| Objective:To detect the pulse characteristics and general clinical data of healthy people and coronary heart disease patients by using intelligent pulse diagnosis instruments to detect the right,left,and right feet of healthy people and patients with coronary heart disease,and to explore the susceptibility factors of coronary heart disease.To compare the characteristics of traditional Chinese medicine pulse in patients with coronary heart disease and non-coronary heart disease after percutaneous coronary angiography,and to discuss the characteristics of traditional Chinese medicine pulse in patients with coronary heart disease.Methods:The experiment collected 150 subjects with pulse,inch,foot and foot pulse information.The coronary heart disease group was collected in the Department of Cardiology of China-Japan Friendship Hospital.The normal group was from the employees of China-Japan Friendship Hospital,and the pulse information was unified in Chinese medicine.Technical laboratory collection.After the data was removed,the remaining 62 patients in the control group and the remaining 59 patients in the coronary stenosis group included 40 patients with coronary heart disease and 19 patients without coronary heart disease.Firstly,we compared the general clinical data and pulse characteristics of the control group and the coronary heart disease group.Second,compare the general data,pulse characteristics,syndrome type,comorbidity,electrocardiogram and echocardiography of coronary heart disease patients with non-coronary heart disease in coronary sinosurgery group.Result:(1)Comparison between control group and coronary heart disease group:Compared with the healthy control group,the average BMI and average weight of the coronary heart disease group were significantly higher,indicating that obesity is one of the risk factors for coronary heart disease.The proportion of men with coronary heart disease is higher than that of women.The average age is more than 60 years,which means that older men are more likely to have coronary heart disease than women.Unsupervised learning of pulse condition information in coronary heart disease group and healthy group-The principal component analysis found that there was a significant difference between the two main components in unsupervised learning,with an accuracy rate of 61%.The crowd is different.The EFBLS method was used to select the characteristic parameters that can classify patients with coronary angiography and healthy people’s pulse diagnosis information.The results showed that the difference between the pulse diagnosis information of the above two types of population was extremely significant and the classification accuracy could be 76.%.The accuracy rate of using Lasso’s regression was 67%.The coronary heart disease group should be mainly dominated by strings and astringent veins,and the healthy group should be dominated by string veins or string-slip veins or juxtamas.(2)Results of comparison between coronary artery disease and non-coronary heart disease group in coronary sinus:There was no significant difference in gender proportion,age,height,weight,and BMI index between coronary heart disease patients and non-coronary heart disease patients diagnosed in the coronary stenosis group(all P>0.05).There are significant differences in pulse diagnosis information between patients with coronary heart disease and non-coronary heart disease under different physiological and pathological conditions.This difference was mainly analyzed by principal component analysis,LS identification,and Lssso 3 different mathematical methods.Using unsupervised learning,the accurate probability of classifying patients with coronary heart disease and the control group was 61%,which was classified using supervised learning.The accurate probability reaches 66%-81%.According to the "TCM syndrome differentiation criteria",coronary heart syndrome can be divided into phlegm,blood stasis,qi stagnation,cold condensate,Qi deficiency,yin deficiency,yang deficiency,most patients are two cards and folders.The proportion of all syndromes except yang deficiency in patients with coronary heart disease was higher than that of non-coronary heart disease patients,but the number of cold coagulation syndromes in the two groups was the least.The number of patients with different syndrome types in coronary heart disease group was as follows:qi stagnation,blood stasis,turbidity,qi deficiency,yang deficiency,yin deficiency,and cold coagulation.The number of LM lesions in both groups was 0,and the number of lesions at the LAD site was the highest.The number of patients with lesions of left circumflex artery(LCX)in coronary heart disease group was significantly higher than that of non-coronary heart disease group,P<0.05.Compared with patients without coronary heart disease,the proportion of patients with coronary heart disease with RCA and LAD lesions increased,but the proportion did not change significantly,P>0.05.The degree of stenosis of all lesions in non-CHD patients was mild,while the degree of stenosis in coronary heart disease group was mostly moderate and severe.The distribution of arterial lesion stenosis was significantly different between the two groups,P<0.001.There was a significant difference in the lesion location,number of lesions,and stenosis between coronary artery disease group and non-coronary heart disease group,P<0.01.There was no significant difference in the number of coronary stents between the two groups,P>0.05.There was no significant difference in the proportion of ST-T waves on the electrocardiogram between coronary heart disease group and non-CHD group(all P>0.05).Echocardiographic parameter comparisons found no significant difference in the proportion of the two groups and the EF(%)value,but all patients in the coronary heart disease group had E/A ≤1 and only 60%of the patients in the non-CHD group had this.One pathological manifestation,the difference was extremely significant,P<0.01.No patients in the non-CHD group experienced RWMA abnormalities,while 8 patients in the CHD group appeared,and the proportion of the patients was significantly higher than that of the non-CHD group,P<0.01.Some patients with coronary heart disease and non-coronary heart disease had left inner diameter of the left atrium out of the normal range,but there was no significant difference in the ratio between the two groups,P>0.05.The proportion of left ventricle in the coronary heart disease group was higher than the normal range of 20%in the non-coronary heart disease group was 10.5%,the difference was extremely significant,P<0.01,a difference of nearly 1 times.Left atrial diameter and left ventricular diameter were not significantly different between the two groups,P>0.05.There was no significant difference in the proportion and severity of the combination of coronary heart disease and non-coronary heart disease with arrhythmia,heart failure,hypertension,and type 2 diabetes,all P>0.05.The proportion of patients with high blood lipids was significantly higher than that of coronary heart disease group.Non-coronary heart disease group,statistically significant,P<0.05.Conclusion:The preliminary finding of coronary heart disease in patients with coronary heart disease has characteristic indicators in the left inch and foot veins.The results of pulse analysis are basically consistent with the results of coronary angiography,electrocardiogram,and echocardiography.The coronary heart disease obtained by syndrome differentiation can be distinguished by syndrome differentiation.On the basis of heart and blood stasis syndrome,the pulse and foot veins are mainly chord and astringent,and pulse and syndrome correspond to each other. |
PDF Full Text Request