| Objective:This topic is used the method of retrospective study, to analyze and inductive of TCM syndrome type distribution and analysis the correlation. To understand the cause of disease pathogen, and more accurately predict the evolution of diseases and syndromes, Provide objective basis for guiding clinical treatment of traditional Chinese medicine.Methods:With the method of retrospective survey, collect the clinical data, a total of 300 cases between January 2011 and April 2013 of gynecology, liver and gallbladder surgery of the level 3 or above, gastrointestinal surgery of abdominal postoperative patients. Record abdominal surgery preoperative TCM syndrome elements, summarize and induce the TCM syndrome distribution regularity of abdominal surgery preoperative.Results:1. The gynecology of traditional Chinese medicine syndrome:The main disease of gynecologic abdominal surgery is ovarian cyst, ovarian endometriosis cyst and uterine fibroid. The syndrome types of TCM in patients before gynecology surgery include six kinds. They are kidney and blood stasis syndrome (54 cases,54%), qi and blood stasis syndrome (22 cases,22%), qi deficiency blood stasis qi deficiency syndrome (8 cases,8%), deficiency of blood stasis syndrome (7 cases,7%), spleen kidney both deficiency and blood stasis syndromes (6 cases,6%), the resistance to hot and damp stasis syndrome (3 cases,3%). The syndrome types of TCM in patients after gynecology surgery on the first day mainly include five kinds. They are qi deficiency and blood stasis syndrome (23 cases,23%), relieving gas impassability syndrome (22 cases,22%), kidney deficiency and blood stasis syndrome (16 cases,16%), followed by wet aggregates syndrome (14 cases,14%), spleen deficiency syndrome (10 cases,10%). The syndrome types of TCM in patients after gynecology surgery on the third day mainly include five kinds. They are qi deficiency and blood stasis syndrome (32 cases,32%), followed by wet aggregates syndrome (19 cases,19%), kidney and blood stasis syndrome (14 cases, 14%), spleen deficiency syndrome (9 cases,9%), qi and blood stasis syndrome (9 cases,9%). The syndrome types of TCM in patients after gynecology surgery on the seventh day mainly include four kinds. They are kidney and blood stasis syndrome (25 cases,34.7%), quiz deficiency and blood stasis syndrome (21 cases, 29.2%), followed by wet aggregates syndrome (9 cases,12.5%), and qi stagnation and blood stasis syndrome (5 cases,7.0%).2. The syndrome types of TCM in patients before abdominal surgery:The main disease of gastrointestinal abdominal surgery is transverse colon and descending colon cancer, colon cancer, colon cancer, sigmiod colon cancer and colorectal cancer. The syndrome types of TCM in patients before gastrointestinal surgery mainly include five kinds. They are wet aggregates pixu syndrome (64 cases,64%), damp and hot accumulate knot syndrome (22 cases, 22%), deficiency of damp heat syndrome (3 cases,3%), liver depression, spleen deficiency syndrome (2 cases,2%), relieving gas impassability syndrome (2 cases,2%). The syndrome types of TCM in patients after gastrointestinal surgery on the first day mainly include five kinds. They are wet aggregates pixu syndrome (48 cases,48%), obstruction of fu-qi syndrome (20 cases,20%), weak spleen and stomach syndrome (10 cases,10%), damp and hot accumulate knot syndrome (6 cases,6%), liver spleen deficiency syndrome (4 cases,4%). The syndrome types of TCM in patients after gastrointestinal surgery on the third day mainly include five kinds. They are wet aggregates pixu syndrome (68 cases, 68%), damp and hot accumulate knot syndrome (13 cases,13%), qi and Yin deficiency syndrome (4 cases,4%), weak spleen and stomach syndrome (2 cases, 2%), liver depression, spleen deficiency syndrome (2 cases,2%).The syndrome types of TCM in patients after gastrointestinal surgery on the seventh day mainly include four kinds. They are wet aggregates pixu syndrome (55 cases, 69.6%), damp and hot accumulate knot syndrome (11 cases,14.0%), qi and Yin deficiency syndrome (4 cases,5.1%), spleen and stomach weak syndrome (3 cases, 3.8%).3. The syndromes of liver and gallbladder surgery:The main disease of liver surgical abdominal surgery is gall bladder calculi with cholecystitis, liver cancer and calculus cholecystitis. The syndrome types of TCM in patients before liver and gallbladder surgery mainly include five kinds. They are change the spleen deficiency syndrome (39 cases, 39%), deficiency of phlegm and blood stasis resistance syndrome (25 cases,25%), liver and gallbladder damp heat syndrome (22 cases,22%), followed by wet aggregates syndrome (5 cases,5%). The syndrome types of TCM in patients after liver and gallbladder surgery on the first day mainly include six kinds. They are change the spleen deficiency syndrome (31 cases,31%), liver and gallbladder damp heat syndrome (14 cases,14%), followed by wet aggregates syndrome (12 