A Correlation Study Between The Type Of Qi Deficiency And Blood Stasis About The Coronary Heart Disease And The Coronary Borderline Lesion The Myocardial Fraction Flow Reserve

This thesis on coronary heart disease (CHD) consists of both the part of concerned discourses and the part of exposition of the clinical research.There are three discourses introduced in the first part.The Traditional Chinese Medicine (TCM) type of CHD and the correlation between the TCM type and the modern clinical means as well as new diagnostic criteria is discussed in the first discourse. The discourse also explains that the modern medicine technological developments provide objective evidence for the objective and quantitative analysis of the TCM typing of CHD.The second discourse introduces the signification of the type of the deficiency of cardiac Qi and obstruction by blood stasis in the types of TCM of CHD.The third discourse summarizes the methods which are frequently used in clinical diagnosis for CHD over the last few years and explains the value of these clinical methods especially the myocardium nuclide perfusion scan and coronary arteriography(CAG),and the latter is generally accepted as the gold standard to diagnose the CHD because of its exact direct-viewing and dependable feature. The clinical application of intracoronary pressure wire and the myocardial fraction flow reserve have been regarded as the reference index in the interventional therapy of the CHD by many countries in the world recently years is also discussed in the third discourse.In the part of clinical research we investigate the TCM typing of CHD and such objective examination result as BNP^hemorrheology^ESR and CAG which have some relativities with the TCM type of CHD.We collect60patients in hospital whose diagnoses are consistent with strict diagnostic criteria of CHD from January,2012to November,2013.By the syndrome differentiation and treatment to the patient, the type of the cardiac Qi deficiency and the blood stasis can be diagnosed. Then the patient will have a coronary arteriography surgery and doctors will manipulate the intracoronary pressure wire, record the result myocardial fraction flow reserve. Statistical analysis according to the situation of patient and the modern clinical index shows that:FFR is relatived to this type, or not relatived.In a word, the study shows that we can develop the traditional and modern medical treatment of the CHD at the same time. With the help of the modern examination methods the diagnose and treatment of the CHD will be more remarkable. The modern examination methods will make the traditional medical business more normative and scientific. Especially for the coronary borderline lesion, we can use the traditional Chinese medicine to benefit the cardiac Qi to activate the heart vessels and activate the circulation of blood to remove blood stasis in the vessels, and this method could alleviate the payment and the admission rate of the patient.