The Clinical Research On The Relationship Between QRS Scoring Of Acute Myocardial Infarction And Signs For Classification Of Syndrome Of TCM

Objective: 1.To study the relationship between QRS scoring of acute myocardial infarctiong and Zheng differentiation-classification of TCM ( stagnation of phlegm-dampness , qi stagnation blood stasis, deficiency of YIN-blood, deficiencyof YANG QI); 2. To study the relationship between the serum CK, CK-MB, CTnIof acute myocardial infarctiong and Zheng differentiation-classification of TCM(stagnation of phlegm-dampness , qi stagnation blood stasis, deficiency ofYIN-blood, deficiency of YANG QI); 3.To evaluate the correlation between QRS scoring and the serum CK, CK-MB, CTnI, LVEF;Methods: 1.To collect 80 acute myocardial infarction patiens, and evaluation thedifferentiation of symptoms and signs for classification of syndrome at the exact time of the peak of the myocardium marker 2. To detect the myocardium marker ofthe serum CK, CK-MB, CTnI, tracing rule ECG at equal pace of the peak of the myocardium marker ; To detect echocardiography after 2 weeks in hospital and measure LVEF。 Results: 1 The QRS scoring, CK, CK-MB, CTnI in the group of stagnation ofphlegm-dampness , qi stagnation blood stasis increased significantly compared with deficiency of YANG QI, P<0.01; The QRS scoring, CK, CK-MB in the group of stagnation of phlegm-dampness, qi stagnation blood stasis increased significantly compared with syndrome of deficiency of YIN-blood , P<0.01, The CTnl in the group of stagnation of phlegm-dampness, qi stagnation blood stasisincreased compared with syndrome of deficiency of YIN-blood, P<0.05; 2 There was no significant difference between the group of stagnation of phlegm-dampness and qi stagnation blood stasis, P>0.05, and no significant difference betweensyndrome of deficiency of YIN-blood and deficiency of YANG QI, too, P>0.05 <> 3 There was positive correlation between The QRS scoring and the myocardium marker of the serum CK, CK-MB, CTnL 4 There was negative correlation betweenThe QRS scoring and theLVEFoConclusions: 1. The changes of ECG (QRS scoring)> serum CK, CK-MB, CTnl reflect the size of myocardial infarction, and the Severity of pathogenetic condition; 2 .In signs for classification of syndrome of TCM, there was significant differences between the group of stagnation of phlegm-dampness , qi stagnation blood stasis increased and deficiency of YIN-blood , deficiency of YANG QI in patients, QRS scoring, serum CK , CK-MB and CTnl; 3. There was hign scores in phlegm-dampness and blood stasis patients of QRS scoring , serum CK , CK-MB and CTnl, which reflect sthenia syndrome was more Severity in acutestage, and direct diagnosis and treatment? 4.With the growth of the age, the syndrome of phlegm-dampness and deficiency of YANG is obvious.