Rheumatoid Arthritis Rheumatic Fever Depression And Liver And Kidney Yin Deficiency Syndrome And Laboratory Index Correlation Research

Objective…Through the statistical analysis of clinical laboratory index, rheumatic feverdepression syndrome rheumatoid arthritis and the correlation of liver and kidney Yindeficiency syndrome and laboratory indexes, for the TCM syndrome objective studyof rheumatoid arthritis to provide the reference and ideas.Methods…Meet the criteria for the selected80patients with rheumatoid arthritis, rheumaticfever of depression syndrome type and liver and kidney Yin deficiency syndrome type40cases in each. Observation rheumatic patients with depression and liver and kidneyYin deficiency in the two groups on gender, age, clinical symptoms, signs, Chinesemedicine symptom integral and rheumatoid immune related laboratory index (RF,AKA, anti CCP, APF) numerical, rheumatoid arthritis, rheumatic fever through theanalysis of the statistical methods after depression and the correlation of liver andkidney Yin deficiency syndrome types of TCM and laboratory indexes.Results…1. Two groups of TCM syndrome types: correlation between age, gender and therheumatic fever depression syndrome rheumatoid arthritis40patients, mean age51.20±4.26years old; Liver and kidney Yin deficiency syndrome of40patients,average age53.50±4.35years old. Rheumatic fever is compared between depressiongroup and liver and kidney Yin deficiency way, liver and kidney Yin deficiency typepatients’ average age is greater than the depressive patients with rheumatic fever, thedifference was statistically significant (P <0.05). Of rheumatic fever in patients withdepressive syndrome, eight men and women32people, liver and kidney Yindeficiency syndrome patients,12men and28women, gender differences between thetwo group of card type is not obvious, no statistical significance (P>0.05). 2. Two groups of TCM syndrome type and clinical relevance: two groups ofmorning stiffness time were higher than normal, more differences between groups (P <0.01), including rheumatic fever, deadlocked of morning of depressive syndrome typelong time is liver and kidney Yin deficiency syndrome. For joint tenderness indexcompared between groups, rheumatic fever depression syndrome group jointtenderness index is greater than the liver and kidney Yin deficiency syndrome group,difference between tenderness index between the two groups was statisticallysignificant (P <0.01). Joint swelling index is compared between two groups, therewere significant differences (P <0.01), including rheumatic fever depressionsyndrome group joint swelling index is greater than the liver and kidney Yindeficiency syndrome. Comparison between pain VAS group, rheumatic feverdepression syndrome group and no obvious difference between liver and kidney Yindeficiency syndrome type way, there was no statistically significant difference (P>0.05). TCM symptoms in patients with two groups of total integral comparisonbetween groups, rheumatic fever depression syndrome patients and patients with liverand kidney Yin deficiency syndrome group total score, there was no significantdifference between groups has no statistical significance (P>0.05).3. The two groups of syndrome types of TCM and laboratory indexes correlation:two groups of patients, respectively, for the RF, AKA, anti CCP, APF laboratoryindexes such as testing, the results showed that: rheumatic fever depressive group RFpositive rate was87.5%, positive rate was85%, liver and kidney Yin deficiency groupof rheumatic fever depressive group RF average higher than that of liver and kidneyYin deficiency, comparison between groups have significant difference (P <0.01),with statistical significance. Rheumatic fever depressive group AKA positive rate was95%, positive rate of97.5%, liver and kidney Yin deficiency group rheumatic feverdepression and liver and kidney Yin deficiency group AKA positive difference is notbig, comparison between groups have no statistical significance (P>0.05), but werehigher than normal. Rheumatic fever depressive group anti CCP positive rate was75%,positive rate was77.5%, liver and kidney Yin deficiency group of rheumatic feverdepression anti CCP mean higher than that of liver and kidney Yin deficiency group,the differences between the groups with statistical significance (P <0.05). Rheumaticfever depressive group of APF positive rate was80%, positive rate was77.5%, liverand kidney Yin deficiency group rheumatic fever depression and liver and kidney Yindeficiency group APF positive difference is not big, comparison between groups have no statistical significance (P>0.05), but were higher than normal.Conclusion…1. The average age is greater than the liver and kidney Yin deficiency syndromerheumatoid arthritis patients with rheumatic fever depression syndrome types, and twogroups of men and women constitute the proportion.2. Rheumatic fever depressive patients with rheumatoid arthritis (ra) diseaseseverity greater than liver-kidney Yin deficiency type of rheumatoid arthritis, theclinical symptom significantly.3. The RF, AKA, CCP, APF, such as laboratory testing index, can be used asrheumatoid arthritis, rheumatic depression syndrome and syndrome differentiation ofliver and kidney Yin deficiency syndrome.