Correlative Clinical Study Of Congestive Heart Failure TCM Syndrome Differentiations With Cardiac Parameters

Observation Objective:Through to congestive heart failure patients noninvasive hemodynamic cardiac parameters determination of each indicator, discusses congestive heart failure (CHF) patients with TCM syndrome differentiations noninvasive hemodynamic cardiac parameter variation, correlation and for congestive heart failure TCM syndrome differentiations of provides an objective basis.Methods:Selection of 62 cases clinical patients from 2010 March to 2011 February wuhan first hospital ward cardiovascular physician two in-patients case, which conform to the congestive heart failure patients with diagnosis criteria, sickness, TCM by CHF coating and pulses are typification, is divided into cardiopulmonary deficiency of qi and Yin deficiency, and two heart kidney Yang, blood stasis, Yang Yang generic and water off six groups of while capturing such cases symptoms, signs and laboratory results of such material, statistical analyses of the data collected from each index in cardiac function parameters discussed TCM congestie heart failure syndrome differentiations change regularity and the correlation.Results:1. Congestive heart failure patients with cardiac classification TCM syndrome type was significantly related. Two empty, qi and Yin and blood stasis syndrome cardiac function II level; for grading much Cardiopulmonary debility, Yang generic card water more thanⅢlevel for grading cardiac function; Heart kidney Yang Yang, the heart off for more IV issuing cardiac classification level. And found that from cardiopulmonary qi diff iciency and blood stasis syndrome to issuing to Yang generic card, heart function gradually water deteriorating; CHF patients with heart TCM syndrome differentiation of qi and Yin deficiency or two empty began to Yang, applications, finally, caused by virtual reality, blood stasis or water appears, finally hair fluid syndrome type died off for heart Yang.2. CHF patients with cardiac TCM syndrome type parameters CO (Cardiac Output), CI (Cardiac Index), SV (Stroke Volume), SI (Stroke Index), TFC (Thoracic Fluid Content), SSVR (Systemic Vascular Resistance), SSVR (Systolic Time Ratio) and UA (blood uric acid) values index are closely related. CI, CO in each group distribution order cardiopulmonary deficiency of qi and Yin group>two empty group of heart and blood stasis>kidney Yang Yang suffused with group of water> heart Yang group; off SV, SI in each group distribution order and blood stasis> cardiopulmonary deficiency of qi and Yin deficiency of two> heart of kidney Yang>Yang suffused with group of water>heart Yang group; off STR, TFC, SSVR in each group distribution order >Yang Yang of heart off generic group>heart water kidney Yang group and blood stasis> qi and Yin deficiency of both qi difficiency group> cardiopulmonary group.3. CHF patients different TCM syndrome type there were significant differences between heart function parameters. And cardiopulmonary deficiency of Qi and Yin deficiency syndrome, compared the two heart kidney Yang Yang, the generic card, increase water STR, CO, CI, SV, SI, SSVR significantly reduced significantly increased, TFC.Conclusion:Two empty, qi and Yin and blood stasis syndrome cardiac functionⅡlevel; grading is Cardiopulmonary debility, Yang generic card waterⅢlevel is preferented classification; Heart kidney Yang Yang syndrome cardiac function, the heart is off IV grading level. Noninvasive hemodynamic monitoring CO (Cardiac Output), CI (Cardiac Index), SV Stroke Volume), SI (Stroke Index), TFC (Thoracic Fluid Content), SSVR (Systemic Vascular Resistance), STR (Systolic Time Ratio) index contraction time with congestive heart failure TCM syndrome differentiations of closely, can be in cardiac output index CI, CO, SV, SI decline as a reminder heart kidney Yang Yang card and a generic card water reference; STR rise as Yang generic and water and blood stasis syndrome; a reference TFC rise as a reference index worsen heart failure; SSVR elevated in patients with hf treatment for judging the classification indexes turned their hearts function. It will noninvasive hemodynamic cardiac parameters as congestive heart failure of TCM syndrome differentiations objective reference index.