| Purpose:To study the relativity between functional arrhythmia and the stagnation of QI due to depression of the liver、deficiency of blood、phlegm-stasis and endogenous fire caused by liver dysfunction, and to offer certain help for correction of functional arrhythmia.Material and method:Selected 200 cases of outpatients cardiology clinic who were diagnosed as functional arrhythmia with complete clinical data from March 2015 to December 2015, the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine. Of which 117 cases belonging to liver qi stagnation syndrome patients, 83 patients with non liver depression syndrome.Different groups of gender, age, course of disease and the four diagnostic information were summarized, and to investigate the different groups of patients with kinds of jobs, to stress the sense, negative life events, negative emotions and psychological characteristics, above information integration to establish the database,to show the regularities of distribution between stagnation of the liver and non liver function cardiac arrhythmia by using Excel SPSS17.0 software to carry out the chi square test.Results: 1.Summarizing the 200 cases of patients with functional arrhythmia,find that excess syndrome of liver qi depression pattern including the stagnation of QI due to depression of the liver、Depression and fire syndrome、syndrome of stagnation of liver qi and blood stasis、syndrome of stagnation of Liver-Qi and phlegm stasis、syndrome of incoordination between liver and stomach;syndrome of intermingled deficiency and excess liver qi including syndrome of stagnation of liver qi and spleen deficiency、syndrome of stagnation of liver qi and kidney deficiency、syndrome of stagnation of liver qi and blood deficiency、syndrome of stagnation of liver qi and qi deficiency、syndrome of stagnation of liver qi and yin deficiency、syndrome of stagnation of liver qi and yang deficiency.There is a incidence rate of 58.5% in functional arrhythmia due to depression of the liver qi,among the patients with liver stagnation and spleen deficiency syndrome 28 cases, accounting for 14%, 16 cases of patients with syndrome of incoordination between liver and stomach, accounted for 8%. 2.Function of the selected 200 cases of arrhythmia patients, female patients 132 cases, 68 cases of male patients, male and female ratio of 1:1. 94, high rates of female than male patients. Liver depression syndrome group, 117 cases of functional cardiac arrhythmias in patients with male patients, 30 cases account for 25.64% of the patients with liver depression syndrome group, 87 cases of female patients, 74.36% of the patients with liver depression syndrome group, the male to female ratio 1:2. 9; The liver depression syndrome group, 83 cases of functional cardiac arrhythmias in patients with male patients 38 cases, 45.78% of the patients without liver depression syndrome group, 45 patients with women, 54.22% of the patients without liver depression syndrome group, the male to female ratio 1:1. 84. By chi-square test,P < 0.01, suggesting that different groups of functional sex arrhythmia patients is more significant difference, women in the liver depression syndrome have special functional arrhythmia in clinical significance, suggests women are more likely to suffer from liver depression syndrome functional arrhythmia. 3.In patients with different groups to compare the nature of work: liver depression syndrome group of knowledge workers in 117 patients with functional arrhythmia 92 cases, 78.63% of the patients with liver depression syndrome group, 25 cases of manual workers, 21.37% of the patients with liver depression syndrome group; The liver depression syndrome group of knowledge workers in 83 patients with functional arrhythmia 62 cases, 74.7% of the patients without liver depression syndrome group, manual workers 21 cases, 25.3% of the patients without liver depression syndrome group. Compare different groups by chi-square difference results of functional arrhythmia patients(P > 0.05, no difference, but the proportion of liver depressionsyndrome group of knowledge workers is relatively high fees liver depression syndrome group. 4.Felt pressure in patients with different groups: comparing the degree of liver depression syndrome patients think the pressure is bigger in the group of 117 patients with 62 cases, 53% of the patients with liver depression syndrome group, the smaller pressure 55 patients, 47% of the patients with liver depression syndrome group; The liver depression syndrome group of 83 patients with functional arrhythmia, think feeling pressure by 12 cases patients, 14.46% of the patients without liver depression syndrome group, the smaller pressure in 71 cases, accounting for 85.54% of patients without liver depression syndrome group. By chi-square test P < 0.01, suggesting stress may be one of the important factors that lead to functional arrhythmia. 5.Whether experienced negative life events in patients with different groups are compared: 117 cases of liver depression syndrome in patients with functional arrhythmia in 85 patients with negative life events, 72.65% of liver depression syndrome group, the experience of 32 cases with no negative life events, 27.35% of liver depression syndrome group; 83 cases of liver depression syndrome in patients with functional arrhythmia 29 patients experienced negative life events, accounted for 34.94% of liver depression syndrome group, without the experience of 54 cases of negative life events, accounting for 65.06% of liver depression syndrome group. By chi-square test on two groups of patients were compared with a, P < 0.01, suggesting that negative life events is one of the main reason for the formation of functional arrhythmia. 6.Comparing different groups of functional arrhythmia patients with and without a negative emotion: liver depression syndrome group with negative emotion, 98 patients with cardiac arrhythmias, accounting for 83.76% of the patients with liver depression syndrome group, no negative emotions(19 cases), accounting for 16.24% of the patients with liver depression syndrome group; The liver depression syndrome group with negative emotions is 50 patients with cardiac arrhythmias, accounting for 60.24% of the patients without liver depression syndrome group, 33 cases with no negative emotions, accounting for 39.76% of the patients without liver depressionsyndrome group. By the chi-square test P < 0.01, suggesting that both comparison difference significantly, the important influence to the functional arrhythmia prompt negative emotions. 7.Comparing different groups of functional arrhythmia patients psychological characteristics: liver depression syndrome group psychological characteristics of 117 patients with functional arrhythmia, 44 cases of temper, 37.61% of liver depression syndrome group, 39 cases of anxiety, violent, 33.33% of liver depression syndrome group, 17 cases of depression, negative 14.53% of liver depression syndrome group, 17 patients with psychological normal, accounted for 14.53%; The function of liver depression syndrome group, 83 cases of patients with cardiac arrhythmias temper 21 cases, accounted for 25.3% of liver depression syndrome group, an aggressive anxiety 18 cases, accounting for 21.69% of the patients without liver depression syndrome group, 12 cases were negative, depression accounted for 14.46% of liver depression syndrome group, 32 cases with normal psychological, accounted for 38.55% of the liver depression syndrome group. Compared by chi-square test, P < 0.01, suggesting that the psychological characteristics of patients with liver depression syndrome functional arrhythmia patients without liver depression syndrome functional arrhythmia, liver depression syndrome functional arrhythmia patients prone to impulse irritability psychological change.Conclusion: Catharsis liver failure has important influence on functional arrhythmia.Such as stagnation of Qi due to depression of the liver、liver stagnation and spleen 、syndrome of incoordination between liver and stomach caused by catharsis liver failure are leading to the main pathogenesis of functional arrhythmia;Gender, pressure, negative events, negative emotions, psychological characteristics and other factors can induce functional arrhythmia due to liver qi depression syndrome. |
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