Related Research About TCM Syndromes Of Unstable Angina Pectoris Of Coronary Heart Disease In Patient With Cys C,UA And AIP

VIObjectiveTo study the relevance of Unstable angina pectoris(UAP)patients with different TCM syndrome type and cystatin C(Cys C),uric acid(UA),plasma arteriosclerosis index(AIP),expectation can expand the connotation of TCM syndrome differentiation.MethodsRetrospectively collected from April 2020 to February 2021 in the Second People’s Hospital of Fujian Province,240 cases of patients with UAP,collecting medical records information and informations about TCM four diagnostic methods Recorded in a unified questionnaire.Statistical methods were used to study the correlation between Cys C,UA and AIP and TCM syndromes.Result1.The higher the risk level was,the older the UAP patients were(P<0.05).Cys C and AIP in high risk group were higher than those in low risk group and middle risk group(P<0.05).With the increase of the risk level,UA increased gradually.Cys C,UA and AIP in UAP patients were positively correlated with risk grade and BMI(P<0.05),and Cys C,UA and AIP were positively correlated with each other(P<0.05).2.The composition ratio of TCM syndromes in descending order: phlegm and blood stasis syndrome,qi deficiency and blood stasis syndrome,qi stagnation and blood stasis syndrome,deficiency of both qi and yin syndrome,yang deficiency and cold coagulation.Gender composition: there are statistical differences between phlegm and blood stasis syndrome and qi stagnation and blood stasis syndrome and deficiency of both qi and yin syndrome respectively(P<0.05).3.The age comparison of each syndrome type: qi stagnation and blood stasis syndrome and phlegm and blood stasis syndrome are both lower than deficiency of both qi and yin syndrome,qi deficiency and blood stasis syndrome,yang deficiency and cold coagulation.And qi stagnation and blood stasis syndrome is lower than phlegm and blood stasis syndrome(P<0.05).4.In terms of the risk level,qi deficiency and blood stasis syndrome is mainly in middle risk group;The syndrome of deficiency of both qi and yin and the syndrome of yang deficiency and cold coagulation are mainly in middle and high risk groups;qi stagnation and blood stasis syndrome and phlegm-blood stasis syndrome are mainly in low and medium risk groups.5.The level of body mass index(BMI)comparison of each syndrome type: phlegm and blood stasis syndrome and qi stagnation and blood stasis syndrome are both higher than qi deficiency and blood stasis syndrome,deficiency of both qi and yin syndrome,yang deficiency and cold coagulation(P<0.05).6.The level of Cys C comparison of each syndrome type: phlegm and blood stasis syndrome is higher than qi deficiency and blood stasis syndrome,deficiency of both qi and yin syndrome,qi stagnation and blood stasis syndrome,yang deficiency and cold coagulation(P<0.05).7.The level of UA comparison of each syndrome type: phlegm and blood stasis syndrome and qi stagnation and blood stasis syndrome are both higher than qi deficiency and blood stasis syndrome,deficiency of both qi and yin syndrome,yang deficiency and cold coagulation(P<0.05).8.The level of AIP and low density lipoprotein cholesterol(LDL-C)comparison of each syndrome type: phlegm and blood stasis syndrome and qi stagnation and blood stasis syndrome are both higher than qi deficiency and blood stasis syndrome,deficiency of both qi and yin syndrome,yang deficiency and cold coagulation;Compared the level of triglycerides(TG): phlegm and blood stasis syndrome is higher than qi deficiency and blood stasis syndrome,deficiency of both qi and yin syndrome.Compared the level of cholesterol(TC): phlegm and blood stasis syndrome is higher than qi deficiency and blood stasis syndrome,deficiency of both qi and yin syndrome,qi stagnation and blood stasis syndrome;Compared the level of high density lipoprotein(HDL-C):deficiency of both qi and yin syndrome is higher than phlegm and blood stasis syndrome(P<0.05).9.Cys C,UA and AIP indexes of phlegm and blood stasis symdrome had the highest incidence of abnormalities(P<0.05).Conclusion1.In patients with UAP,the level of Cys C,UA and AIP in the syndrome of phlegm and blood stasis symdrome is more higher than other symdrome,and there is a correlation between them,which can be used for multi-directional clinical intervention,which should be carried out multi-directional clinical intervention for this TCM syndrome types.2.In patients with UAP,the level of UA in the syndrome of qi stagnation and blood stasis syndrome is more higher thandeficiency-syndrome and deficiency-excess inclusion syndrome,and there is a correlation between them,which can be considered that UA level can provide reference value for disease evaluation of patients with this syndrome type.