The Distribution Pricinples Of Traditional Chinese Medicien Syndrome On Acute Mycoardial Infarction

Cardiovascular disease has been the most important killer in industrialized countries, and it will also be a fatal disease in developing countries to 2020. Coronary heart disease among the most popular of the most common diseases has high morbidity and mortality. With the improvement of living standards of our people, lifestyle changes, and social issues of aging increase the incidence of coronary heart disease. High mortality rate of acute myocardial infarction is the major cardiovascular events. China attaches great importance to it.Objectiv Analyze acute myocardial infarction syndromes of distribution and composition by reviewing the cases of inpatients with acute myocardial infarction. Comparative analysis syndrome distribution of STE-MI and NSTE-MI between the two groups with chi-square test. To provide some reference for TCM treatment. Methods Select inpatients of Xiyuan Hospital of China Academy of Chinese medical sciences from 2006 to 2010. All the cases accord with 2006/ESC/ACC/AHA /WHOdiagnostic criteria with acute myocardial infarction. Retrospective analysis of the TCM syndrome distribution to compare with the STE-MI and NSTE-MI between the two groups through chi-square test. And describe the characteristics of the distribution.Results From the above observation in our hospital the syndrome with phlegm and blood stasis is the most common pattern, Qi deficiency and blood stasis is the secondary, and then is Qi and Yin Deficiency. Distribution is as follows:Phlegm and blood stasis (109)> qi deficiency and blood stasis (68)> Qi and Yin deficiency (51)> Qi deficiency with phlegm and blood stasis (37)> Qi deficiency and phlegm obstruction (19)> Cold Coagulation (9)> Yang Yin depletion (9). Acute myocardial infarction syndromes distribution between STE-MI and NSTE-MI have significant differences. Syndrome distribution for STE-MI patients is as follows:Phlegm and blood stasis (95)> qi deficiency and blood stasis (64)> Qi and Yin deficiency (44)> Qi deficiency with phlegm and blood stasis (27)> Qi deficiency and phlegm obstruction (17)> Cold Coagulation (9)> Yang Yin depletion (7). Syndrome distribution for NSTE-MI patients is as follows:Phlegm and blood stasis (14)> Qi deficiency with phlegm and blood stasis (10)> qi deficiency and blood stasis (7)> Qi and Yin deficiency (5)> Qi deficiency and phlegm obstruction (2)=Yang Yin depletion (2)> Cold Coagulation (0).Conclusion 1. Acute myocardial infarction is mostly excessive syndrome, and relatively deficiency syndrome is minority.2. NSTE-MI in asthenia-sthenia syndrome complications such as Qi deficiency with phlegm and blood stasis and Qi deficiency and phlegm obstruction is much more than STE-MI (48%vs41%).While NSTE-MI in sthenia syndrome such as Phlegm and blood stasis and Cold Coagulation is lesser than STE-MI (34%vs40%). Deficiency syndrome such as Qi and Yin deficiency, Yin Yang exhaust between the two groups is similar (18%vs19%).