Study On The Relationship Between TCM Syndromes And Blood Lipid Level In Stable Angina Pectoris Caused By Coronary Heart Disease And Boundary Lesion

Objective:To explore the relationship between TCM syndromes of stable angina coronary artery borderline lesions and blood lipid levels,and to improve the relevant TCM theory of stable angina coronary artery borderline lesions,and to provide a certain basis for the diagnosis,treatment,prevention,and death risk assessment of stable angina pectoris borderline coronary lesions.Methods:This study collected data from the Department of Cardiovascular Medicine,Guangdong Provincial Hospital of Chinese Medicine from January 1,2018 to December 31,2020.According to the criteria.300 patients which were diagnosed with stable angina pectoris borderline coronary lesions were analyzed by retrospective research methods.Record the patient’s name,gender,age,basic disease,smoking history,BMI and other basic information,as well as the test data of LDL,TG,TC,HDL,UA,etc.According to the patient’s residence,symptoms,tongue and pulse conditions in the patient’s hospitalization record information,we can do the TCM syndrome differentiation.Refers to《Guidelines for TCM Diagnosis and Treatment of Stable Angina Pectoris of Coronary Heart Disease》and《Review and Analysis of TCM Syndromes of Coronary Borderline Lesion》,we divides the TCM syndrome differentiation into 7 basic syndrome types:Heart and Blood Stasis Syndrome,Qi Stagnation and Blood Stasis Syndrome,Phlegm Turbidity Obstruction Syndrome.Cold Ning Heart Pulse Syndrome,Qi Deficiency and Blood Stasis Syndrome,Qi and Yin Deficiency Syndrome,and Heart Yang Deficiency Syndrome.In order to explore the correlation between TCM syndrome types of stable angina coronary artery border lesions and gender,age and related underlying diseases,to explore whether there is a correlation between the TCM syndrome types of stable angina coronary artery border lesions and blood lipid levels,we use SPSS 26.0 statistical software to analyze the collected data.The measurement data are expressed by the mean(χ±s)standard deviation,that do not conform to normal distribution are expresented by median and the chi-square test,analysis of variance,and rank-sum test are used according to the different characteristics of the data.When P<0.05,it is statistically significant.Results:1.A total of 261 patients with stable angina pectoris with borderline coronary artery disease were actually included in this project.there were too few cases of deficiency of both qi and yin and heart-yang deficiency,so they were excluded.Among the 257 patients,there were 97 cases(37.74%)of Qi deficiency and blood stasis syndrome,100 cases(38.91%)of phlegm turbidity obstruction syndrome,49 cases(19.06%)of heart and blood stasis syndrome,and 11 cases(4.28%)of Qi stagnation and blood stasis syndrome.2.There was no statistically significant difference in gender and age between different TCM syndromes of coronary border lesions in stable angina pectoris(P>0.05).3.There was a statistically significant difference in BMI between different TCM syndromes in stable angina coronary border lesions(P<0.05).4.There was no statistically significant difference in the distribution of stable angina borderline coronary lesions with hypertension,type 2 diabetes,and hyperuricemia(P>0.05),while the difference in distribution with a history of smoking was statistically significant(P<0.05).5.There was no statistically significant difference in TG,HDL,and UA levels between different degrees of stenosis in the borderline coronary lesions of stable angina pectoris(P>0.05),while the difference in LDL、TC levels between different degrees of stenosis was statistically significant(P<0.05).There was no statistically significant difference in the distribution of stenosis among different TCM syndromes in the borderline coronary lesions of stable angina pectoris(P>0.05).6.There was no statistically significant difference in LDL,UA,and TC levels between different TCM syndromes in stable angina coronary border lesions(P>0.05),while the differences in TG and HDL levels between different TCM syndromes were statistically significant(P<0.05).Conclusion:There is a certain correlation between the blood lipid level and the TCM syndrome of the borderline coronary lesions of stable angina pectoris.Phlegm-turbid obstruction syndrome accounts for the highest proportion of coronary border lesions in stable angina.Compared with other syndromes,it has higher BMI and TG levels,and lower HDL levels.