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Stable Angina Pectoris Qi Deficiency Blood Stasis And Phlegm And Blood Stasis Card And Test Results Of The Correlation Research

Posted on:2013-11-12Degree:MasterType:Thesis
Country:ChinaCandidate:L ZhangFull Text:PDF
GTID:2244330395479205Subject:Integrative Medicine
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Purpose:To explore the correlation between objective special features androle of various indexes of treadmill exercise test(TET) and coronary heartdisease (CHD)caused stable angina pectoris with different syndromes oftraditional Chinese Medicine which include Qi deficiency and blood stasis(QDBS)and Phlegm and blood stasis(PBS),to provide references for syndromedifferentiation of Traditional Chinese Medicine of CHD in clinical practice.Material and method:295patients, whose diagnosis measured to thediagnostic standard and the inclusion criteria of angina pectoris and CHD, wereclassified according to their TCM syndrome type to two groups, the QDBS(144cases)and the PBS(151cases). TET was conducted on all the patients. The relativeparameters were measured and compared.Record,(1) Basic information;(2) Historyand comorbidity;(3)Predisposing factors;(4)Physical and chemical examinationresult;(5)Negative or positive outcomes;(6) the reason of ending test;(7) totalexercise time(S);(8) the maximal metabolic equivalent (MaxMET);(9) the maximaldepression of ST segment at the exercise endpoint of test (mV);(10) totleexercise time of ST segment depressed for0.1mV at the exercise endpoint of test(min);(11) the maximal metabolic equivalent during ST segment depressed by0.1mVat the exercise endpoint of test. The experimental design is group control andbetween the two groups control.I use spss17.0to establish database,then collateand analyze the data. The statistical methods used include chi-square test,analysis of variance, correlation analysis and so on. P <0.05is considereddifference,and P <0.01is considered significant difference.Results:Comparing QDBS with PBS, combineing with Hypertension(P=0.02) and after PCI(P=0.037) are different,and previous myocardial infarction(P=0.004)and BMI(P=0.000) are significantly different; in the aspect of predisposingfactors,rainy weather and dietary change are diffrernt between the two groups;inphysical and chemical examination,colour sonography is diffrernt,and fastingboobld glucose and dyslipidemia are relevant to PBS and phlegm,and in the twogroups TC and LDL-C are relevant to phlegm.Other history and comorbidity, basicinformation, positive outcomes,the reason of ending test,total exercise time(S),the maximal metabolic equivalent (MaxMET),the maximal depression of ST segmentat the exercise endpoint of test (mV),totle exercise time of ST segment depressedfor0.1mV at the exercise endpoint of test (min)and the maximal metabolicequivalent during ST segment depressed by0.1mV at the exercise endpoint of testare not diffrernt(P>0.05). These indicators don’t relate to QDBS andPBS,either.Conclusion:Comparing QDBS with PBS,these indicators of TET are not different,and do not relate with different syndrome types or Syndrome elements.
Keywords/Search Tags:coronary heart disease caused with stable angina pectoris, Qideficiency and blood stasis, Phlegm and blood stasis, treadmill exercise test
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