| Objective:Coronary heart disease is the most common disease in clinic at present to one, is the most common cause of death, and depression is the most common mental disorders. Based on some research results of coronary heart disease patients complicated with depression easy. This study aimed to investigate an analysis of coronary heart disease accompanied with depression and TCM syndrome elements of distribution, analysis of coronary artery disease accompanied with depression in TCM syndrome elements and syndrome differentiation, contribute to the guidance of coronary heart disease accompanied with depression of the syndrome differentiation of traditional Chinese medicine. Many research results show: coronary artery disease in patients with hs-CRP were higher than that in normal controls, depressed patients hs-CRP value is higher than the normal control group, but on coronary heart disease patients complicated with depression hs-CRP value less research, through the study on coronary heart disease patients complicated with depression and coronary heart disease patients with depression were compared and discussed the hs-CRP value, hs-CRP value for coronary heart disease with the clinical value of depressive patients.Methods:In2011August--2012year in March the Ministry of health, a total of220cases in China-Japan Friendship Hospital outpatient with into the group of conditions in coronary heart disease patients, using clinical epidemiologic cross-sectional survey method, to develop clinical epidemiological case observation table, performed on the patient general condition and TCM syndrome elements and SDS score statistic investigation, among the98patients with depressive state, to partner with without depression case prevalence rate, age, sex differences in statistical analysis; selection of coronary heart disease patients complicated with depression in98cases of TCM syndrome elements and syndrome type distribution were analyzed, and according to the degree of depression was divided into three groups, group within the syndrome elements distribution differences; selection had serum hs-CRP detection in27coronary heart disease patients complicated with depression and41coronary heart disease patients complicated with depression to record their hs-CRP levels, results entry, statistical analysis.Results:1. General information:a total of220cases in patients with coronary heart disease, in which patients with depression in98cases (54females,44males), accounting for44.55%of the total number of coronary heart disease with depression,122patients (47female,75male), accounting for55.45%, coronary artery disease accompanied with depression patients, female patients with depression patients in54patients, mean age68.56±9.28years, accounting for53.47%,44cases of male patients,68.29±9.11,36.97%.2. Coronary artery disease accompanied with depression and levels of hs-CRP in patients with coronary heart disease6.13±2.93mg/L,3.97±1.79mg/L patients complicated with depression.3. Coronary heart disease patients complicated with depression into the syndrome elements according to frequency of occurrence from more to less arranged as:?Qi (82) of the blood stasis (66) and (43) the stagnancy of Qi and yin deficiency (38) by the phlegm (35) and cold coagulation (21) of the Yang (18times). Hot and humid (14times)-water stop (12times).4. Coronary heart disease patients complicated with depression and depression level is different, the main elements of syndrome is not the same, mild depressive patients with Qi deficiency blood stasis, qi stagnation, the second; moderate depression patients with blood stasis, Qi deficiency, yin deficiency of patients with major depression; the main deficiency, blood stasis, Qi, phlegm of.5. Coronary heart disease patients complicated with depression syndrome differentiation according to the occurrence number sequence is:CD Qi deficiency and blood stasis syndrome of qi stagnation and blood stagnation of Qi and yin deficiency syndrome in two the phlegm of heart meridian syndrome and cold stagnation syndrome and kidney yin deficiency of heart blood stasis syndrome in the yang asthenia syndrome. One of the highest number of top three as Qi deficiency and blood stasis syndrome of qi stagnation (26.53%) and blood stasis type (21.43%), twoof Qi and yin deficiency syndrome (18.37%).Conclusion:1. In patients with coronary heart disease CHD complicated with depression prevalence rate was44.55%, coronary heart disease patients complicated with depression in female morbidity than men; two persons aged patients had no significant difference.2. Coronary heart disease patients complicated with depression syndrome elements with Qi deficiency; mild depressive patients with Qi deficiency, blood stasis mainly moderate depression in patients with major depression; the main deficiency.3. Syndrome differentiation is the deficiency of Qi and blood stasis.4. Coronary heart disease patients complicated with depression hs-CRP levels than coronary heart disease patients complicated with depression, it is suggested that hs-CRP in coronary heart disease patients complicated with depression arc important risk factors. |
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