A Study On The Relevance Between SDS Score Of Patients With Coronary Heart Disease And Depressive Disorder And Features Of Chinese Medicine Syndromes Distribution

Objective:To investigate the incidence of depression in patients with coronary heart disease,observe and compare the distribution of SDS and the distribution of TCM syndromes in patients with coronary heart disease,and to explore the characteristics of TCM syndromes distribution in patients with coronary heart disease and depression and their correlation with depression.Methods:Randomly selected from June 2015 to June 2016 in Taizhou Hospital of Traditional Chinese Medicine cardiovascular medicine met the inclusion criteria from 120 patients with coronary heart disease as the research object,the basic data of patients,such as age,gender,height,weight,duration of disease,adopt questionnaire survey method,make the clinical questionnaire,SDS score,TCM syndrome type etc.The main contents of the survey are as follows:the demographic data:gender and age of patients,the nature of the work and educational level;the clinical symptoms:chest tightness,chest pain,palpitations,shortness of breath,irritability,forgetfulness and other symptoms,and diet,two,sleep,tongue and pulse;the history,incentive,emotional factors;4.The diagnosis of traditional Chinese medicine and Western medicine.To study the correlation between SDS score and TCM syndrome distribution characteristics of coronary heart disease(CHD)patients with depression.Results:In the 120 subjects included in the study,69 male patients,female patients accounted for 57.50%,51,42.50%,the average age(63.51 + 10.39)years old,the average BMI(24.63 + 3.57)kg/m2,the course of distribution in 5 months to 10 years,the average duration of(10.07 + 3.96)years.The average SDS score of all enrolled patients was(41.22 + 11.43)points,and there was a positive correlation between the scores of SDS and the course of disease in the patients enrolled in the group,and the data were statistically significant(r=0.649,P<0.05).Patients with blood stasis syndrome SDS score was 41.03 + 11.23,patients with qi stagnation and blood stasis syndrome SDS score was 45.21 + 11.55,Qi deficiency and blood stasis syndrome patients SDS score was 50.86 + 8.85,patient with phlegm stasis syndrome SDS score was 40.12 + 12.01,cold heart vessel syndrome patients with SDS score 39.57 + 10.39,two Qi and yin deficiency syndrome in patients with SDS score was 44.27 + 11.62,heart and kidney yin deficiency in patients with SDS score was 40.37+ 11.11,with statistical significance of different dialectical type patients with SDS score(F=35.269,P<0.05)the difference of data.The Q test showed that the patient with Qi deficiency and blood stasis SDS score was significantly higher than that of other groups,qi stagnation and blood stasis,Qi and yin deficiency syndrome in two patients with SDS were lower than those of qi deficiency and blood stasis syndrome,but higher than that in other groups,blood stasis,phlegm stasis,cold heart vessel syndrome and heart Yin deficiency syndrome patients SDS score was the lowest of the 120 patients,a total of 44 patients were diagnosed with depression and the incidence of depression was 36.67%.The course of disease,hypertension,cerebrovascular disease,hyperlipidemia,smoking,PCI operation history,Qi Yin two deficiency syndrome,Qi deficiency blood stasis syndrome and qi stagnation blood stasis syndrome were the independent influencing factors of depression in patients with coronary heart disease(P<0.05).Conclusion:1.Coronary heart disease complicated with depression patients with TCM syndrome mainly with Qi deficiency and blood stasis,qi stagnation and blood stasis,Qi Yin two deficiency syndrome.2.CHD patients with Qi deficiency and blood stasis syndrome were more likely to have depression than those with Qi Yin two deficiency syndrome and qi stagnation blood stasis syndrome.3.The occurrence of coronary heart disease depression was positively related to the course of disease and was an independent risk factor of combined depression.