Correlation Between Coronary CTA Findings And TCM Syndrome Differentiation Of Coronary Heart Disease

Objective:Through the analysis of 251 cases of coronary CTA performance with coronary heart disease of traditional Chinese medicine,to explore coronary CTA expression and the relationship between coronary heart disease and traditional Chinese medicine.Method:To collect 251 cases of coronary CTA examination from liaoning university second affiliated hospital of traditional Chinese medicine,which the clinical diagnosis of coronary atherosclerosis sex hospitalized cases of heart disease,according to the coronary heart disease(CHD)CTA performance and characteristics of traditional Chinese medicine,using modern medical statistics method is summarized and the correlation between them.Result:In 251 cases of coronary heart disease,male 132 cases,119 cases of women,men slightly more than women,in which qi stagnation 30 cases,accounting for about 11.95%;phlegm turbidity syndrome 49 cases,accounting for about 19.52%;blood stasis syndrome 51 cases,accounts for about 20.32%;Yin deficiency syndrome 43 cases,accounting for about 17.13%;Qi deficiency syndrome 46 cases,accounting for 18.33%;Yang deficiency syndrome 15 cases,accounting for 5.98%;Coagulated cold syndrome 17 cases,accounting for 6.77%,by statistical analysis(P < 0.05),the difference was statistically significant.Coronary heart disease(CHD)patients have different TCM syndrome type distribution,with Yang deficiency syndrome and Coagulated cold syndrome is rare.In 251 cases of coronary heart disease,no lesion counts for 5 cases,accounting for about 1.99%;there are 114 cases in single lesions which accounting for about 46.34%,67 cases in double branch lesions which accounting for 27.24%,65 cases in multivessel lesions which accounting for 26.42%,by statistical analysis(P < 0.05),the difference was statistically significant.There are differences on coronary heart disease(CHD)patients with lesions count distribution to single lesion more see.In 251 cases of coronary heart disease,phlegm turbidity syndrome 30 cases(3 no lesion,11 single lesion,10 double branch lesions and 6 multivessel lesions),phlegm turbidity syndrome 49 cases(0 no lesion,14 single lesions,12 double branch lesions,23 multivessel lesions),51 cases of blood stasis syndrome(0 no lesion,17 single lesion,15 double branch lesions,19 multivessel lesions),Yin deficiency syndrome 43 cases(1 no lesion,28 single pathological changes,9 double branch lesions,5 multivessel lesions),Qi deficiency syndrome 46 cases(1 no lesion,30 single lesion,10 double branch lesions and 5 multivessel lesions),Yang deficiency syndrome 15 cases(0 no lesion,8 single lesions,5 double branch lesions,2 multivessel lesions),Coagulated cold syndrome 17 cases(0 no lesion,6 single lesion,6 double branch lesion,5 multivessel lesions).Of each and the lesion counts,there are differences between the single lesion in Yin deficiency and blood stasis syndrome(P = 0.008 < 0.05),multivessel lesions found in phlegm turbidity syndrome and blood stasis syndrome(P = 0.001 < 0.001).In 251 cases of coronary heart disease,qi stagnation syndrome 30 cases(No significant stenosis in 3 patients,mild stenosis in 12 patients,,moderate stenosis in 9 patients,severe stenosis in 6 patients),phlegm turbidity syndrome 49 cases(No significant stenosis in 0 patients,mild stenosis in 9 patients,,moderate stenosis in 14 patients,severe stenosis in 26 patients),51 cases of blood stasis syndrome(No significant stenosis in 0 patients,mild stenosis in 7 patients,,moderate stenosis in 13 patients,severe stenosis in 31 patients),Yin deficiency syndrome 43 cases(No significant stenosis in 24 patients,mild stenosis in 1 patients,,moderate stenosis in 12 patients,severe stenosis in 16 patients),46 cases of deficiency syndrome(No significant stenosis in 1 patients,mild stenosis in 26 patients,,moderate stenosis in 10 patients,severe stenosis in 9 patients),Yang deficiency syndrome 15 cases(No significant stenosis in 0 patients,mild stenosis in 1 patients,,moderate stenosis in 8 patients,severe stenosis in 6 patients),17 cases of coagulated cold syndrome(No significant stenosis in 0 patients,mild stenosis in 2 patients,,moderate stenosis in 10 patients,severe stenosis in 5 patients).Of each type and the degree of stenosis,with more than mild stenosis in Yin deficiency and blood stasis syndrome(P = 0.000 < 0.05),severe stenosis in phlegm turbidity syndrome and blood stasis(P = 0.000 < 0.05);Coronary heart disease(CHD)of traditional Chinese medicine and combined disease(high blood pressure,diabetes,hyperlipidemia)and family history of coronary heart disease(CHD),no statistical significance(P > 0.05).Conclusion:There are differences in coronary heart disease(CHD)of traditional Chinese medicine distribution;There are differences in coronary heart disease lesion count distribution;Coronary heart disease lesion count of CTA expression was associated with coronary heart disease of traditional Chinese medicine;There are differences in coronary stenosis degree distribution;Coronary heart disease(CHD)of traditional Chinese medicine and combined disease(high blood pressure,diabetes,hyperlipidemia)and family history of coronary heart disease without correlation;Coronary CTA with coronary heart disease(CHD)of traditional Chinese medicine has certain correlation.Coronary heart disease coronary CTA performance can be a reference for coronary heart disease of traditional Chinese medicine.