| Objective: To analyze the general information and TCM syndrome distribution characteristics of patients with stable angina pectoris of coronary heart disease,and to study the correlation between coronary heart disease related risk factors and TCM syndrome type,so as to provide reference for the treatment of stable angina pectoris of coronary heart disease based on syndrome differentiation by integrated Traditional Chinese and western medicine.Methods: Selection on January 1,2021-December 31,2021 in wuhan city combine traditional Chinese and western medicine hospital cardiovascular internal medicine in hospital visits,confirmed by coronary angiography in line with the diagnostic criteria of coronary heart disease stable angina patients 243 cases,patients generally information collection,listening,asking and four diagnostic data,inspection results,coronary angiography results,According to the standard of TCM syndrome differentiation and classification,the TCM syndromes of the patients were diagnosed and classified,and the relevant information of the patients was imported into THE SPSS 26.0 system.The correlation of the imported data was statistically analyzed to study the characteristics of TCM syndromes and the correlation of CHD related risk factors and TCM syndromes.Results:1.General information: A total of 243 patients were included in the study,including 158 males and 85 females,with a male to female ratio of 1.86:1 and an average age of 64.63±10.151 years.There were 58 patients（23.9%）with obesity,91 patients（37.4%）with smoking history,and 27 patients（11.1%）with drinking history.There were 182（74.9%）patients with dyslipidemia,171（70.4%）patients with hypertension,94（38.4%）patients with dysglycemia,148（60.9%）patients with hyperuricemia,and 39（16.0%）patients with chronic heart failure.There were 10 patients with paroxysmal atrial fibrillation（4.1%）.2.Distribution of TCM syndromes: The frequency of TCM syndromes distribution in the included patients was as follows: 81 cases（33.3%）of phlegm and blood stasis syndrome > 53 cases（21.8%）of qi deficiency and blood stasis syndrome > 43 cases（17.7%）of blood stasis syndrome > 42 cases（17.3%）of qi stagnation and blood stasis syndrome > 18 cases（7.4%）of qi and Yin deficiency syndrome > 6cases（2.5%）of heart and kidney Yang deficiency syndrome.3.Comparison of data between different syndrome types:（1）Gender: there was no significant difference in gender distribution between different syndrome types（P>0.05）;（2）Age:There was no significant difference in age distribution among all syndrome types（P>0.05）;（3）Obesity:there was a significant difference in obesity between the syndrome of mutual phlegm and blood stasis and the syndrome of qi deficiency and blood stasis（P<0.05）,while there was no significant difference between the other groups.（4）Smoking history:there was no significant difference in smoking history among different syndrome types（P>0.05）;（5）Drinking history:there was statistically significant difference in drinking history between phlegm-stasis syndrome and Qi stagnation and blood stasis syndrome（P<0.05）,while there was no statistically significant difference between other groups.（6）Complications:there was no statistical difference in the cases of abnormal blood glucose,hypertension,hyperuricemia,chronic heart failure and paroxysmal atrial fibrillation among all groups（P>0.05）;（7）Dyslipidemia:There were statistically significant differences in the number of dyslipidemia between phlegm-stasis syndrome and the other four groups（P<0.05）.There were no statistically significant differences in the total cholesterol level between different syndrome types,and there were no statistically significant differences between qi deficiency,blood stasis syndrome and blood stasis syndrome,and there were statistically significant differences between the other groups（P<0.05）.There was statistical significance in triglyceride level between different syndrome type groups and the other four groups（P<0.05）.Differences in LDL-C levels among different syndrome types were compared,there was no statistical significance in qi deficiency,blood stasis and qi Yin deficiency,and no statistical significance in Qi stagnation,blood stasis and blood stasis,while there was statistical significance in other groups（P<0.05）.There were statistically significant differences in HDL-C level in qi-deficiency and blood-stasis group,blood-stasis group and phlegm-stasis interknot group（P<0.05）.Conclusion:1.The patients with stable angina pectoris of CORONARY heart disease are mainly middle-aged and elderly,and the incidence is more in 50-79 years old,males are more than females,and most of them have a history of smoking.There were also more patients with obesity,and some men had a history of alcohol consumption.The main complications were hypertension,hyperlipidemia,abnormal blood glucose and hyperuricemia.2.The traditional Chinese medicine syndrome differentiation of patients with stable angina pectoris of coronary heart disease from more to less is as follows: phlegm and stasis syndrome > qi deficiency and blood stasis syndrome > blood stasis syndrome > Qi stagnation and blood stasis syndrome > Qi and Yin deficiency syndrome > Heart and kidney Yang deficiency syndrome.3.The TCM syndrome type of patients with stable angina pectoris of coronary heart disease is related to obesity,drinking history,abnormal blood lipid level and clinical classification.The number of obesity patients with mutual syndrome of phlegm and blood stasis was higher than that of qi deficiency and blood stasis,and the number of drinking patients with mutual syndrome of phlegm and blood stasis was higher than that of qi stagnation and blood stasis.The number of patients with dyslipidemia of phlegm-stasis syndrome was significantly more than that of the other four groups.The hd L-C level of qi deficiency and blood stasis syndrome and blood stasis syndrome was lower than the LDL-C,total cholesterol and triglyceride levels of phlegm-stasis syndrome and phlegm-stasis syndrome. |
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