A Retrospective Study About The Traditional Chinese Medicine Syndrome Distribution Of Elderly Acute Myeloid Leukemia

ObjectiveThe study analyzed the clinical syndrome differentiation and treatment of elderly acute myeloid leukemia patients’Traditional Chinese Medicine Syndromes distribution, as well as the objective indexes of hemogram, bone marrow and karyotype analysis, in order to explore the rules of Traditional Chinese Medicine syndrome of elderly acute myeloid leukemia, to provide the reference of clinical syndrome differentiation.MethodInvestigating 181 cases from January 2012 to December 2014 in Guangdong hospital of Traditional Chinese Medicine hematology ward diagnosed with elderly acute myeloid leukemia, the Traditional Chinese Medicine syndrome and related index were analyzed.Result181 cases of elderly acute myeloid leukemia patients,45 patients with newly diagnosed patients,133 cases of repeated hospitalizations, cases in the diagnosis of TCM syndromes were split out nine single syndromes. Deficiency syndrome with qi deficiency and yin deficiency mainly, accounted for 93.9% and 85.6%, and empirical inside blood stasis syndrome (63%)> damp heat syndrome (20%)> wet resistance syndrome (6.1%)> heat phlegm syndrome (5.5%). Different syndromes are combined with each other to form a total of 16 kinds of complex and complicated syndromes, including combinations of two syndromes> four kinds of syndromes combination> of three kinds of syndromes combination.16 kinds of syndromes are summarized four main syndromes:qi and yin deficiency syndrome (32.0%), qi and yin deficiency with blood stasis syndrome (24.3%), qi and Yin deficiency with phlegm and blood stasis (16.1%), qi and yin deficiency with damp-stasis syndrome (14.4%). In main single syndrome, moderately severe anemia and platelet below normal proportion in qi deficiency syndrome, yin deficiency syndrome and blood stasis syndrome reach to more than half, The highest proportion of white blood cell count is lower than normal. In main clinical syndrome, moderately severe anemia and platelet below normal proportion in qi and yin deficiency syndrome, qi and yin deficiency with damp-stasis syndrome reach to more than half, The highest proportion of white blood cell count is lower than normal.ConclusionThrough the related clinical data analysis, elderly acute myeloid leukemia single syndrome are mainly on qi deficiency syndrome, yin deficiency syndrome and blood stasis syndrome. The newly diagnosed single syndromes and referral single syndromes are roughly the same. Elderly acute myeloid leukemia clinical syndromes are mainly composed of complex syndrome and complicated syndrome. Clinical common syndromes in turn is qi and yin deficiency syndrome, qi and yin deficiency and blood stasis syndrome, deficiency of both qi and Yin and stagnation of phlegm and blood stasis, Qi and yin deficiency and dampness and blood stasis syndrome. In elderly patients with acute myeloid leukemia are based on five zang deficiency, qi and Yin deficiency through the disease.