A Survey And Analysis Of 102 Cases Of Post-PCI Patients With Traditional Chinese Medicine Constitution

Purpose:By identifying the constitution of patients after PCI,the relationship between the distribution of TCM constitution types and gender,age,hypertension,diabetes mellitus,blood lipid attainment and the number of coronary artery lesion branches was analyzed,which could provide a basis for improving the quality of life and preventing restenosis of patients after PCI.Material and method:102 hospitalized patients after PCI from May 2017 to December2018 in the Department of Cardiology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were selected as the research objects.A questionnaire was used to fill in the "Classification and Judgment of Constitution of Traditional Chinese Medicine" scale issued and implemented by the Chinese Academy of Traditional Chinese Medicine.The constitution types were obtained by input of constitution identification software.The patients' gender,age,number of coronary artery lesions,blood lipids and diabetes mellitus were recorded.Single vessel disease is defined as stenosis of single main vessel or its main branches more than 60%,and multiple vessel disease is defined as stenosis of two or three main vessels more than 60%.The situation of blood lipids reaching the standard refers to the Guidelines for Prevention and Treatment of Adult Dyslipidemia in China(2016 Revised Edition).SPSS17.0 statistical software was used to analyze the correlation between biased constitution and five risk factors.Rank sum test was used to analyze the relationship between biased constitution and the number of coronary artery lesion branches.Results:1.The top four percentages of constitution types after PCI were Qi deficiency(18.09%),Yang deficiency(17.02%),Qi depression(16.49%)and phlegm-dampness(14.36%).The remaining constitutional types accounted for 11.7% of the total body mass,7.98% of the total body mass,7.45% of the total body mass,5.85% of the total body mass,and 1.06% of the total body mass.2.The rate of blood lipid reaching the standard after PCI was only 13%.Two-class logisticanalysis showed that the qi-depression and phlegm-dampness of patients after PCI were related to hypertension,and the dampness-heat was related to gender.Single vessel lesion of coronary artery is related to Qi depression,and multiple vessel lesion of coronary artery is related to Yin deficiency.3.There were more males than females in patients after PCI,but chi-square test showed that the occurrence of ACS was not related to gender.Conclusion:1.The most common constitutional types of patients after PCI are Qi deficiency,Yang deficiency,Qi depression and phlegm-dampness.2.The phlegm-dampness and qi-depression of patients after PCI are related to hypertension,while the dampness-heat is related to gender.Single vessel lesion of coronary artery is related to Qi depression,and multiple vessel lesion of coronary artery is related to Yin deficiency.3.The occurrence of acute coronary syndrome has nothing to do with gender.