Study Relationship Between TCM Differentiation On Syndromes Of Coronary Atherosclerotic Heart Disease With RDW?hs-CRP?Lipid Profile And Uric Acid

ObjectiveTo investigate the characteristics of TCM,classification of Coronary atherosclerotic Heart Disease and its relationship with red blood cell volume distribution width(RDW),high-sensitivity C-reactive protein(hs-CRP),and lipid profile including total cholesterol(CHOL),triglyceride(TG),high density lipoprotein(HDL),low density lipoprotein(LDL),Uric acid(UA)change experiment index level of building relationships and standardization of TCM syndrome differentiation of coronary heart disease provide objective basis for clinical treatment of traditional Chinese medicine.MethodsA retrospective survey was conducted on the medical records of patients diagnosed with Coronary Atherosclerotic Heart Disease(CHD)in the Department of Cardiology,Hubei Provincial Hospital of Traditional Chinese Medicine from January 1,2016,to December 31,2016.First of all,based on the theory of traditional Chinese medicine as the basis for the classification of coronary heart disease syndrome,followed by strict inclusion of discharge criteria after the final effective medical records of 120 cases.The patient's laboratory examination index was collected and the red cell distribution width(RDW)of the patient,the hypersensitivity C-reactive protein(hs-CRP),lipids including total cholesterol(CHOL),and triglyceride were calculated.TG),high-density lipoprotein(HDL),low-density lipoprotein(LDL),Uric acid(UA)levels.SPSS 23.0 software was used for statistical analysis of data results.When the results showed that P<0.05,it was considered statistically significant.Results 1)The objective indicators of RDW showed qi-deficiency and blood stasis syndrome> heart blood stasis syndrome> qi and blood stasis syndrome > phlegm stagnation syndrome.The difference between qi deficiency and blood stasis syndrome and other three syndromes was statistically significant.2)The objective index of hs-CRP showed the results of phlegm stagnation syndrome> heart blood stasis syndrome> qi and blood stasis syndrome> qi deficiency and blood stasis.The difference between each syndrome was statistically significant.The phlegm stagnation syndrome and heart blood stasis syndrome were significantly higher than the other two syndromes in the index of hs-CRP.3)CHOL,TG,LDL-C,HDL-C and other indicators related to lipid metabolism.qi deficiency and blood stasis compared with the other three types of syndromes,phlegm stagnation syndrome has significant differences,and the difference is statistically significant.The specific manifestation is that the mean values of qi deficiency and blood stasis syndrome are significantly lower in CHOL,TG,LDL-C and hyperlipidemia-related indexes.In the other three syndromes,the mean value of qi deficiency and blood stasis in HDL-C was significantly higher than that of the other three syndromes;and in the three indicators of CHOL,TG,and LDL-C related to hyperlipidemia,All of them showed a result of phlegm stagnation syndrome> qi and blood stasis syndrome> heart blood stasis syndrome > qi-deficiency and blood stasis syndrome.And phlegm stagnation syndrome,qi and blood stasis syndrome the differences between these two groups were statistically significant.4)In addition to the statistically significant difference between the qi deficiency blood stasis syndrome and phlegm stagnation syndrome,the objective indicators of UA were the differences between other syndrome types.No statistical significance.Conclusions 1)RDW,hs-CRP,CHOL,TG,HDL-C,and LDL-C have reference significance in the identification of traditional Chinese medicine excess-syndrome(heart blood stasis syndrome,qi and blood stasis syndrome,phlegm stagnation syndrome)and deficiency-syndrome(qi-deficiency and blood stasis syndrome).2)UA does not have significant reference value when it is used to identify Chinese medical evidence and deficiency.3)It is suggested that in addition to the four clinical parameters of coronary heart disease,modern experimental indicators such as RDW,hs-CRP,CHOL,TG,HDL-C,and LDL-C can be used as the objective basis for TCM differentiation of coronary heart disease.