cases,12%), deficiency of phlegm and blood stasis resistance syndrome (7 cases,7%), relieving gas impassability pass syndrome (7 cases,7%), spleen deficiency syndrome (5 cases,5%). The syndrome types of TCM in patients after liver and gallbladder surgery on the third day mainly include five kinds. They are change the spleen deficiency syndrome (27 cases,30.0%), liver and gallbladder damp heat syndrome (12 cases,13.3%), followed by wet aggregates syndrome (11 cases,12.2%), deficiency of phlegm and blood stasis resistance syndrome (9 cases,10.0%), hot and humid intrinsic syndrome (8 cases,8.9%). The syndrome types of TCM in patients after liver and gallbladder surgery on the seventh day mainly include four kinds. They are change the spleen deficiency syndrome (20 cases,30.0%), deficiency of phlegm and blood stasis resistance syndrome (17 cases,25.4%), followed by wet aggregates syndrome (6 cases,9.0%), qi and Yin deficiency syndrome (5 cases,7.5%), spleen deficiency syndrome (4 cases,6.0%), hot and humid intrinsic syndrome (3 cases,4.5%).4. The correlation of syndrome and diseasesThe main disease of gynecologic abdominal surgery is ovarian cyst, ovarian endometriosis cyst and uterine fibroids. The main syndrome of ovarian cyst surgery is the kidney and blood stasis. The main syndrome of the first day after surgery is relieving qi blocked qi deficiency and blood stasis. The main syndrome of the third day after is surgery qi deficiency syndrome of blood stasis. The main syndrome of seventh day after surgery is kidney qi deficiency and blood stasis, blood stasis. The main syndrome of uterine leiomyoma preoperatively is the kidney and blood stasis. The main syndrome of the first day after surgery is qi deficiency syndrome of blood stasis. The main syndrome of the third day after surgery is blood stasis. The main syndrome of the seventh day after surgery is the kidney and blood stasis. The main syndrome of ovarian endometriosis cyst surgery is blood stasis. The main syndrome of the first day after surgery is relieving qi blocked qi deficiency, blood stasis. The main syndrome of the third day after is qi and blood stasis. The main syndrome of the seventh day after surgery is qi and blood stasis. Preoperative and postoperative of department of gynecology on the third and the seventh day after distribution of syndromes has correlation with the patient’s disease type(P<0.05). After the first day of department of gynecology of TCM syndrome type distribution has no obvious correlation with the patient’s disease type (P> 0.05).The main disease of gastrointestinal abdominal surgery is transverse colon and descending colon cancer, colon cancer, colon cancer, sigmoid colon cancer and colorectal colon. The main syndrome of transverse colon cancer before surgery is stagnation of liver and deficiency. The main syndrome of the first day, the third day, the seventh day after surgery is the wet aggregates pixu. The main syndrome of descending colon cancer before operation is wet aggregates pixu. The main syndrome of the first day after surgery is relieving qi. The third day after the main syndrome of the wet aggregates pixu. The main syndrome of the seventh day after surgery is the wet aggregates pixu. The main syndrome of colon cancer before operation. On the first day, on the third and the seventh day after operation is wet aggregates pixu. The main syndrome of colon cancer before operation, on the first day operation, postoperative third and on the seventh day after surgery is wet aggregates pixu. The main syndrome of lit res of sigmoid colon cancer before operation. On the first day after operation, postoperative third and on the seventh day after surgery is wet aggregates pixu. The main syndrome of postoperative rectal cancer on the first day, on the third day and on the seventh day after surgery is wet aggregates pixu. The TCM syndrome type of preoperative, on the first day, on the third day and the seventh day after surgery of gastrointestinal surgery has no correlation with the patient’s disease type(P>0.05).The main disease of liver surgical abdominal surgery is gall bladder calculi with cholecystitis, liver cancer and calculus cholecystitis.The main syndrome of gall bladder calculi with chalecystitis preoperative and on the first day after surgery is the liver and gallbladder damp heat. The main syndrome of the third day after surgery is the liver and gallbladder damp heat and stagnation of liver qi and spleen deficiency. The main syndrome of the seventh day after surgery is stagnation of liver qi and spleen deficiency. The main syndrome of liver cancer preoperative, on the first day, the third day and the seventh day after surgery is stagnation of liver qi and spleen deficiency. The main syndrome of calculus cholecystitis preoperative, on the first day, the third and the seventh day after surgery is the liver and gallbladder damp heat. The main syndrome of on the seventh