Purpose: To explore the relationship between phlegm,blood stasis and plasma homocysteine in patients with unstable angina pectoris of coronary heart disease,to quantify and analyze TCM syndromes by means of modern medical examination and measurement,and to explore its objective indexes to provide relevant objective basis for TCM syndrome differentiation of unstable angina pectoris of coronary heart disease.Method: 1,the selected cases from January 2017-November 2017,in the first hospital of Jilin University Cardiovascular Medicine,and was diagnosed with coronary heart disease unstable angina outpatients and hospitalized patients,a total of 202 cases.Among them,124cases(61.39%),female 78 cases(38.61%),the oldest 86 years,the youngest 42 years.and set up the control group,for Health Checkup,a total of 20 cases were collected.2,according to the proposed inclusion and exclusion criteria for the selection of this study cases,the collection of general information,related symptoms,signs and plasma homocysteine values.According to "syndrome differentiation" to phlegm,blood stasis,all kinds of integral ?20diagnosed with stasis,phlegm,according to whether there are overlapping,superimposed,divided into four groups,and set up a healthy control group,respectively,and their plasma homocysteine level,through a series of statistical methods to analyze it.To observe the correlation between different groups and plasma homocysteine.3,using SPSS 21.0 statistical software for statistical analysis of research data.P?0.05 was statistically significant for the difference.Result: 1,the data of 202 patients with unstable angina pectoris of coronary heart disease were collected,and 20 healthy subjects,including 49 cases(24.26%),Blood stasis Group in 61 cases(30.20%),phlegm and blood stasis Group 53 cases(26.24%),no phlegm and no blood stasis Group 39 cases(19.31%).2,The distribution of plasma homocysteine in male and female groups was not statistically significant in this study.Plasma homocysteine levels increased with age after 50 years,but there was no statistically significant difference in plasma homocysteine between all ages.3,in the age distribution,the age distribution between the syndrome groups from high tolow age distribution from high to low in turn is phlegm and blood stasis,stasis Group,sputum group,no phlegm and no stasis group,the difference is statistically significant.4,This study shows that the blood homocysteine level in patients with unstable angina pectoris is closely related to the phlegm and stasis of TCM syndromes.Plasma homocysteine in the group from high to Low is: Blood stasis group phlegm and blood stasis group of phlegm group without phlegm and no stasis group.The data is statistically significant.It was indicated that phlegm and blood stasis in patients with unstable angina pectoris were correlated with plasma homocysteine level.The correlation analysis showed that plasma homocysteine level was positively correlated with Phlegm syndrome integral and blood stasis syndrome.Conclusion: 1,For patients with unstable angina pectoris of coronary heart disease,age and syndrome have a certain relationship.There was no statistically significant difference in gender distribution.2,For patients with coronary heart disease unstable angina pectoris,The plasma homocysteine level was positively correlated with Chinese medicine syndrome and phlegm,and the elevated plasma homocysteine occurred in most patients with blood stasis syndrome and phlegm turbidity syndrome.The higher the plasma homocysteine level,the more serious the blood stasis and turbid phlegm.Therefore,plasma homocysteine can be used as one of the dialectical indexes of TCM for unstable angina pectoris of coronary heart disease,especially can be a dialectical quantitative standard for patients with blood stasis,turbid phlegm,phlegm and blood stasis. |