| Objective: To observe and compare the differences of clinical physical and chemical examination indexes(inflammation index,hemorheology index,rheumatism four,autoantibody fifteen,anticardiolipin anti body,antinuclear antibody,tumor six,immunoglobulin,complement,etc.)between the two syndromes of traditional Chinese medicine "femoral swelling"(deep vein thrombosis,deep vein thrombosis,DVT)and non-"femoral swelling" patients.In order to explore the relevance of clinical physical and chemical examination indexes of TCM syndromes,look for characteristic indexes,and under the guidance of the principle of "differentiation and treatment" of TCM,gradually add the content of modern medical clinical physical and chemical indexes to the TCM syndromes,forming relevant and not deviating "dialogues" The new main and concurrent contents of TCM syndrome type based on the principle of "treatment";enrich the connotation of TCM and provide new ideas for the integration of TCM and Western medicine!Methods: The cases in this study originated from March 2016 to December2019,and the patients were admitted to the peripheral vascular surgery hospital.115 cases met the inclusion criteria,and the age range was 15 to 96 years,including 58 male patients and 57 female patients.A control study group of 55 non-"femoral swelling" patients was established.Through statistical processing,analyze the TCM syndrome types of patients with femoral swelling,and discuss the TCM syndrome types and related observationindexes of the disease.Result:1 A total of 115 patients with "femoral swelling" were included in this study.According to syndrome differentiation,they were divided into two main syndrome groups:55 cases of syndrome of dampness and blood stasis and 60 cases of Syndrome of dampness,heat and blood stasis;and 55 non-"femoral swelling" patients for the control study group.2 Differences in age group,gender,and blood type were compared between the two main syndromes:after testing,age P>0.05,no statistical significance;gender P>0.05,no statistical significance;blood type P>0.05,no statistical significance.Indicating that there are no differences in TCM syndrome types of patients with femoral swelling between different age groups,genders,and blood types.3 Difference analysis of hypertension history,coronary heart disease history,diabetes history,smoking history,alcohol drinking history,tumor history between the two syndrome types:tumor history P=0.007<0.01,with very significant statistical significance;residual test index P>0.05,no statistical significance.4 Difference analysis of relevant physical and chemical indicators between the two syndrome types: white blood cell count,neutrophil percentage,C-reactive protein has no statistical significance(P>0.05);immunoglobulin A,immunoglobulin G,immunoglobulin M,Complement C3 and complement C4 were not statistically significant(P>0.05);uric acid,anti-streptococcal hemolysin O,rheumatoid factor,and anti-cyclic citrullinated peptide antibodies were not statistically significant(P>0.05);alpha-fetoprotein,cancer Embryo antigen,carbohydrate antigen 125,carbohydrate antigen 153,carbohydrate antigen 199,carbohydrate antigen 724 have no statistical significance(P>0.05);no statistical significance(P>0.05);it is not considered that the femoral swelling is different there are differences in the above test indexes between the types of certificates.5 Comparing the non-thrombotic control group patients with femoral swelling syndromes,it was found that the non-thrombotic patients had white blood cell count,neutrophil percentage,immunoglobulin A,uric acid,alpha-fetoprotein,carcinoembryonic antigen,carbohydrate antigen 125,Carbohydrate antigen153,carbohydrate antigen 199,D-dimer were statistically different(P <0.05),suggesting that there is a significant difference between patients with femoral tumors and non-thrombotic patients.In the comparison of immunoglobulin G and immunoglobulin M,it was found that there was no significant difference between non-thrombotic control group patients and femoral tumor patients.Statistics showed that there was no difference between the saccharide antigen 724 in the non-thrombotic control group and the femoral collateral dampness stasis syndrome(P>0.05),and the collateral dampness heat stasis syndrome was different(P <0.05).Conclusion:Among patients with femoral swelling(deep vein thrombosis,DVT)who have a history of tumors at the same time,the carbohydrate antigen 724 is more commonly seen in the syndrome of dampness and blood stasis.In comparison with non femoral swollen patients,it is found that there is a difference between the syndrome of "Damp heat and stasis of the veins".The results suggest that the index of carbohydrate antigen724 can be included in the "femoral swelling" pattern of dampness heat and blood stasis syndrome as a basis for judging the "concurrent evidence" of patients with femoral tumor and non femoral swelling. |