Retrospective Study On TCM Syndromes Of High Altitude Polycythemia

Objective: To provide a certain basis for dialectical standardization by using evidence-based medicine research method,four diagnosis information of 107 hospitalized patients with high altitude erythrocythemia,and to summarize the characteristics,dialectical and syndromes of HAPC inpatients,and to provide some reference for the diagnosis and treatment.Methods: Based on “Highland medicine” HAPC scoring table(see appendix A)and experts to explore the design of “HAPC Syndrome Collection Table”(see Appendix B),to meet the standard of 107 cases of HAPC hospitalized patients four consultation information,laboratory examination to establish a database,the use of SPSS19.0 statistical software line data processing,Cluster analysis and Factor analysis are used in syndromes and connotations,and other general data are statistically significant in the use of frequency analysis.Results: Of the medical records of 107 patients with HAPC,89 cases,18 cases of women,male: 4.94:1,the oldest is 70 years old,the youngest age is 33 years,the average age is 55.72 years,of which the highest age is 60-70 years of age,accounting for 44.9%.HAPC hospitalized patients hospital stay time is significantly seasonal,with the most autumn and winter,of which the number of winter visits to 36 people,accounting for 33.6%.There were the highest frequency of mutual syndrome(44 cases)of QI deficiency and phlegm stasis in the syndrome differentiation of HAPC hospitalized patients,followed by QI deficiency and blood stasis(12 cases),phlegm turbid Lung(9 cases)and hyperthyroidism in hepatic and Yang(8 cases).There were 40 5% in the four diagnosis information of HAPC patients,the top three symptoms: chest tightness(69.1%),cyanosis(65.4%),cough(63.5%),anterior three tongue veins: dark red tongue(76.6%),pulse string(49.5%),Pulse slip(46.7%).Clustering analysis(R type)was performed on the quantification of four diagnostic data,the preliminary syndrome differentiation of hepatobiliary fever,dampness and heat resistance,phlegm turbidity resistance lung,Qi deficiency blood stasis 4 type,4 kinds of results of the factor analysis,summed up the main symptoms of HAPC headache,dizziness,cough,yellow phlegm,voice low,edema,aberration,fatigue,palpitations,shortness of breath,cyanosis,chest tightness,dry mouth,mouth pain,Numbness of limbs,sweat out and so on.Conclusion: HAPC TCM syndrome differentiation is mainly: hepatobiliary dampness and heat,phlegm and moisture resistance,phlegm turbid lung,qi deficiency blood stasis,the general dialectical point can not be separated from qi deficiency,phlegm turbidity,blood stasis,in the disease disease level distribution,different syndromes reflect the different distribution of organs,at the same time,mixed qi deficiency,blood stasis of the plateau syndromes characteristics.This study summarizes the TCM syndromes and main symptoms of HAPC through case review and statistical analysis,and provides some reference for the clinical diagnosis of HAPC,and provides a certain preliminary basis for the standardization of TCM diagnosis and treatment of HAPC.