Analysis Of TCM Syndromes And Related Factors Of Initial ST - Segment Elevation Myocardial Infarction

ST segment elevation myocardial infarction(STEMI) as a critical illness usually due to coronary artery disease intensified in a short time, thrombus in a important branch of coronary artery can reduce or block the distal myocardial blood supply and oxygen supply drastically,result in myocardial ischemic injury necrosis. ST-segment elevation myocardial infarction causes huge pecuniary loss and trauma psychic to our family and society, and it is a major task for the medical treatment of ST-segment elevation myocardial infarction.Traditional Chinese medicine (TCM) has knowledge of ST segment elevation myocardial infarction for a long time, is equivalent to real cardiodynia of the traditional Chinese medicine, the doctors of Ming Dynasty use warm-pungent powder in the treatment of the real cardiodynia. today, TCM diagnosis and treatment of acute myocardial infarction (AMI) is more completed. Comparing to the pure western medicine treatment, combination of traditional Chinese medicine and Western medicine has a obvious advantage in the treatment of ST-segment elevation myocardial infarction.This study attempts to analyse of the correlation between objective factors and TCM syndrome of ST-segment elevation myocardial infarction.Purpose:To analyse TCM syndrome type in ST-segment elevation myocardial infarction. To analyse correlation between TCM syndrome and objective factors including gender,age,work, smoking,hypertension,diabetes,blood fat, white blood cells, myocardial ischemia-reperfusion injury, complications of TCM,complication.Method:From March 30,2013 to December 31,2015 in Dongfang Hospital of Beijing University of Chinese Medicine, this research choose 154 cases with ST-segment elevation myocardial infarction. Dividing different TCM syndrome type according to the State Administration of traditional Chinese medicine in 1995. Recording TCM syndrome type, gender, age, work, smoking, hypertension, diabetes, blood fat, white blood cells, myocardial ischemia reperfusion injury, complications of TCM,complication.Using SPSS20.0 statistical software to analyse the correlation of TCM syndrome type and objective factors.Result:1.123 male patients (79.9%), the average age is 55.41±11.00years,31 female (20.1%), the average age is 68.39±9.38years.60 years old male incidence the highest frequency, small peak at around the age of 45.77 (50%) cases of hypertension,49 (31.8%) cases of diabetes, 63 (40.9%) cases of dyslipidemia.2.TCM syndrome type:Qi stagnation and blood stasis syndrome 52(37.7%) cases, Phlegm turbidity syndrome 78(47.4%) cases, Yang Qi deficiency syndrome 16(10.4%) cases, Yin deficiency syndrome 7 (4.5%) cases.3.With objective factors:Gender:The mostly TCM syndrome in female is Qi stagnation and blood stasis syndrome, Yang Qi deficiency syndrome, Yin deficiency syndrome. The mostly TCM syndrome in male is Phlegm turbidity syndrome.Age:average age in each TCMsyndrome:Yin deficiency syndrome (69.86±10.11)> Qi stagnation and blood stasis syndrome (64.17±11.04)> Yang Qi deficiency syndrome (53.50±10.97)> Phlegm turbidity syndrome(52.99±9.77). STEMI occurs mainly in 41-65 years old middle-aged group, youth group occurs Phlegm turbidity syndrome frequently, middle-aged group occurs Phlegm turbidity syndrome and Yang Qi deficiency syndrome frequently, older age-group occurs Qi stagnation and blood stasis syndrome and Yin deficiency syndrome frequently.Working: Retirement group occurs Qi stagnation and blood stasis syndrome and Yin deficiency syndrome frequently. Working group occurs Phlegm turbidity syndrome and Yang Qi deficiency syndrome frequently. Smoking:There is no significant statistical difference,but smoking group occurs Phlegm turbidity syndrome frequently.There is no significant statistical difference in hypertension, diabetes, white blood cell, neutrophil percentage,reperfusion myocardial injury,complications of TCM and Complications.Conclusion:1.STEMI occurs in male more than female. The average age was significantly lower than that of female.2.The mostly TCM syndrome are Qi stagnation and blood stasis syndrome and Phlegm turbidity syndrome.3.The TCM syndrome is associated with gender, age, smoking, working and triglyceride.