The Preliminary Exploration Of TCM Syndrome’s Changes In Perioperative CRS Patients

Objective: This paper is to observe the CRS patients perioperative TCM syndrome type distribution,and explore the CRS patients perioperative TCM syndrome types change rule,according to the type of change rule,guide the proper use of traditional Chinese medicine treatment,postoperative adjustment on patient appointment time,in order to reduce the occurrence of CRS postoperative complications and the recurrence rate,provide theoretical basis for improving prognosis.Methods:select conforms to our country guide to diagnosis and treatment of chronic sinusitis(2018)in sichuan province traditional Chinese lines FESS treatment of 141 cases of patients with CRS(2019.01.01-2020.12.31),and the cases in accordance with the otolaryngology of traditional Chinese medicine science(ninth edition)deep nose of traditional Chinese medicine of traditional Chinese medicine syndrome differentiation standard preoperative,specification line after FESS surgery and strict perioperative management,respectively in postoperative 1 day,3 days,7 days,14 days,30 days for syndrome differentiation of TCM,observe the time node bluff TCM syndrome type distribution and type of distribution is analyzed.Results:Among the preoperative TCM syndromes,50 cases of the syndrome of heat stagnation in the biliary organs,30 cases of the syndrome of dampness-heat in the spleen and stomach,27 cases of the syndrome of heat stagnation in the lung channels,21 cases of the syndrome of weak temper,and 13 cases of the syndrome of cold deficiency of lung qi.There was no significant change in syndrome type composition between 1 day and 3 days after surgery and before surgery,and the difference was not statistically significant(P > 0.05).Among the TCM syndromes after 7 days after surgery,the syndrome of heat stagnation of ball-organs accounted for 40 cases,the syndrome of cold deficiency of lung qi accounted for 35 cases,the syndrome of weak temper accounted for 33 cases,the syndrome of dampness-heat of spleen and stomach accounted for 21 cases,and the syndrome of heat stagnation of lung meridian accounted for 12 cases.The TCM syndromes changed significantly on the 7th day after surgery and the 3rd day after surgery,with statistical significance(P<0.05).Among the TCM syndromes of 14 days after surgery,there were 50 cases of weakness of temper,29 cases of stagnation of heat in biliary organs,27 cases of dampness-heat in spleen and stomach,20 cases of cold syndrome of lung qi deficiency,and 15 cases of stagnation of heat in lung meridian.There was no significant difference in the TCM syndromes of 14 days after surgery compared with 7 days after surgery(P > 0.05).There was no significant difference in the composition of TCM syndromes 30 days after surgery compared with 14 days after surgery,and there was no statistical significance between them(P > 0.05).Conclusion: The TCM syndromes of 141 CRS patients before and 1-3 days after surgery were mainly heat stagnation in biliary organs,heat stagnation in lung meridian,dampness-heat in spleen and stomach,etc.7 days after operation is the key point of TCM syndrome from solid to deficiency.At 14 days and 30 days after surgery,the main TCM syndromes were weakness of temper and dampness-heat syndrome of spleen and stomach,and the changes of syndromes tended to be stable gradually.The principle of treatment for CRS during the operation period is to remove the pathogenic factors 7 days after the operation,and to strengthen the vital qi 7 days after the operation.The TCM syndromes of CRS patients had a changing trend during perioperative period.