Investigation Of Diagnostic Criteria For Coronary Heart Disease With Angina Pectoris,qi Deficiency And Blood Stasis Syndrome And Analysis Of Coronary Angiography Results

Objective: To use the method of epidemiological investigation,through medical record collection and statistical analysis,to first discuss the characteristics of coronary heart disease angina pectoris,qi deficiency and blood stasis syndrome in the distribution of diagnostic criteria,to deepen the understanding and understanding of the syndrome;Secondly,by investigating the results of coronary angiography,summarizing the characteristics of coronary heart disease with angina pectoris and qi deficiency and blood stasis syndrome in coronary angiography,find new evidence for dialectical support of TCM.Methods: The patients with coronary heart disease and angina pectoris diagnosed by coronary angiography in the Department of Cardiology,from May2017 to December 1818,were selected.The medical records were collected from clinical epidemiological investigations to screen out the angina pectoris with qi deficiency and blood stasis syndrome.Diagnosed patients,statistics of coronary heart disease,angina pectoris,qi deficiency and blood stasis syndrome,the distribution of traditional Chinese medicine diagnostic criteria and coronary angiography results,using SPSS 21.0 statistical software to analyze and explore the distribution characteristics of its diagnostic criteria and the characteristic pathological changes of coronaryangiography.Results: In this study,200 patients with coronary heart disease and angina pectoris were enrolled,including 166 patients with qi deficiency and blood stasis syndrome and 34 patients with non-qi deficiency and blood stasis syndrome.Distribution of diagnostic criteria for qi deficiency and blood stasis syndrome in patients with angina pectoris:the most frequent distribution of diagnostic factors is fatigue,151 cases,accounting for90.96%;followed by 115 cases of chest pain,accounting for 69.28%;112 cases of chest tightness,accounting for 67.47 %;at least 6 cases of dark purple,accounting for 3.61%.The frequency of distribution is from the most to the least: body fatigue > chest pain > chest tightness > weak pulse and phlegm >shortness of breath > palpitations > pale purple tongue > complexion dark purple.Among the other syndromes of qi deficiency and blood stasis syndrome in patients with angina pectoris,there are: the top five: Yi Khan(18.07%),anorexia(15.06%),nausea(9.04%),dizziness(10.84%),limb numbness(7.83%);other major tongues and veins showed thin white fur(87.35%),dark red tongue(85.54%),tongue or ecchymosis(41.57%),pulse Shen(21.08%),pulse Knot(12.05%),scalloped teeth(9.04%),sublingual vein cyanosis(7.23%),pale tongue(3.61%),fine veins(5.42%),white greasy(3.61%),tongue Light red(2.41%),tender tongue(1.81%),less moss(1.20%).Coronary heart disease angina pectoris qi deficiency blood stasis syndrome coronary angiography results analysis: in the three-vessel disease,the largest proportion of single-vessel disease 68 cases,accounting for 40.96%;second double-vessel disease 53 cases,accounting for 31.93%;three-vessel disease 45 cases,accounting for 27.11%;the proportion of single-vessel disease of Qi deficiency and blood stasis syndrome is greater than that of non-qi deficiency and blood stasis syndrome,P<0.05.In the distribution of stenotic vessels,the first three were left anterior descending(LAD),130 cases,accounting for 78.31%;right coronary artery(RCA),106 cases,accounting for 63.86%;left circumflex(LCX),79 cases,accounting for 47.59%.Compared with non-qi deficiency and blood stasis syndrome,the first diagonal branch(D1)stenosis has a smaller proportion,P <0.05.In terms of stenosis,35 cases were mild stenosis,accounting for 21.08%;26 cases were moderate stenosis,accounting for 15.66%;105 cases were severe stenosis,accounting for 63.25%;the proportion of severe stenosis of qi deficiency and blood stasis syndrome was greater than that of non-qi deficiency and blood stasis syndrome,P < 0.05.The average degree of stenosis in the coronary artery was from the top to the bottom of the five: LAD middle> RCA middle> LAD near> RCA near> LCX distal,the mean value of vascular stenosis was: 33.35% ± in the middle of LAD 35.89%,compared with non-qi deficiency and blood stasis syndrome,there was no statistical difference in the average degree of stenosis in each segment of coronary artery.The final average score of Gensini in patients with qi deficiency and blood stasis syndrome was 32.39±28.99.The final average score of Gensini in patients with non-qi deficiency and blood stasis syndrome was40.23±59.10.There was no significant difference between the two groups compared with Gensini.Conclusion: In the distribution of diagnostic criteria for qi deficiency and blood stasis syndrome in patients with angina pectoris,the proportion of fatigue and fatigue is the highest,and the proportion of dark purple is the least.The characteristic pathological changes of coronary angiography in patients with coronary heart disease and angina pectoris with qi deficiency and blood stasis syndrome are: single-vessel disease is the main cause of the three-vessel disease;severe stenosis is the main stenosis;Compared with non-qi deficiency and blood stasis syndrome,the D1 lesions were different,and the qi deficiency and blood stasis syndrome showed less lesions in D1.