Study On Correlation Between TCM Syndrome Types Of DCM And HF?SBP?NT-ProBNP?LVEF

Objective:To observe the correlation between different TCM syndromes of dilated cardiomyopathy and left ventricular ejection fraction, left ventricular end diastolic diameter and so on, so as to guide the TCM syndrome differentiation of DCM.Material and method:In this study, from March 2015 to December 2016 in Shandong Provincial Hospital, Department of Cardiology confirmed dilated cardiomyopathy (Dilate cardiomypathy, DCM)inpatients in 82 cases,The basic information of hospitalized patients was collected, including the information of patients with serum, serum NT-ProBNP, left ventricular ejection fraction, left ventricular end diastolic diameter and so on. According to the relevant standard The patients were divided into six TCM syndromes according to the guiding principle of clinical research of traditional Chinese medicine. The data were analyzed statistically by SPSS22.0 Stastistics software.Results:(1)82 cases of dilated cardiomyopathy in patients with the highest proportion of Qi and Yin Deficiency, Yang Xu water flooding the proportion of the least, the order of distribution: Yang Xu water flood syndrome <qi deficiency blood stasis <heart kidney deficiency syndrome<phlegm Blocking the lung card<cardiopulmonary deficiency syndrome"Qi and Yin Deficiency. (2) Heart function grade IV of the distribution of TCM syndromes: Qi and Yin Deficiency of the most, sputum drink lung injury at least, heart function grade III of the TCM syndromes distribution: Qi and Yin Deficiency group up to heart and kidney yang group And Yang virtual water pan group at least; heart function II to the largest proportion of heart and lung qi deficiency syndrome, heart kidney yang deficiency group and Yang deficiency water group the smallest proportion. (3)NT-ProBNP the highest value of heart and kidney yang deficiency, the lowest is the heart and lung qi deficiency. (4) Left ventricular end-diastolic diameter of the largest value is the heart and kidney deficiency syndrome, the smallest is Qi deficiency and blood stasis. Left atrial diameter mean maximum heart and kidney deficiency syndrome, the smallest is the heart and lung qi deficiency. (5) LVEF mean is the lowest price of Yang Xu water, the highest is the heart and lung qi deficiency. (6)Blood uric acid mean to the highest is the yang deficiency water syndrome, the lowest is the heart and lung qi deficiency.Conclusion:The cardiomyopathy of dilated cardiomyopathy and cardiac function classification, left ventricular ejection fraction, left ventricular end-diastolic meridian, left atrial diameter and other heart color Doppler index, NT-ProBNP, blood uric acid and other laboratory indicators have relevance, can promote Chinese medicine Clinical dialectical treatment of the objectivity, improve the combination of traditional Chinese and Western medicine treatment of dilated cardiomyopathy efficacy.