Cross Sectional Investigation Of TCM Syndrome Elements In Coronary Heart Disease Patients With Metabolic Syndrome

Objective: To analyze the distribution of factors in patients with coronary heart disease with metabolic syndrome and the distribution of factors of different components of coronary heart disease with metabolic syndrome through cross-sectional investigation,so as to provide a theoretical basis for the establishment of medical syndrome in patients with coronary heart disease with metabolic syndrome.Methods:The clinical information of 280 patients with coronary heart disease complicated with metabolic syndrome who visited the cardiology treatment area and outpatient clinic of the Affiliated Hospital of Changchun University of Chinese Medicine from September 2021 to December 2022 was collected,and the statistics of the patients’ medical evidence information were carried out with reference to "Traditional Chinese Medicine Evidence",and finally statistical processing such as cluster analysis was carried out through SPSS software,and finally the data results were analyzed by using statistical knowledge.Results: The symptoms of patients with coronary heart disease and metabolic syndrome are heart,spleen,liver,stomach,kidney,and lung;The pathogenic factors are,in order,qi deficiency,blood stasis,phlegm,yin deficiency,qi stagnation,fire(heat),essence deficiency,yang deficiency,and wetness.According to the chi-square test,men have higher blood stasis than women in blood stasis,Women had higher rates of nephrosis than men(P<0.05);nephrin was significantly higher in patients over 60 years of age than patients under 60 years of age(P<0.05);hepatic and aerotropins were more frequent in grade 3hypertension than grade 1 and 2 hypertension(P<0.05);yin deficiency and gastrin were more frequent in patients with diabetes than in patients without diabetes(P<0.05);sputum and fire(heat)were more frequent in patients with dyslipidemia than in patients with normal lipidemia(P<0.05);wet and splenic in patients with central obesity were more frequent than in patients with non-central obesity(P<0.05).According to multivariate logistic regression analysis,hypertension is the influencing factor of yin deficiency,blood stasis,Qi stagnation and hepatogenin;Diabetes is an influencing factor of Yin deficiency and stomach;Dyslipidemia is an independent risk factor for sputum;Central obesity is an influencing factor of wetness and spleen;Gender is the influencing factor of Qi stagnation and blood stasis,and age is the influencing factor of nephrin.After systematic clustering,the evidence of coronary heart disease combined with metabolic syndrome can be divided into four categories: the first category is yin deficiency and stomach;The second category is qi deficiency,blood stasis,and heart;The third category is phlegm,fire(heat),and spleen;The fourth category is Qi stagnation and liver.Conclusion: The incidence of coronary heart disease and MS is mainly elderly people over 60 years old.In patients with coronary heart disease and MS,the incidence of women is higher than that in men,and female patients are more closely related to stagnation,and male patients are more closely related to sputum.The pathogenesis of coronary heart disease and MS is mainly in the heart,spleen,liver and stomach,and sputum stasis is its core pathogenesis.After cluster analysis,it was concluded that the common symptoms of coronary heart disease complicated with MS were gastric yin deficiency,qi deficiency and blood stasis,sputum fever and spleen evidence,and liver depression and qi stagnation.Among the components of metabolic syndrome with coronary heart disease and MS:hypertensive disease is related to liver and gas retardation;Diabetes mellitus is closely related to gastric and yin deficiency;Dyslipidemia is closely related to sputum and fire(heat)evidence;Suffering from central obesity is related to wet and spleen evidence.