Comparative Analysis Of Diagnosis And Treatment Of 611 Inpatients Of Flaccidity-syndrome

ObjectiveThe research is based on the basicsyndrome, discuss the cluster syndrome of flaccidity-syndrome and correlation of syndromes, see the component syndrome of acute and chronic flaccidity-syndrome, contrast the evolution of syndromes, learn the influencefactor (syndrome) of flaccidity-syndrome morbidity (the common western medicine), summarize the feature of dialectical treatment, to provide the reference for the diagnosis and treatment of flaccidity-syndrome.MethodsThe study adopt the restrospective method, collect clinical information material of flaccidity-syndrome to buildEpidata database,use SPSS19.0 to complete the statistical analysis, summarize the general information of patients, conclude the component of flaccidity-syndrome, learn the the cluster syndrome by the K-means method, show the correlation of syndromes by correlation-coefficient matrix, indicate the evolution of syndromes by the table and line graph, discuss the influence factor (syndrome) of flaccidity-syndrome morbidity (the common western medicine) by the Logistic analysis, preliminary analysis the prescription applied.ResultsetThere are 611 information material of patients whose diagnosis is theflaccidity-syndrome orthe flaccidness-numbness in Guangdong provincial hospital of TCM during 2008 April to 2014 December.1. The basic syndromes are qi deficiencysyndrome、yindeficiencysyndrome、 spleen deficiency syndrome、lung deficiency syndrome、liver deficiency syndrome、kidney deficiency syndrome、dampness syndrome、damp-heat syndrome、 blood stasis syndrome and phlegm syndrome, which are assortted to 13 types of syndrome differentiation.2.The correlation of syndromes:qi deficiency is notly related to yin deficiency syndrome、blood stasis syndrome and related to phlegm syndrome; yin deficiency syndrome is notly related to liver deficiency syndrome、blood stasis syndrome;liver deficiency syndrome is notly related to kidney deficiency syndrome、blood stasis syndrome、phlegm syndrome;kidney deficiency syndrome is notly related to blood stasis syndrome、phlegm syndrome;blood stasis syndrome is notly related to phlegm syndrome.3. Qi deficiency syndrome、yin deficiency syndrome、liver deficiency syndrome、kidney deficiency syndrome、damp-heat syndrome、blood stasis syndrome are more in the acute flaccidity-syndrome, spleen deficiency syndrome、lung deficiency syndrome are more in the chronic flaccidity-syndrome. The comparation of constituent ratio is P<0.05, which is statistically significant. It is P> 0.05 that of phlegm syndrome and dampness syndrome, which is statistically insignificant.4. The possiple trend of syndromes evolution:it is downtrend (≤1year)-stabilization (2year-4year)-uptrend (≥5year) that isthe acute flaccidity-syndrome;it is uptrend (≤1year)-downtrendslow (2year-5year)-uptrend (≥6year) that is the chronic flaccidity-syndrome.5.The risk factor (syndrome)of the occurrence of flaccidity-syndrome: dampness syndrome possibly affects the incidence of PM/DM, qi deficiency syndrome、spleen deficiency syndrome possibly affect the incidence of MG; spleen deficiency syndrome、kidney deficiency syndrome possibly affect the incidence of PMD;kidney deficiency syndrome possibly affects the incidence of hereditary;spleen deficiency syndrome、lung deficiency syndrome possibly affect the incidence of ALS;yin deficiency syndrome、damp-heat syndrome and blood stasis syndrome possibly affect the incidence of MS;damp-heat syndrome、 blood stasis syndrome possibly affect the incidence of CIDP;blood stasis syndrome possibly affects the incidence of peripheral neuropathy.6. "Strengthen the spleen and the lung soup"、Buzhongyiqi soup are mostly used in the prescriptions applied.Conclusion1. The loacation of flaccidity-syndrome is the spleen、the lung、the kidney、 The liver, the root is the deficient essence, mingled with dampness、phlegm evil or blood stasis, qi deficiencysyndrome、spleendeficiencysyndrome、kidney deficiencysyndrome、blood stasis syndrome are the most.2. The pathogeny of flaccidity-syndrome is virtual pathogenic、real pathogenic, going through the evolution of "deficiency mix with verify", it becomes the main issue that is deficiency caused by the disease. The distribution and evolution of the acute and chronic flaccidity-syndrome’s syndromes are different.3. The differenceof risk factor (syndrome)of the occurrence of flaccidity-syndrome (the common western medicine) indicatessyndrome affecting the show, spleendeficiencysyndromepossibly affect the incidence of MG、PMD、 ALS, blood stasispossibly affect the incidence of NMO、MS、AIDP、CIDP、peripheral neuropathy, damp-heat syndrome possibly affect the incidence of MS、 AIDP, meanwhile, the differenceof evolution of syndromein the different disease shows that the pathology variation is limited by pathology.4. It is emphasized to apply qi-tonifying and blood-activating method in the dialectical treatment of flaccidity-syndrome.