Study On The Distribution Pattern Of Syndrome Factors And Their Correlation With The Incidence Of Coronary Heart Disease And Coronary Heart Disease Combined With Ischemic Strok

Purpose: By comparing the distribution rules and onset characteristics of TCM syndrome elements between coronary heart disease and coronary heart disease complicated with ischemic stroke,the relationship between the etiology,pathogenesis and pathogenesis of the two was explored,so as to provide early guidance for the prevention of ischemic stroke in patients with coronary heart disease.Material and method: The data of 162 patients who were diagnosed with coronary heart disease or coronary heart disease combined with ischemic stroke in the First Cardiology Ward of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were collected from October 2021 to October 2022.Among them,81 cases of coronary heart disease were observed 81 cases of coronary heart disease combined with ischemic stroke served as the control group.Organize and compare the case data of the two groups,and analyze their general data,risk factors,laboratory and inspection results,and the distribution of TCM syndrome elements.All data were analyzed using statistical software SPSS 26.0.Result:1.Distribution of general data: There is no statistical difference in gender distribution(p>0.05)between the two groups;there is a statistical difference in the average age(p<0.01)of the two groups,and the average age of men and women with coronary heart disease(p<0.01)has key difference,the average age of men and women with coronary heart disease complicated with ischemic stroke was not statistically different(p>0.05),and the average age of coronary heart disease was younger than that of coronary heart disease complicated with ischemic stroke,the average age of males with coronary heart disease Smaller than females.2.Distribution of risk factors: There was no significant difference between the two groups in history of smoking,drinking,obesity,and dyslipidemia(p>0.05);history of hypertension(p<0.01),history of diabetes(p<0.05)had a statistically significant difference,and the proportion of coronary heart disease combined with ischemic stroke in the history of hypertension and diabetes was greater than that of coronary heart disease.3.Distribution of test and inspection results: There was a statistical difference in systolic blood pressure(p<0.05)between the two groups,but no statistical difference in diastolic blood pressure,random blood sugar,TC,TG,HCL-C,LDL-C(p>0.05);There were no definite abnormalities(p<0.01),intimal undersmoothness/thickening/sclerosing changes(p<0.01),and bilateral sclerosis with plaque formation(p<0.01)in the two groups of bilateral carotid artery color Doppler ultrasound results.There was no statistical significance in carotid artery stenosis(p>0.05).In addition,the average systolic blood pressure of coronary heart disease complicated with ischemic stroke was higher than that of coronary heart disease and higher than the normal control level.Whether it was coronary heart disease or coronary heart disease complicated with ischemic stroke,the level of blood lipid control was not up to standard.The results of bilateral carotid ultrasound in hemorrhagic stroke were more serious than coronary heart disease.4.Distribution of TCM syndrome elements: There are 16 identical syndrome elements in the two groups,including 7 disease location syndrome elements and 9 disease nature syndrome elements.The first four disease location syndrome elements of the two groups were heart,spleen,liver,and kidney,and the top four disease syndrome elements of the two groups were blood stasis,qi deficiency,phlegm turbidity,and yin deficiency.There were statistical differences between the two groups in liver and kidney(p<0.05),but no statistical difference in heart,spleen,lung,stomach and meridian(p>0.05).There were statistical differences in the syndrome elements of the two groups in blood deficiency and yang deficiency(p<0.05),but there was no difference in qi deficiency,yin deficiency,qi stagnation,yang hyperactivity,blood stasis,phlegm turbidity,and dampness(p>0.05)statistical difference.Conclusion:1.The older the coronary heart disease is,the more likely it is to be combined with ischemic stroke.The history of hypertension and diabetes is a potential influencing factor for coronary heart disease to be easily combined with ischemic stroke;coronary heart disease is easy to be combined with ischemic stroke when the blood pressure level is high Stroke;blood lipid control is the key to preventing coronary heart disease complicated with ischemic stroke;patients with coronary heart disease and carotid artery color Doppler ultrasound results are more likely to be complicated with ischemic stroke.2.The top four syndrome elements of coronary heart disease and coronary heart disease combined with ischemic stroke are heart,spleen,liver,and kidney,and the top four syndrome elements of the two groups are blood stasis,qi deficiency,phlegm turbidity,and yin.Asthenia,and when the disease location and syndrome elements of coronary heart disease focus on liver and kidney,and the disease syndrome factors focus on blood deficiency and yang deficiency,it is more likely to be combined with ischemic stroke,suggesting that the two have both similarities and differences in the distribution of syndrome elements,suggesting that there is a certain relationship between the etiology,pathogenesis and pathogenesis of the two.