| Objectives:This paper discusses the relationship between the syndrome of wind, sputum, blood stasis, deficiency in the occurance of acute myocardial infarction (AMI)Methods:The observation cases of the topic come from the patients in dongzhimen hospital cardiovascular internal wards and CCU from June2008to December2012. According to the Diagnostic criteria for acute myocardial infarction in Acute myocardial infarction diagnosis and treatment guidelines established by the Chinese Society of Cardiovascular Diseases of Chinese Medical Association in2001and Traditional Chinese Medicine syndrome differentiation standards of Coronary heart disease established by the national society of professional committee of cardiovascular disease with traditional Chinese and western in1990,the medical records which are complied with the above two diagnostic criteria at the same time are brought into the cases. The subject adopts the method of clinical retrospective survey study. Make survey form, then use medical record management system to query hospitalization Numbers of cases of acute myocardial infarction. According to the inclusion criteria and exclusion criteria to screen the medical records, then collect relevant data according to the form’s content, conduct date processing and SPSS statistical analysis. Finally summarize and write paper.Results:1. Acute myocardial infarction syndromes distribution:Acute myocardial infarction by syndromes blood stasis syndrome (92%), secondly is phlegmy turbidity syndrome (61.6%) and qi deficiency syndrome(76.6%), and less yin deficiency syndrome(20%), yang deficiency syndrom(7.2%), wind syndrome(1.6%).2. Combination of Acute myocardial infarction syndromes characteristics:combine to2card combination most common (54.4%), followed by three card combination(29.6%). Acute myocardial infarction syndromes assorted change rule:phlegm and blood stasis transresistance syndrome, and qi deficiency blood stasis syndrome are basic syndrome combinations.3. Syndromes of acute myocardial infarction and coronary artery lesion severity:by the chi-square test, blood stasis, phlegmy turbidity syndrome and degree of coronary lesions was statistically signi ficant, P<0.05, and wind syndrome, qi deficiency syndrome, yin deficiency, yang deficiency syndrome on the influence of coronary artery lesion count have yet to reach statistical significance.4.Acute myocardial infarction disease syndromes affecting factors:By chi-square test, the result shows:having a history of smoking and drinking alcohol are more likely to suffer from phlegm turbidity syndrome, P<0.05. Merging diabetes are more likely to appear yin deficiency syndrome, P<0.05. By the rank and inspection, Alonging with the reduction in cardiac function are prone to qi deficiency syndrome, P<0.05.Conclusion:1.Appear blood stasis syndrome, phlegmy turbidity syndrome, qi deficiency syndrome are more prone to Acute myocardial infarction syndromes.2. phlegm and blood stasis transresistance syndrome, and qi deficiency blood stasis syndrome are basic syndromes of Acute myocardial infarction.3. Blood stasis, phlegmy turbidity syndrome and degree of coronary lesions was statistically significant. Blood stasis syndrome, phlegmy turbidity syndrome tend to multivessel disease.4. Having a history of smoking and drinking alcohol are more likely to suffer from phlegm turbidity syndrome. Merging diabetes are more likely to appear yin "deficiency syndrome. Alonging with the reduction in cardiac function are prone to qi deficiency syndrome.5. The TCM prevention and treatment of acute myocardial infarction ideas should intervene in the related factors influencing syndrome appear. |