day after surgery is stagnation of liver qi and spleen deficiency. The TCM syndrome types of liver and gallbladder surgery preoperative, on the first and the third day after surgery has correlation with the patient’s disease type(P<0.05).The TCM syndrome types of liver and gallbladder surgery-on the seventh day after surgery has no obvious correlation with the patient’s disease type(P>0.05).Conclusion:This study through the gastrointestinal surgery, gynecology, liver and gallbladder surgery 100 each routine abdominal surgery preoperative TCM syndrome research, discovered the common syndrome features of abdominal surgery is:the main syndrome of preoperative is factors, the main syndrome of the early postoperative is bowl-qi obstruction, the main syndrome of the third day after surgery spleen deficiency syndrome or factors.The main disease of gynecologic abdominal surgery is ovarian cyst, ovarian endometriosis cyst and uterine fibroid. Gynecologic surgery preoperative there are six main kinds of TCM syndrome types, respectively are kidney qi deficiency and blood stasis, qi and blood stasis, blood stasis, deficiency two empty blood stasis, spleen and kidney deficiency and blood stasis syndrome, damp heat and blood stasis resistance. Gynecologic surgery on the first day of the TCM syndrome type mainly has five, respectively is qi deficiency and blood stasis syndrome, relieving gas impassability, kidney and blood stasis syndrome, wet aggregates pixu (spleen deficient), spleen deficiency. Gynecologic surgery on the third day of the TCM syndrome type mainly has five, respectively is qi deficiency and blood stasis syndrome, wet aggregates pixu (spleen deficient), kidney, blood stasis, spleen deficiency, qi and blood stasis. Gynecologic surgery on the seventh day there are four main kinds of TCM syndrome types, respectively is kidney qi deficiency, blood stasis, blood stasis syndrome, wet aggregates pixu (spleen deficient), and qi and blood stasis.The main disease of gastrointestinal abdominal surgery is transverse colon and descending colon cancer, colon cancer, colon cancer, sigmiod colon cancer and colorectal cancer. Gastrointestinal surgery preoperative TCM syndrome type mainly has five, respectively are wet aggregates pixu (spleen deficient) qi deficiency syndrome, damp and hot accumulate knot, damp heat syndrome, liver depression syndrome, relieving gas impassability pixu (spleen deficient). After gastrointestinal surgery on the first day of TCM syndrome types mainly include five kinds, respectively are wet aggregates syndrome, relieving gas impassability, pixu (spleen deficient) weak spleen and stomach syndrome, damp and hot accumulate knot certificate, change the certificate. After gastrointestinal surgery on the third day of the TCM syndrome type mainly has five, respectively is wet aggregates pixu (spleen deficient) certificate, damp and hot accumulate knot, qi and Yin deficiency syndrome, spleen and stomach weakness, liver spleen deficiency. After gastrointestinal surgery on the seventh day there are four main kinds of TCM syndrome types, respectively is wet aggregates pixu (spleen deficient) certificate, damp and hot accumulate knot, qi and Yin deficiency syndrome, spleen and stomach weak.The main disease of liver surgical abdominal surgery is gall bladder calculi with cholecystitis, liver cancer and calculus cholecystitis. Liver and gallbladder surgery preoperative there are four main kinds of TCM syndrome types, respectively are liver qi deficiency of spleen deficiency, phlegm and blood stasis resistance collaterals syndrome, liver and gallbladder damp heat syndrome, wet aggregates pixu (spleen deficient). Liver and gallbladder surgery on the first day of TCM syndrome types, there are mainly six were liver spleen deficiency, liver and gallbladder damp heat syndrome, wet aggregates pixu (spleen deficient) qi deficiency syndrome, phlegm and blood stasis resistance collaterals syndrome, relieving gas impassability, spleen deficiency. Liver and gallbladder surgery on the third day of the TCM syndrome type mainly has five, respectively is liver spleen deficiency, liver and gallbladder damp heat syndrome, wet aggregates pixu (spleen deficient), deficiency of phlegm and blood stasis resistance collaterals syndrome, hot and humid embodiment. Liver and gallbladder surgery on the seventh day of TCM syndrome types, there are mainly six were liver depression qi deficiency of spleen deficiency, phlegm stasis blocking collaterals syndrome, wet aggregates pixu (spleen deficient), qi and Yin deficiency syndrome, and spleen deficiency, hot and humid embodiment. Diseases in per operative have certain correlation between syndromes. For distribution system in deep study, combined disease for clinical diagnosis, treatment in preoperative application and research of Traditional Chinese Medicine provide the reference... |
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