Study On The Correlation Between TCM Syndromes And Anxiety And Depression In Patients With Chest Pain After Percutaneous Coronary Intervention

Objective:By observing the distribution of TCM syndromes in patients with chest pain after PCI,and exploring the relevance between TCM syndromes and anxiety and depression,so as to understand the disease and its syndrome differentiation to conduct a preliminary study.Methods:Collect cases of chest pain after PCI,and to evaluate anxiety or depression by Hospital Anxiety and Depression Scale(HADS),according to "Chinese medical expert consensus about chest pain after percutaneous coronary intervention(PCI)" to group the TCM syndrome.Analysis of the distribution of syndromes,And to explore the relationship between TCM syndromes and anxiety and depression.Result:1.92 patients with chest pain after PCI were enrolled,including 60 males and 32 females with a minimum age of 34 years and a maximum age of 80 years.2.The distribution of TCM syndromes is 32 cases(34.78%)of qi deficiency and blood stasis syndrome,18 cases(19.57%)of qi stagnation and blood stasis syndrome,22 cases(23.91%)of phlegm and blood stasis syndrome,4 cases(4.35%)of syndrome of cold congelation,10 cases(10.87%)of qi and yin deficiency syndrome,6 cases(6.52%)of syndrome of water over-flowing due to yang-insufficiency,0 cases of syndrome of sudden collapse of heart yang.There is significant differences in different TCM syn-dromes of chest pain after PCI in different age groups,but in terms of gender had no significant difference.<50 year-old patients' main syndrome type is sthenia syndrome.70-80 year-old patients' main syndrome types are asthenia syndrome and mixture of asthenia and sthenia syndrome.3.the distribution of selected cases of anxiety and depre-ssion is 24 cases of simple anxiety(26.09%),35 cases of simple depression(38.04%),comorbid anxiety and depression in 33 cases(35.87%).4.Anxiety,depression and pre-valence of anxiety and depression in different TCM syndromes were statistically sign-ificant(P<0.05).By comparison,There is no significant difference in HAD-A score bet-ween three groups:qi deficiency and blood stasis syndrome,qi stagnation and blood stasis syndrome and phlegm and blood stasis syndrome(P>0.05).There is no significant difference in the HAD-A score between the two groups:qi and yin deficiency syn-drome and edema syndrome due to Yang deficiency(P>0.05).the HAD-A score of qi deficiency and blood stasis syndrome,qi stagnation and blood stasis syndrome,phlegm and blood stasis syndrome is higher than qi and yin deficiency syndrome and edema syndrome due to Yang deficiency.The HAD-D score in order to qi and yin deficiency syndrome,edema syndrome due to Yang deficiency>qi deficiency and blood stasis syndrome>phlegm and blood stasis syndrome,syndrome of cold congelation>qi stagnation and blood stasis syndrome.There is no significant difference in HADS score between three groups:qi stagnation and blood stasis syndrome and phlegm and blood stasis syndrome and syndrome of cold congelation(P>0.05).There is no significant difference in the HAD-A score between the two groups:qi and yin deficiency syn-drome and qi deficiency and blood stasis syndrome(P>0.05).The HADS score of qi stagnation and blood stasis syndrome,phlegm and blood stasis syndrome,syndrome of cold con-gelation is higher than qi deficiency and blood stasis syndrome and qi and yin deficiency syndrome.5.The scores of symptoms of qi deficiency and blood stasis syndrome,qi stagnation and blood stasis syndrome and phlegm and blood stasis syndrome are positively correlated with the scores of HAD-A,HAD-D and HADS(P<0.05,r value isgreater than the boundary value).Conclusion:l.The patients with chest pain after PCI whose common syndrome is blood stasis syndrome,including qi deficiency and blood stasis syndrome,qi stagnation and blood stasis syndrome,phlegm and blood stasis syndrome.2.There is significant differences in different TCM syndromes in different age groups.With increasing age,sthenia transforming into mixture of asthenia and sthenia in TCM syndromes type.3.Anxiety,depression and comorbid anxiety and depression are different in terms of performance of different syndromes.4.The scores of symptoms of qi deficiency and blood stasis syndrome,qi stagnation and blood stasis syndrome and phlegm and blood stasis syndrome were positively correlated with the scores of HADS scale.