain feasibility. With the change of liver cirrhosis with ascites syndromes, the uptake synthesis of functional, metabolic functions of the liver can occur in different quantitative changes. The extent of its quantitative fits the evolution law of TCM syndrome type. Early patients with ascites due to cirrhosis are qi stagnation dampness based. The advanced stages of the disease are yang water syndrome, yin deficiency and water stagnation mostly.