| Objective:By collecting the general information,clinical symptoms,NRS 2002 score,Child-Pugh classification and laboratory indexes of 112 inpatients with decompensated liver cirrhosis,this study classified the inpatients by TCM syndrome differentiation,analyzed the nutritional risk status of inpatients and the distribution of syndrome,explored the relation between syndrome and nutritional risk status,syndrome and indexes,to provide more evidence for clinical syndrome differentiation and treatment of patients with decompensated liver cirrhosis.Methods: 1.All case data came from the electronic medical record system of the inpatient department.2.Checking the case data of inpatients who treated in the hospital from January 1,2018 to December 31,2019,selecting the cases who met the diagnostic criteria,collecting the patient’s clinical data,then entering the data into the database.3.Using Excel to build a database,Using SPSS 24.0 statistical software to perform statistical analysis on the data,studying the nutritional risk status and TCM syndrome distribution of inpatients with decompensated liver cirrhosis,and analyzing the relation between them and the related indexes.Results:1.Nutritional risk score: this study included 88 cases(78.6%)of nutritional risk,24 cases(21.4%)of no nutritional risk;2.Child-Pugh grading: the main research object was C grade(56.2%),B grade was second(39.3%),A grade was the least(4.5%);3.Syndrome type distribution: Damp-heat accumulation syndrome was the most common syndrome,and liver-qi stagnation syndrome was the rarest syndrome;4.There was no significant correlation between TCM syndrome and nutritional risk status(p>0.05),and there was no significant difference in age,BMI,ALB,PAB and TP levels between different syndrome(p>0.05);5.TCM syndromes were significantly related to the etiology(p<0.01),and had no significant correlation with Child-Pugh classification(p>0.05),and there was no significant difference in PT,INR and ALT levels between different syndrome(p>0.05);6.The levels of TBIL and AST of different TCM syndrome types were significantly different between groups(p<0.05).Among them,the levels of TBIL and AST in the yang deficiency of spleen and kidney were significantly lower than the damp-heat accumulation syndrome;7.Different nutritional risk states had significant differences in INR levels(p<0.05),and there were extremely significant differences in Child-Pugh classification,ALB and PAB levels(p<0.01),and nutritional risk was significantly positively correlated with Child-Pugh classification(r>0),significantly negatively correlated with serum ALB and PAB(r<0).Conclusions:1.The universal Syndrome Differentiation of inpatients with decompensated liver cirrhosis are dampness-heat,internal resistance of dampness and yang deficiency of spleen and kidney,suggesting that the basic pathological factor is dampness,and clinical treatment should pay attention to restore the function of spleen and kidney,properly dispel dampness,clear heat and strengthen the spleen and kidney;2.It’s easy for inpatients with decompensated liver cirrhosis to have nutritional risks,all inpatients should be screened for nutritional risks,and the patient’s nutritional condition should be evaluated early and intervened actively.3.The syndrome types of decompensated liver cirrhosis are related to the etiology,suggesting that the etiology can provide certain ideas for the syndrome differentiation;4.The age of liver-kidney yin deficiency and spleen-kidney yang deficiency are higher,while the age of dampness internal resistance and damp-heat accumulation are lower,implying that clinical treatment of decompensated liver cirrhosis should take the age into account,and formulate appropriate treatments and nursing plans. |
