Clinical Observation On The Intervention Of Qi To Remove Phlegm And Blood Circulation To Remove Blood Stasis To Intervene The Residual Risk Of Carotid Plaque After Acute Coronary Syndromer

Objective: Thi study mainly observes the clinical efficacy and quality of life of Patients with Post-acute coronary syndrome com Plicated with carotid Plaques in the clinical efficacy and quality of life of traditional Chinese medicines that Promote qi to remove Phlegm and Promote blood circulation and remove blood stasis.Methods: 90 patients who has ACS and carotid artery plaque were selected which treated in the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine of the Department of Cardiology from 2021.7 to 2021.12.they were screened out as research objects,According to the inclusion criteria and the method of exclusion and expulsion,and were divided into treatment group(conventional Western medicine plus gasification sputum,blood activating stasis chinese medicine)and control group(conventional Western medicine group)for follow-up observation,Only were 2 cases fell off,In the final the treatment group and the control group were selected 44 people.At the time of enrollment,1 month after enrollment,and 3 months after enrollment,they were evaluated for symptom scores,Improvement of cardiac function,determination of inflammatory indicators,looking up the quality of life,and recording adverse events during the period.result:1.Results Patients into 2 groups when the baseline group differencewas not statistically significant(P>0.05),There were no apparent statistical differences,furthermore comparable.2.After 1 month and 3 months,Groups’ scores of Phlegm and blood stasis syndrome were meaningfully decreased,the decrease was more pronounced in the treatment group.3.1 month and 3 months after treatment,the two groups’ Patients had obvious changes in the distribution of ECG,especially the distribution of ST-T segment changes,but there was no clear difference in ECG distribution in 1 month.None of the two groups had changes in cardiac function;after 3 months,the differences between the groups were strong and the treatment group had better improvement in myocardial function.4.After 1 month and 3 months of treatment,there were obvious changes in the CCSC cardiac function evaluation scores and distribution of the two grou Ps of Patients.The difference between the two groups have little distinction,after 3 months of treatment,those groups is vary greatly,and the treatment grou P is more obvious.5.Com Paring the inflammatory indexes at the time of entry and after treatment,HCY and L-LDL in the two groups were lessened,and the effect of the ex Perimental grou P was more significant.The carotid Plaque diameters were reduced after treatment,but between the treatment group and the control group have distinction greatly.6.Com Paring the quality of life scales of the two grou Ps at the time of enrollment and after treatment,the Seattle Angina Pectoris Scale after treatment increased in daily life,disease cognition,stable state,and treatment satisfaction,and in the follow-u P The difference between the two grou Ps was more Pronounced at 3 months.7.Com Pare the scores,level distribution and score difference of the Euro Qo L five-dimensional health index scale in mobility,sym Ptom im Provement,At the time of enrollment and after 1 to 3 months of treatment,the number of illnesses and illnesses increased to the same extent,and the treatment was changed.8.During the treatment Period,although 2 Patients withdrew from the follow-up due to increased stool frequency,Compared with those security in the group,In the monitoring results of various safety indicators was no specifically difference.Conclusion: The method of Promoting qi and removing Phlegm,Promoting blood circulation and removing blood stasis combined with conventional western medicine in the treatment of Patients with Post-acute coronary syndrome and carotid Plaque can effectively im Prove the syndrome of Phlegm and blood stasis,im Prove cardiac function,im Prove quality of life and life confidence.It is better than the Pure western medicine grou P,not only has higher safety,with the increase of the treatment also has more obvious clinical efficacy.