| Object:explore different characteristics of TCM syndrome of Ankylosing spondylitis patients, and the relationship among the physical or chemical indexes.Mthods:Through retrospective investigation, collect related material of ankylosing spondylitis patients who hospitalized in The Rheumatology of The FoShan of TCM hospital (Including general basic information, four diagnostic information physical and chemical indicators, image data), and using statistical methods, to explore different characteristics and development law of TCM syndrome of Ankylosing spondylitis patients, and the relationship among the chemical indexes or imaging changes.Results:The ankylosing spondylitis patients who hospitalized in The Rheumatology of The FoShan of TCM hospital, the proportion of male patients is 77.8%. the average age is (28.33±9.94) years old, between the ages of 12 years old and 55 years old, the majority is in 11 to 40 years old. the average Course of disease is (6.30±6.28) years, the most is less than 5 years; According to CT imaging change, the classification level III accounted for 43.2 percent, In patients with ankylosing spondylitis already diagnosed in the high rate of HLA-B27 for 68.5% with positive, rate for 8.0% with negative.The age of the patients:it is significant difference (P＜0.01) to contrast among early and adanced, middle and late patients according to CT imaging change.the index of the course presence differences (P＜0.05) to contrast among early and middle, middle and late patients according to CT imaging change.TCM syndrome type:the most is Humid and heat bi-complex resistance type as attacking 34.6%, the Second is Humid and Cold bi-complex resistance type and liver and Kidney deficiency type, as attacking 28.4% and 25.3% tc 25.3%. Phlegm and stasis bi-complex resistance type with 9.3% and Qi of Kidney deficiency type with 2.5%.the average Course of disease:significant difference (P＜0.01) compare Humid and heat bi-complex resistance type to Phlegm and stasis bi-complex resistance type and Qi of Kidney deficiency type. differences (P＜0.05) compare Humid and heat bi-complex resistance type to liver and Kidney deficiency type.In the early and middle, the most proportion is Humid and heat bi-complex resistance type with 37.8% and 38.6%; the second is Humid and Cold bi-complex resistance type with 35.6% and 30.0%; the liver and Kidney deficiency type with22.2% and 4.4% compare to the Phlegm and stasis bi-complex resistance type with 22.9% and 8.6%, whatever Qi of Kidney deficiency of missing case. In the late, the most is liver and Kidney deficiency type with 31.9%, Humid and Cold bi-complex resistance type with 19.1% is less than Humid and heat bi-complex resistance type with 31.9%;The least is the Phlegm and stasis bi-complex resistance type with 14.9% and 8.6% and Qi of Kidney deficiency with 8.5%.The characteristic of deficiency or redundant:differences (P＜0.05) among early and late, middle and late patients according to CT imaging change.ESR or PLT:differences (P＜0.05) compare Qi of Kidney deficiency type to liver and Kidney deficiency type.Conclusion:Among ankylosing spondylitis patients with TCM syndrome type and imaging of development, the most is redundant in early, but the majority is deficiency with redundant in the late, then the first is to remove the redundant early but to full the deficiency the last. whatever, remove the redundant should be treated through the course of disease.In different periods and different ankylosing spondylitis syndromes and physiochemical index, miss differences, but the ESR,CRP,PLT beyond throughout disease development process, thus diminish inflammation should be treated always to ease the pain and stiffness, slow activity symptoms of osteoblast,ever have led inflammation caused by the destruction of the bone structure... |
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