The Traditional Chinese Medicine Syndrome Types Evolution Law Of Unstable Angina Pectoirs Before And Atfer Percutaneous Coronary Interventions

Objectives:①The Traditional Chinese Medicine(TCM) syndrome type distribution ofunstable angina pectoris before and after Percutaneous Coronary Interventions(PCI);②TheTCM syndrome types evolution law of unstable angina pectoris before and afterPCI;③The relationship between TCM syndrome types and coronary artery lesionbranches;④To provide references for TCM treatment to prevent coronary artery restenosisand to improve the symptoms of patients after PCI.Methods:Through the collection of medical records,we put unstable angina pectorispatients with coronary intervention before and after coronary intervention for one week、twelve weeks into different TCM syndrome types,and establish syndrome type statistics、coronary interventional procedures record sheets、avariety of observations tables by hand atthe appointed time,detailed records and statistics.Using the statistical package SPSSVersion l6.0for XP for statistical analysis.Using descriptive statistics,measurement databased on mean±standard deviation (x±s),measurement data between the two groups arecompared using the t test(t test was used when heterogeneity of variance), count data userate or proportion(%),Count data are compared using chi-square test,P＜0.05indicate asignificant.Results:In122cases of unstable angina pectoris patients,the incidence of men arehigher than women,the proportion of60-69age group is the biggest,followed by50-59agegroup. After50years of age,male and female respective morbidity rates are increased.The pathogenesis have connection with age、gender、dyslipidemia、 hypertension、 smoking、heredity、obesity and so on.Relationship between the syndrome types and coronary arterylesion branches,blood stasis syndrome and Qi and Yin deficiency syndrome have thelargest proportion,with the process of coronary artery lesion branches from single→double→multivessel,the TCM syndrome type of unstable angina pectoris changesfrom positivism to deficiency.Before the PCI, blood stasis syndrome and Qi and Yindeficiency syndrome are the most common,followed by Yang Qi decline syndrome andPhlegm congestion syndrome,Chill stagnate syndrome and Heart kidney yin deficiencysyndrome are at last.There’s little TCM syndrome type distribution difference between oneweek after PCI and before PCI.Twelve weeks after the PCI,Yang Qi decline syndrome andblood stasis syndrome are the most common,followed by Qi and Yin deficiency syndromeand Phlegm congestion syndrome,Chill stagnate syndrome and Heart kidney yin deficiencysyndrome are at last.Thus,in the process of unstable angina pectoris,Qi Deficiency、phlegm and blood stasis are perforative from beginning to end.In the TCM syndrome typesevolution law before and after PCI,the total proportion of positivism such as blood stasis、phlegm、Chill stagnate decreases gradually reduced,while the total proportion of deficiencysuch as Yang deficiency、Qi and Yin deficiency、Heart kidney yin deficiency graduallyincreased.Conclusion:Patients with unstable angina pectoris before the PCI mainly based onpositivism,but with the passage of time,positivism gradually diminished,deficiencygradually increased,showing that the PCI although can improve patients’s externalempirical pathological mechanisms in short-term,but can not change the pathologicalcharacteristics of originally deficiency.