Study On The Distribution Of TCM Syndromes And Correlation Of Risk Factors In Coronary Heart Disease And Ventricular Premature Beat

Objective: In this study,to the data analysis of TCM syndrome elements and risk factors of 150 patients with coronary heart disease(CHD)and ventricular premature beat(VPB),summarized regularities of distribution of the syndrome elements and the correlation between the syndrome elements and risk factors of this disease were,to explore the pathogenesis of this disease.The purpose of study is to provide practical significance for the dialectic,treatment and medicine use of this disease.Methods:1.Source of cases: Sick person was diagnosed CHD and PVB in outpatient department and inpatient department of cardiology of Jilin Province Hospital of Traditional Chinese Medicine from April 2020 to November 2022.2.Date collection: relevant data were collected according to the developed "the calculation table of syndrome elements and symptoms" and "general information form" of patients.3.Analysis of data: using SPSS 21.0 statistical software.counting data: chi-square test,analysis of syndrome elements and risk factors using binary logistic regression;measurement data: represented by (?) ± s(mean soil standard deviation).According to whether the data meets the normal distribution and whether it meets the homogeneity test of variance,T test,rank sum test or variance analysis are used;the grade data and non-parametric test was applied to calculate the component ratio of each part of a single sample.Results:1.The age of onset of patients with CHD and PVB is from 36 to 75 years old,including57 of men and 93 of women.The overall average age was 63.12 ± 7.89 years old,between gender and onset age was not statistical difference(P>0.05).2.Between the types of CHD and the age haven’t remarkable difference(P>0.05).3.Patients with CHD and PVB had a high incidence rate,and the age ranged from 60 to 74 years old(P<0.05).4.Between the pathogenesis syndrome elements and different age subsections of patients with CHD and PVB had not statistic difference(P>0.05).5.Syndrome element of CHD and PVB was centered on qi deficiency(78.7%),phlegm(73.3%),yang deficiency(70.7%),and qi stagnation(56.7%),blood stasis(54.7%).The difference between the pathogenesis syndrome element and gender was not prominent(P>0.05).6.Correlation of dangerous factors: there was a Logistic regression relationship between syndrome elements qi stagnation and risk factors dyslipidemia,between syndrome elements phlegm and risk factors diabetes existed logistic regression relationship;there was a negative logistic regression relationship and was found between syndrome yang deficiency and risk factor hypertension;Logistic regression relationship was existed between syndrome element yin deficiency and risk factor hypertension.7.Two-factor syndrome(36%)was more common in patients with CHD and PVB,including qi and Yang deficiency,qi deficiency and phlegm,yang deficiency and blood stasis,qi and yin deficiency and so on.The next most familiar was single factor syndrome(25.8%),including qi deficiency,phlegm,yang deficiency,qi stagnation and blood stasis and so on;the third most common is three-factor syndrome(21.9%);they were qi-yang and Yin deficiency,qi-yang deficiency and phlegm,qi stagnation blood stasis and yang deficiency,qi stagnation blood stasis and qi deficiency and the like;the four-factor syndrome and more than multiple factor syndromes were rare.Conclusion:1.The age of onset of patients with CHD and PVB had nothing to do with its sexual distinction,and age of onset is 60 to 74 years old.2.The types of CHD was not related to its age.3.The pathogenesis syndrome elements had no concern with different age subsections and sexual distinction to patients which had CHD and PVB.4.Logistic regression relationship was existed between hazard factors of CHD and PVB included dyslipidemia,diabetes,hypertension and its pathogenesis syndrome elements.5.The most common pathogenesis syndrome element was qi deficiency,phlegm,yang deficiency,qi stagnation,blood stasis.6.The most common single factor syndrome was qi deficiency,phlegm,blood stasis with CHD and PVB;in the two-factor syndromes qi and yang deficiency,qi deficiency and phlegm,yang deficiency and blood stasis were universal;and in the three-factor syndromes,qi deficiency yang deficiency and yin deficiency,qi stagnation blood stasis and yang deficiency,qi stagnation blood stasis and qi deficiency is widespread.