| Objective: The value of GRACE,TIMI risk scores and TCM syndrome types were compared to determine the short-term and long-term prognosis of patients with ACS.Methods: We retrospectively analyzed the complete medical records of 420 patients with ACS who were hospitalized from January 2015 to December 2016 in the Department of Cardiology,Chinese Hospital of Xinjiang Uygur Autonomous Region.The MACE events occurred during the hospitalization period and during the first year after discharge.The patient’s TCM dialectical classification,calculated GRACE,TIMI risk scores,and according to the risk score to be divided into low-risk,moderate-risk,high-risk groups,respectively,compared the MACE events and GRACE between the groups during hospitalization and discharge within 1 year The relationship between TIMI risk scores and the predictive value of two different risk scores for MACE events during hospitalization and discharge within 1 year of ACS patients.Describe the ROC curve of GRACE and TIMI risk scores;calculate the AUC value(area under the curve),compare the predictive value of the two risk scores on the duration of hospitalization and MACE events within 1 year of patients,and analyze the dialectical classification of TCM and GRACE,TIMI risk The correlation between low-risk,moderate-risk,and high-risk groups was scored.Results: 1.In this study,58 patients with ACS who had MACE were hospitalized.The MACE event rate was 13.8%.MACE events occurred in 76 patients with ACS in the first year after discharge,and the MACE event rate was 20.4%.2.The incidence of MACE events in the low-risk,moderate-risk,and high-risk groups was 3.1%,8.8%,and 31.7%,respectively,and the MACE event rates in the low-,middle-,and high-risk groups were statistically significant(P<0.05).0.01),between the two groups within the group,low-risk,middle-risk difference was statistically significant(P = 0.048),low-risk,high-risk comparison was statistically significant(P <0.01),the difference between the moderaterisk,high-risk comparison groups Statistically significant(P<0.01).The incidence of MACE events in the low-risk,moderate-risk,and high-risk groups was 1.8%,14.8%,and 41.7%,respectively,after the GRACE grade was discharged within 1 year of follow-up.There was a statistically significant difference between the groups in the low-,medium-,and high-risk MACE events.(P<0.01).Within the two groups,there was a statistically significant difference between low-risk and middle-risk groups(P=0.048);there was a statistically significant difference between low-risk and high-risk groups(P<0.01);there was a statistically significant difference between low-risk and high-risk groups(P<0.01).P<0.01).3.The incidence of MACE events in the low-risk,moderate-risk,and high-risk groups during hospitalization was 3.6%,8.1%,and 56.7%,respectively.There was a statistically significant difference between the low-,medium-,and high-risk groups in MACE event rates.P<0.01),between the two groups,the difference between the low-risk and the middle-risk was statistically significant(P=0.071),and the difference between the low-risk and high-risk was statistically significant(P<0.01).There was a statistically significant difference between the groups(P<0.01).The incidence of MACE events in the low-risk,moderate-risk,and high-risk groups was 14.7%,15.9%,and 49.1%,respectively,after TIMI scores were discharged within one year of follow-up.There was a statistically significant difference in MACE event rates in low-risk,moderate-risk,and high-risk groups.(P<0.01).Within the two groups,there was no significant difference between the low-risk and middle-risk groups(P=0.810);the low-risk and high-risk groups had statistically significant differences(P<0.01);the middle-risk and high-risk groups had statistically significant differences(P<0.01).4.During the hospitalization period of TCM syndrome,the incidences of MACE events were 12.8%,24.4%,8.9%,and 7.1%,respectively.The difference in the incidence of MACE events between groups was statistically significant.There was statistical significance(P=0.006);Within the group,the difference between the two groups was statistically significant(P=0.015);there was a statistically significant difference in stasis between blood stasis and blood-yin deficiency(P=0.015).P=0.319);phlegm and blood stasis-other syndromes showed no significant difference(P=0.301).There was a statistically significant difference in qi deficiency and blood stasis-qi and yin deficiency(P = 0.004);there was a statistically significant difference between qi deficiency and blood stasis-other syndromes(P = 0.018);Qi and Yin deficiency-other syndromes showed no significant difference.Statistical significance(P=0.728);Within one year after discharge of TCM syndrome,the incidence of MACE events was 16.1%,19.8%,7.1%,and 11.9% for sputum stasis,blood stasis,Qi and Yin deficiency,and other syndromes,respectively.There was no significant difference in the incidence of MACE between groups(P=0.769).The AUC values of GRACE and TIMI risk scores during hospitalization were 0.706 and 0.705,respectively,and the AUC values of GRACE and TIMI risk scores were 0.754 and 0.625 after leaving the hospital for one year.6.The high-risk group of GRACE risk score and TCM syndrome type of qi deficiency and blood stasis during hospitalization There was a correlation(R=512,P<0.01).Conclusions: 1.GRACE risk score has the value of judging the short-term and long-term MACE events in ACS patients,TIMI score high-risk group has the value of judging the short-term and long-term MACE events in ACS patients;The qi-deficiency and bloodstasis syndromes in TCM syndromes have value in assessing patients’ MACE events during hospitalization.2.GRACE and TIMI risk scores were specific and sensitive during hospitalization.GRACE risk scores were more specific and sensitive than TIMI scores within one year after discharge.3.There is a correlation between qi deficiency and blood stasis in the TCM syndrome and the high risk group of GRACE,which indicates a poor prognosis.. |
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