| Objective: Coronary heart disease as a clinical common diseases,it’s becoming a major threat to human society.Coronary angiography has been known not only as a "golden standard" for diagnosis,but also shown its significant meaning for treatment.This research hope to investigate the specific distribution of each coronary heart disease TCM syndromes,and the relationship between distribution pattern and the characteristics of the lesion through collecting clinical data of patients,the results of coronary angiography,with a view to the future that this research can provide a reference for diagnosis and treatment.Materials and Methods: The Second Hospital of Dalian Medical University,Department of Cardiology,100 patients data,collected before PCI operation,and related laboratory test results,differentiate the patients TCM syndromes.After operation,filter out the patients according to results of coronary angiography and inclusion and exclusion criteria,document these patients’ coronary angiography feature and Gensini score.Then the specific TCM syndrome and the results in all patients were statistically analyzed.Results: 1.In the 100 patient cases: 65 male cases,35 females,male cases have significantly high incidence than women,patient age range 44 to 84 years old,the average age was 64.28 ± 9.16 years old.2.100 cases,all patients TCM syndromes: patients with Qi stagnation and blood stasis syndrome in patients with a total of 31 people,phlegm stasis syndrome in patients with a total of 35,a total of 8 cold stagnation syndrome,Qi and Yin Deficiency a total of 11 patients,patients with heart and kidney Yin deficiency syndrome of a total of 9 people,Yang Qi deficiency syndrome in patients with a total of 6 people,the main TCM syndromes are blood stasis syndrome and phlegm stasis syndrome.3.According to the characters of each TCM syndromes,Qi stagnation and blood stasis patients with single-vessel lesion disease were a total of 16 people,with double-vessel disease were 8 people,with multi-vessel disease were 6 people;phlegm stasis syndrome patients with single-vessel disease were 2 people,double vessel disease 8,multi-vessel disease 25 people.Fisher test,P=0.000<0.01,between each TCM Syndrome.Qi stagnation and blood stasis syndrome patients mainly with single-vessel lesion disease,lesions of phlegm stasis syndrome patients are more diffuse.4.The lesion severity of each TCM syndrome shows,Qi stagnation and blood stasis syndrome patients have a more relatively uniform distribution of the severity of stenosis,and phlegm stasis syndrome patients show more severe stenosis,but between different syndromes the degree of stenosis does not have significant statistical significance(P=0.234).5.The analysis results of TCM Syndrome and Gensini score show,it was significant(F = 4.151,P <0.01),in which the highest points is phlegm stasis syndrome,followed by blood stasis,Yang Qi deficiency syndrome,heart and kidney Yin deficiency syndrome,Qi and Yin Deficiency and cold stagnation syndrome.Comparison between each syndromes indicates,blood stasis syndrome compared with phlegm stasis syndrome were significantly different(P <0.01),compared with phlegm stasis syndrome,Qi stagnation and blood stasis syndrome,cold stagnation syndrome,Qi and Yin Deficiency,heart and kidney Yin deficiency syndrome,Yang Qi deficiency syndrome were significantly different,but the contrast between the rest of the syndrome is not significant.Conclusion: 1.The main TCM syndromes of coronary artery disease are blood stasis and phlegm stasis syndrome.2 The TCM pathogenesis of coronary heart disease is asthenia in origin and asthenia in superficiality,the majority of patients mainly shows asthenia in superficiality.and the pathological features mainly are phlegm and blood stasis,phlegm stasis syndrome is more diffuse than blood stasis syndrome.3.Chinese medicine treatment of coronary heart disease should pay more attention to both phlegm and blood stasis. |
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