Correlation Study Of TCM Syndrome Types Of Coronary Heart Disease With Risk Factors And Coronary Angiography Results

Objective:Taking TCM syndromes as the starting point,explore the relationship between TCM syndromes of coronary heart disease(CHD),risk factors,and coronary angiography results,and provide a reference for the treatment of CHD with integrated TCM and Western medicine.Methods:A total of 259 patients with CHD confirmed by coronary angiography who were hospitalized in Department of Cardiology,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from November 2019 to November 2020 were selected.The patients were classified into TCM syndrome differentiation based on observation,listening,asking and resection.Meanwhile,general information of the patients was collected and filled in the Registration Form of Patients’ Clinical Information.The results of coronary angiography were interpreted and divided into single-vessel,double-vessel and three-vessel lesions according to the number of coronary artery lesions.According to the Gensini scoring standard,the total score of coronary artery lesions of each patient was calculated.The relevant data and information of patients were imported into SPSS22.0 software to statistically analyze the correlation between TCM syndrome types and various risk factors,as well as the correlation between TCM syndrome types and coronary artery lesions(lesion site,lesion count and Gensini score).Results:1.The TCM syndrome type distribution of the 259 patients with CHD are:blood stasis resistance syndrome in 77 cases(29.7%),phlegm turbidity closed resistance syndrome in 62 cases(23.9%),qi and Yin deficiency syndrome,39 cases(15.1%),and passed the 34 cases(13.1%),heart kidney Yang deficiency syndrome,21 cases(8.1%),heart,kidney Yin deficiency syndrome in 19(7.3%),haemorrheological nature heart arteries and veins4 cases(1.5%),are virtual Yang to take off the card in 3 patients(1.2%).2.The average age of CHD TCM syndrome group was compared: Qi-yin deficiency syndrome > heart and kidney yang deficiency syndrome > heart blood stasis syndrome > phlegm turbid obstruction syndrome,heart and kidney yin deficiency syndrome > qi stagnation heart and chest syndrome,there was statistical difference(P<0.05).3.There was statistical difference between the TCM syndromes of CHD and whether they were combined with diabetes(P<0.05).4.There were statistical differences in TC and LDL-C levels among TCM syndromes of CHD,and TC and LDL-C levels in the syndrome of phlegm and turbidity blocking were significantly higher than those in the syndrome of Qi and Yin deficiency,with statistical differences(P<0.05).5.There were statistical differences in the number of coronary artery lesions among different TCM syndromes of CHD.Single-branch lesions were mainly seen in the syndrome of Qi stagnation and cardiothoracic artery,while three-branch and double-branch lesions were mainly seen in the syndrome of blood stasis and phlegm turbidities.6.The Gensini scores of CHD patients from high to low were phlegm turbid obstruction syndrome(35.72±29.33)> heart blood stasis syndrome(29.53±22.21),heart kidney yang deficiency syndrome(18.29±13.67),qi yin deficiency syndrome(17.72±14.32),heart kidney yin deficiency syndrome(12.37±10.32)> Qi stagnation heart chest syndrome(9.26±7.57),Compared with other syndrome types,the Gensini score of phlegm,turbid obstruction,blood stasis,(P<0.05).Conclusions:1.Among the TCM syndromes of CHD,the most common syndromes are blood stasis,phlegm and turbidities,and deficiency of Qi and Yin.2.Age,diabetes,TC,LDL-C levels affect the distribution of TCM syndromes in CHD patients.3.CHD heart-blood stasis syndrome and phlegm turbid obstruction syndrome are mainly three-vessel and double-vessel disease,and the Gensini score is significantly higher than the other four syndrome types.The degree of coronary artery disease is more serious and should be paid attention to.At the same time,it can be clinically CHD The dialectical classification provides a certain reference.