Adult Steele Disease Of Tcm Syndrome Distribution And Related Influence Factors Of Research

Objective:Through the76AOSD patients collected in this study,we will take a discuss-ion about the distribution of AOSD TCM syndrome.and analysis the correlation between different syndromes and sex,age,course of disease,CRP,SF,thyroid function,and the dosage of hormone.Methods:All the literaturies about AOSD expert experience in syndrome differentiation, treatment based on syndrome differentiation,treatment of special literature, which on the CNKI,Wan Fang and VIP Data are explored.and sorting out the AOSD common TCM syndromes;based on literature research setting the expert questionnaire,formulating AOSD syndrome distribution questionnaire;adopt to the clinical epidemiology cross-sectional research methods setting retrospective and prospective investigation,according to inclusion and exclusion criteria collecting76AOSD patients which are from the rheumatology department January2008to December2012in Wangjing Hospital,China Academy of Traditional Chinese Medicine Science.Based on the questionnaire collecting informations and reference to TCM syndrome diagnosis standard for syndrome differentiation;found a data bank,using SPSS19.0statistical software for analysis,summarize the distribution of AOSD TCM syndrome.and the correlation between TCM syndrome and main outcome measures.Results:Collecting32literatures about expert’s experience in syndrome differentiateon, clinical treatment based on syndrome differentiation and treatment of post.the result is:the common syndrome of AOSD is the Wind-heat invading syndrome,Qi Ying two burnt syndrome,Damp-heat Bizu,Yin deficiency and heat,deficiency of Qi and Yin.Heat toxin synd-rome,evil into the Shaoyang syndrome,Yang deficiency, blood stasis syndrome.Through the statistics of76AOSD clinical datas,the results are:the disease usually pathogenic the female,male:female is1.00:2.45:it always attacts young people (age from18-37). and67.10%patients in Summer or Spring are sicked.the average duration is19.36±28.63months.fluctua-tioning from<1～≥51months,but more concentrated in1～10months.The most syndrome is Qi and yin deficiency and Damp-heat blockage,accounting for26.32%,the type of Damp-heat Bizu is21.05%,Yin deficiency and heat is17.11%.Qi Ying two burnt is15.79%,Qi and Yin deficiency is10.53%,Wind-heat invading is9.21%.Through the statistics of the symptoms,skin rash.sore throat,joint and muscle pain frequency are89.47%,85.53%,76.32%,65.79%,hypodynamia,mouth thirst.bitter taste of mouth sticky and anorexia,nausea’s frequency have reached more than40.00%.After statistical analysis.the patient’s sex,age and use of hormone content with different syndrome P>0.05,no significant difference.The patient’s temperature,WBC,SF,CRP,FT3,FT4,TSH with different syndrome P<0.05,there are significant differences.Conclusion:AOSD usually found in young females,seen in Spring and Summer,the course of disease always long:TCM syndrome distribution is Qi and Yin deficiency and Damp-heat Bizu>Damp-heat Bizu>Yin deficiency heat>Qi Ying two burnt>Qi and Yin deficiency>Wind-heat invading;AOSD’s typical symptoms include rash,sore throat,joint and muscle pain,hypodynamia.anorexia and nausea.mouth thirst; the longer the duration, Qi and Yin deficiency, Yin deficiency heat are more obvious;CRP,SF,temperature are more higher,co-urse of disease more shorter,Qi Ying two burnt syndrome is more obvious;WBC are more higher, course of disease more shorter, Wind-heat invading is more obvious;the higher of FT3, FT4,the lower of TSH,empirical is more obvious;the lower of FT3,FT4,the higher of TSH,deficiency syndrome is more obvious.