Syndrome Scale Evaluation Of Reliability And Validity Of CHD In TCM Phlegm Syndrome Phlegm Syndrome Measurement AMI Patients

Objective:The research team developed coronary heart phlegm permit TCM Syndrome Scale measured in patients with chronic stable coronary artery disease with good reliability and validity and responsiveness of the premise, the subject collected through clinical qualified90cases of acute myocardial infarction cases, the initial measurement reliability and validity of the of coronary heart phlegm permit Scale in phlegm permit measurement of acute infarction, and describe the clinical symptoms of acute myocardial infarction in patients with phlegm card and related physical and chemical examination results.Methods:Coronary heart disease diagnostic criteria with reference to:acute coronary heart disease collected with reference to cardiovascular development of the Chinese Medical Association in2001, the diagnosis of acute myocardial infarction and treatment guidelines, phlegm card dialectical standard reference:"Chinese new drug clinical research guidelines·TCM Guidelines for clinical research of new drug treatment of angina pectoris." Included in the cases were divided into phlegm syndromes in patients with acute myocardial infarction, acquisition of coronary heart phlegm TCM Syndrome Scale, and clinical information, the establishment of a database, analyzed by appropriate statistical methods, preliminary measurements coronary heart phlegm permit Scalephlegm card acute infarction measurement reliability and validity, and describe the phlegm card with acute myocardial infarction in patients with clinical symptoms and physical and chemical test results.Results:(1) General Description:the phlegm evidence in patients with acute myocardial infarction is more common in people aged51-55,56-70-year-old men far more than women, predisposing factors in add it ion to no obvious incentive for unknown reasons, fatigue the most common and emotional, the diseases combined up to a maximum of hypertension, accounted for82.8%, followed by hyperlipidemia (38.9%) and diabetes (34.4%). No apparent specificity.(2) phlegm evidence in patients with myocardial infarction TESTING (mean):the blood WBC:high edge RBC High, NE (%):the edge of the high, LY (%):low edge. Biochemical indicators: ALT:high, GLU:high TG:high LDL:high Hs CRP:high, cardiac markers: TNI:high CK-MB:high the CK:high, AST:high LDH-L:high. But no control group, needs further study.3) coronary heart phlegm permit TCM Syndrome Scale:better reliability, validity is acceptable.Discuss:Through further research, the constitution of the people and trends of the disease, with the improvement of people’s living standards, changes in lifestyle and eating habits, indoor environment and outdoor environment change, pollution and other factors have occurred with the previous change, change the trend:patients with coronary heart disease Empirical more than before, deficiency, especially asthenia cold syndrome decrease in the number of patients. Modern environment is characterized by the heat evil exogenous or endogenous (environment and climate change, the change of the indoor temperature, pressure, abuse of nutrition and health care products lifestyle and eating habits change, etc.) easy to accumulate fat poison cream toxic, toxic sugar, phlegm, damp toxin, toxic cloud, Ecchymosis poison Accumulation of toxic heat flourished, heat injury blood contact and Tongxinluo last occurrence of coronary heart disease. Coronary heart phlegm permit TCM need for developing and evaluating climate scale and more urgent. Scale clinical information:coronary heart phlegm certificate constipation, chest tightness, sputum, tongue, yellow greasy moss obvious embolism. Angina pectoris phlegm syndrome and blood glucose and lipid metabolism disorders, inflammatory factors, myocardial injury compared with non-serious phlegm card. Cases samples were collected from Anzhen Hospital, and the small number of observed symptoms are more subjective, and the course of treatment therapy sample will bring inevitable impact on the accuracy of the observations. Inadequacies will seriously reflect on in the future, try to be objective and accurate later.