Research On The Relativity Between Sepsis Types Based On Syndrome Differentiation Of TCM And Lactic Acid Value And Sirs Score

Object:Objective to observe the correlation between TCM syndrome type and lactic acid valu e,SIRS scores in sepsis,provide an objective basisfor TCM syndrome differentiation of sepsis,objective to make TCM syndrome differentiation of symptoms and signs,gu ide the treatment of disease,and help to judge theprognosis.Method:In this study,120 cases with sepsis were included in the standard,2 fugaoyishang acc ording to TCM "Chinese severe sepsis/septic shock treatment guidelines(2014)" TC M type,the collected cases underwent lactic acid value,SIRS score detection,unified the questionnaire,statistical analysis.was performed usingspss20.0 software.Results:1.In this study,120 patients with sepsis were collected,among them,36 cases were toxic heat syndrome(accounting for 30%),26 cases were Fu Qi obstruction syndrome(accounting for 21.7%),33 cases were blood stasis syndrome(accounting for 27.5%),25 cases were acute deficiency syndrome(accounting for 20.8%).2.In this study,120 patients were collected,there was no significant difference in gender and age between TCM syndromes(P>0.05),there was no significant difference in the gender and age of each grade of sepsis(P>0.05).3.In the study of lactic acid value and TCM syndrome types of sepsis,found that acute deficiency syndrome>toxin heat syndrome>blood stasis syndrome>Fu Qi obstruction syndrome.Remove toxin heat syndrome and Fu Qi obstruction syndrome had no significant difference(P>0.05),statistically significant difference among the other card type(P<0.05),there was correlation between TCM syndrome type and lactic acid value.4.In the study of SIRS score and TCM syndrome type of sepsis,found that toxin heat syndrome>Fu Qi obstruction syndrome>acute deficiency syndrome>blood stasis syndrome.Remove toxic heat syndrome and Fu Qi obstruction syndrome,toxic heat syndrome and blood stasis syndrome,toxic heat syndrome and acute deficiency syndrome were statistically different(P<0.05),the other syndromes were not statistically significant(P>0.05),there was correlation between TCM syndrome type and SIRS score.5.In the study of lactic acid value and sepsis classification,found that severe sepsis>sepsis,there was statistical difference between the two groups(P<0.05),there was correlation between the level of sepsis and lactic acid value.6.In the study of SIRS score and sepsis classification,found that severe sepsis>sepsis,there was statistical difference between the two groups(P<0.05),there was correlation between the level of sepsis and SIRS score.7.In the rank sum test of multi sample comparison of TCM Syndrome Types and severity of sepsis,found that there was no statistical difference between toxic heat syndrome and Fu Qi obstruction syndrome(P>0.05),there was statistical difference between the other syndromes(P<0.05).Conclusion:1.There was correlation between TCM syndrome type and lactic acid value,the lactic acid value of sepsis patients increased gradually with the change of TCM syndrome types,blood stasis syndrome<toxin heat syndrome or Fu Qi obstruction syndrome<acute deficiency syndrome.2.Objective to study the correlation between SIRS scores and TCM syndromes in patients with sepsis,found that there were statistical differences between toxin heat syndrome and the other three syndromes(P<0.05),and the SIRS score of toxic heat syndrome was higher than the other three syndromes,there was correlation between TCM syndrome type and SIRS scores.3.There was correlation between the level of sepsis and lactic acid value,the lactic acid value of sepsis patients increased gradually with the change of sepsis grade,sepsis<severe sepsis.4.There was correlation between the level of sepsis and SIRS score,the SIRS scores of sepsis patients increased gradually with the change of sepsis grade,sepsis<severe sepsis.5.LAC value and SIRS score can indicate the severity of the disease,and provide reference value for TCM syndrome differentiation of sepsis.