| As we known, ACS can be clinically divided into non-ST elevation ACS and ST-segment elevation ACS. NSTEMI and UAP are collectively referred to as non-ST elevation ACS, which make up around75%of ACS. In all CHD types, non-ST elevation ACS is a clinical type that is the dangerous symptom and high mortality. According to the WHO's statistics, CHD is one of the most common causes of death at present and it is a very general disease in the U.S and Europe. CHD causes about one-third to one-second of all deaths and it accounts for50%to75%of heart disease in the U.S. The rates of CHD are growing sharply with the development of economic in China. CHD becomes more and more important. In addition, as the high rate of death type, ACS which includes non-ST elevation ACS is always paid great attention by professional doctors. The data indicate that the rates of the long-term mortality and nonfatal events of NSTEMI are higher than those of STEMI. NSTEMI has become one of the "killers" are harming human health.OBJECTIVE:In order to give patients better clinical treatments, I will analyse the NSTEMI's pattern of distribution and composition in traditional Chinese medicine. Moreover, I will discuss correlation between the high sensitivity C-reactive protein and NSTEMI's pattern in traditional Chinese medicine.METHODS:I collected a number of in-patients with non-ST elevation ACS, which are form the Xiyuan Hospital of China Academy of Chinese medical sciences(CCU ward) from January2007to February2012. Then I analysed clinical symptoms and researched characteristics of distribution of the NSTEMI's pattern. According to those in-patients' clinical symptoms, I divided the NSTEMI into different pattern in traditional Chinese medicine. Moreover, I collected the level of HSCRP of those in-patients and discussed correlation between the HSCRP and the different pattern.RESULTS:A lot of researches show that blood stasis is the most common pattern in in-patients'cases with NSTEMI in the excess patterns. The total amount of blood stasis is seventy-three. It accounts for97.3%of all cases. The second common pattern is phlegm.The amount is forsty-nine. It accounts for65.3%. Qi stagnation and Hanning are rare patterns. The amount of each is only one. Besides, Qi deficiency is the most common pattern in all in-patients with NSTEMI in the deficient patterns. The total amount of Qi deficiency is forty-five in all data. It accounts for60%. The second common pattern is Ying deficiency. The amount is sixteen. It accounts for21.33%. The third is Yang deficiency. The amount is eight and it accounts for10.67%of all research data. The rare pattern is Yang off. It is three. Moreover, all researches find that most of in-patients' cases have a complex type. The most common complex type is made up of phlegm and blood stasis. The amount of that is fifteen. It accounts for20%of all data. The second complex type is made up of Qi deficiency and blood stasis. It accounts for14.7%. The most common type is phlegm and blood stasis and Qi deficiency in all complex types that are made up of three patterns. The amount of it is twenty. It accounts for26.7%of all data. The second type is Qi and Yin deficiency and blood stasis. The amount of it is five. In the NSTEMI's in-patients, the level of serum high sensitivity C-reactive protein was higher than the standard. Compare phlegm with non-phlegm, the level of serum high sensitivity C-reactive protein of phlegm is higher than non-phlegm.CONCLUSION:This research indicates that blood stasis is the highest percentage in all in-patients'cases. It can prove that blood stasis is the most important in the NSTEMI. The reasons of chest pain are that healthy Qi is deficient and pathogenic factor is excess. Blood stasis is the most common pattern in the excess patterns. In the deficient patterns, Qi deficiency is the most one. The most common type is Qi deficiency and blood stasis in all kinds of complex types. Therefore, it proves that both the excess patterns and the deficient patterns can be transformed into each other. It is useful to treat and medicate. In addition, this research suggests that the diseased factor in NSTEMI is not only blood stasis but also phlegm. The levels of serum HSCRP of NSTEMI's five normal patterns in traditional Chinese medicine are much higher than the standard. It proves that it is high correlation between the HSCRP and NSTEMI's patterns. Compare phlegm with non-phlegm, the level of serum high sensitivity C-reactive protein of phlegm is higher than non-phlegm. It is linear correlation between the high sensitivity C-reactive protein and phlegm. |
