Syndrome Differentiation Research For Perioperative And Postoperative Of Varicose Veins Of Lower Limb

Objective:Research the distributive disciplinarian of TCM syndrome about perioperative and postoperative of the varicose veins of lower limb. Analyse the relationship between the Syndrome distribution of TCM and the general situatian, such as the gender, age, course of illness, operative history or traumatic history, thus contribute to raising the veracity and the criterion of the Syndrome Differentiation about perioperative and postoperative of the varicose veins of lower limb, improving clinical quality, and better services for patients.Methods:Hospital Using the clinical research methods of logitudinal and retrospective study the hospital groups, according the clinical research guidelines of TCM symptom in "Chinese medicine science" (editor-in-chief Zhao Shang-hua, in the 21st century curriculum, People's Health Press, the first edition in August 2002), " the Chinese pharmaceutical industry standards—Chinese Syndrome and diagnosis standards of the People' s Republic of China "(ZY/T001.1-94) and the "the guiding principles of new Chinese medicine clinical study" (Trial) (Zheng Xiao-yu editor-in-chief, the China Medical Science and Technology Publishing House, the first edition in May 2005), make out the clinical observation table, adopt the patients of the varicose veins of lower limb which checked and confirmed by the color doppler sonography in vascular surgery and first surgery of Guangdong Province Chinese medicine hospital from October 2002 to October 2007, record their names, No. of hospitalization, gender, age, disease, history of trauma or surgery, as well as the operated limb (left and right), at the same time observe the mainly clinical symptoms in three aspects of the patients' overall situation, partial situation and tongue picture and pulse condition respectively perioperation, the first day after operation and the fifth day after operation, set up the database by using the software SPSS13.0, statistically analyse the data, and consult the experts, then get the result.Results:1. There are 87 cases of the collection. Perioperative syndrome differentiation for Qizhi blood stasis were 38 cases, Qixu blood stasis 26 cases, humid and hot stagnation 15 cases, humid and blood 8 cases; 65 cases were distinguished to be Qizhi blood stasis at the first day after operation while 22 cases were the humid and hot Stagnation; at the fifth day, postoperative dialectic for Qizhi blood stasis were 45 cases, Qixu blood stasis 16 cases and humid and hot Stagnation 22 cases.2. There are 22 cases that have history of surgery or trauma and 65 cases have no history of surgery or trauma in the 87 cases of the observation. The shortest course of all of the cases is six months, and the longest is 50 years. Study found that, whether have the history of operation or trauma will affect the syndrome differentiation of this disease in perioperative. There are differences of the course of the disease in various syndrome differentiation. And from the average, the course of the patients who is syndrome differentiation for Qixu blood stasis and humid and hot stagnation are lengther than the patients who is syndrome differentiation for Qizhi blood stasis and humid and blood.3. This study observed 87 cases (74 patients), which combined with venous ulcers of the 16 cases, called for Chinese medicine, "jingliu" is 71 cases, "lianchuan" is 16 cases, 31 cases of men , 43 cases of women, the ratio of is 1:1.39; youngest 24-year-old, the biggest 81-year-old, the average age of 59.23±13.162-year-old (87 cases). Whether before or after surgery, the distribution of sex, diagnosis between different type of syndrome differentiation have no obvious discrepancy. There is no significant difference of the age distribution in various syndrome differentiation in perioperative and postoperative.Conclusion: The disease's mail syndrome differentiation is blood stasis; syndrome differentiation for perioperative is Qizhi blood stasis mainly, with humid, with hot, with Xu; surgery on syndrome differentiation influence is increasing performance of "blood", syndrome differentiation for postoperative is Qizhi blood stasis, humid and hot Stagnation mainly, but also the operation may damage the body, the patient will with "Xu" performance in postoperative, but the main clinical manifestations for the recent of postoperative is evidence.