The TCM Syndrome Pattern And Correlation Of Coronary Heart Disease With Diabetes In Zhuang Nationality Factor Analysis

Objective:By studying the rules of syndrome differentiation of coronary heart disease(CHD)and diabetes(Diabetes Mellitus,DM)in Zhuang population,and analyzing the syndrome types and related factors of TCM,enriching TCM syndrome differentiation of coronary heart disease and diabetes in Zhuang population from the perspective of clinical objective information.Ideas.Methods:(1)Collect 100 patients with CHD combined with DM Zhuang who met the inclusion criteria in our hospital during December 2016 to December 2017.(2)Collect information,basic data,and clinical physicochemical data of the four Chinese medical examinations of the included cases.The attending physicians with the qualifications of the TCM physicians and the middle-level or higher professional titles will use the syndrome differentiation criteria of CHD and DM according to the TCM differentiation criteria..(3)Data were statistically analyzed using SPSS19.0 and Graph Pad Prism6.0 software.Chi-square test,one-way analysis of variance,rank sum test or Fisher’s exact test were used to analyze CHD and DM syndromes and clinical data of Zhuang population..Results:(1)CHD and DM TCM syndromes in Zhuang population were mainly Qi and Yin Deficiency combined with blood stasis syndrome(28%),Qi deficiency and phlegm stasis syndrome(23%),Qi deficiency and blood stasis syndrome(17%),and Qi.Yin and Xu Deficiency(14%)mainly(hereinafter referred to as TCM Four Cards),followed by Deafness-Complete Card(7%),Qi-Blood Deficiency Card(3%),Yang Deficiency Blood Deficiency Syndrome(3%),Yang deficiency turbidity certificate(2%),Yang deficiency cold coagulation certificate(2%),yin and yang deficiency certificate(1%).(2)Gender: There was no significant difference in gender between CHD and DM TCM syndromes in Zhuang population(P>0.05).(3)Age and duration of disease: Zhuang population CHD combined DM four syndromes CHD,DM disease course comparison: Qi and Yin deficiency and blood stasis syndrome> Qi and Yin Deficiency Syndrome> Qi deficiency and stasis syndrome> Qi deficiency and blood stasis syndrome(P)<0.05),Qi deficiency and blood stasis syndrome age was significantly higher than that of Qi deficiency and blood stasis syndrome(P<0.05).(4)Smoking and alcohol consumption: There was no significant difference in the proportion of smoking among CHD patients and DM patients in the four syndromes of Zhuang population(P>0.05).The proportion of patients with Qi deficiency and phlegm and drinking together was higher than that of Qi and Yin deficiency and blood stasis syndrome.(P<0.05).(5)Hypertension and hyperlipidemia: There was no significant difference in the prevalence of hypertension between CHD and DM four syndromes in Zhuang population (P<0.05).The proportion of hyperlipidemia was higher in Qi deficiency syndrome than in Qi deficiency.Blood stasis syndrome(P<0.05).(6)Blood lipids: TC and LDL between the CHD patients and DM patients in the Zhuang population were the highest in qi and phlegm and blood stasis syndromes.Qi deficiency and blood stasis were the lowest(P<0.05).(7)Blood glucose: Glu and Hb A1 c levels were significantly higher in CHD patients with CHD combined with DM traditional Chinese medicine syndromes of qi deficiency and phlegm,qi and yin deficiency and blood stasis syndrome,and Qi and Yin deficiency syndrome than in qi deficiency and blood stasis syndrome(P< 0.05).(8)Others: There was no significant difference in Cr,AST,STB,CK-MB between CHD and DM four syndromes in Zhuang population(P>0.05).UA level in Qi deficiency syndrome was higher than that in other syndromes(P<0.05).0.05),qi and yin deficiency and blood stasis syndrome,qi and yin deficiency EF values were significantly lower than Qi deficiency and phlegm and blood stasis syndrome and qi deficiency syndrome(P <0.05).Conclusions:(1)The characteristics of CHD with DM pathogenesis in Zhuang population are based on imaginary standardization,the main deficiency is qi deficiency and yin deficiency,and the standardization is phlegm and blood stasis,and qi deficiency and blood deficiency syndrome,and blood stasis syndrome.Qi deficiency and qi stagnation syndrome,Qi deficiency and blood stasis syndrome and Qi and Yin deficiency are more common.(2)Among the four syndromes of CHD combined with DM in Zhuang population,deficiency of both qi and yin,blood stasis syndrome and qi and yin deficiency are mainly due to older age,longer duration of disease,high levels of Glu,Hb A1 c,and low EF;The main features of high blood pressure and high levels of TC,LDL,and UA were associated with alcohol consumption.