The Review Of Research On The Application Of Traditional Chinese Medicine Diagnosis And Treatment Of Coronary Heart Disease-angina Scheme In Our Hospital In2011

Purpose: To provide the basis for further optimization schemes through the retrospectiveinvestigation on the clinical diagnosis、treatment of medical record and traditional Chinesemedicine diagnosis、treatment scheme、implementation and comparing curative effect of thehospitalized patients with coronary heart disease angina pectoris in our Heart diseasedepartment2011.Method: This topic research is a retrospective study of cardiovascular internal medicineof traditional Chinese medicine. To make the the overall comparison and draw the conclusionthrough the statistical analysis, common type distribution characteristic, clinical diagnosis andtreatment plan implementation, TCM syndrome differentiation treatment and standardizationof Chinese and western medicine curative effect on the actual situation (outside the primarysymptom of patients with general condition improved, etc.) of the hospitalized patients withcoronary heart disease angina pectoris in our Heart disease department.Result:1It were selected in1172patients, top10syndromes (92.15%), diagnosis andtreatment schemes of four syndrome (58.69%).10top types respectively are qi and Yindeficiency, blood stasis blocking collaterals (34.04%), qi and Yin deficiency, phlegm bloodstasis blocking collaterals (24.83%), qi deficiency and blood stasis (13.82%), qi deficiencyand blood stasis, phlegm turbidity resistance winding (9.98%), phlegm and blood stasis"(3.83%), Yin deficiency and qi stagnation, blood stasis blocking collaterals (2.05%), qideficiency and qi stagnation, blood stasis blocking collaterals (1.11%), Yang deficiency andblood stasis (1.02%), qi deficiency and qi stagnation, fever, mixed blood stasis blockingcollaterals (0.85%), qi deficiency and qi stagnation, phlegm and blood stasis (0.597%),ofwhich, qi and Yin deficiency, phlegm blood stasis blocking collaterals syndrome is not in ourmedical syndromes play the most part.(24.83%).2In the selected patients, stable angina and unstable angina (6.45:1), including anginapectoris Ⅱ level in564cases (48.12%) and angina pectoris Ⅰ grade473cases (40.35%) andangina pectoris Ⅲ grade98cases (8.36%) and angina pectoris Ⅳ level37cases (3.15%).3Medical history, arrhythmia,193cases (16.46%); chronic myocardial infarction19cases (1.62%); PCI postoperative15cases (1.27%), coronary artery bypass grafting in4cases (0.34%), cardiac pacemaker in2cases (0.17%).4Other medical history, the total of high blood pressure patients are799cases (66.46%,hypertension level349.66%), dyslipidemia,295cases (25.17%), type2diabetes,288cases(24.57%), cerebral infarction,58cases (4.95%), anxiety or depression state26cases(2.47%), respiratory system disease118cases (10.06%), endocrine system disease (diabetesexcept),121cases (10.32%), urinary system disease133cases (11.34%), carotidatherosclerosis43cases (3.66%), cervical vertebra disease64cases (5.46%), and surgicaldiseases,63cases (5.37%).5the percentage of syndromes related to always smoking from high to low in turn,phlegm and blood stasis and qi deficiency (31.11%)> blood stasis, phlegm turbidityresistance winding (26.5%)> qi and Yin deficiency, phlegm blood stasis blocking collaterals(22.0%)> qi and Yin deficiency, blood stasis blocking collaterals (17.79%)> qi difficiencyand blood stasis (17.28%).6the percentage of syndromes related to alcohol related syndromes from high to low inturn, alternating knot (20.0%)> phlegm and blood stasis and qi deficiency blood stasis(12.35%)> qi deficiency and blood stasis, phlegm turbidity resistance winding (11.11%)> qiand Yin deficiency, phlegm blood stasis blocking collaterals (10.65%)> qi and Yin deficiency,blood stasis blocking collaterals (10.53%).7the percentage of syndromes related to smoking drinking history, from high to low inturn, phlegm and blood stasis and qi deficiency (17.78%)> blood stasis, phlegm turbidityresistance winding (10.26%)> qi deficiency blood stasis (9.88%)> qi and Yin deficiency,blood stasis blocking collaterals (9.52%)> qi and Yin deficiency, phlegm blood stasisblocking collaterals (7.56%).8The consistent rate of diagnosis and treatment scheme, both qi and Yin deficiency,blood stasis blocking collaterals syndrome (97.7%), qi deficiency and blood stasis syndrome(97.3%), qi deficiency and blood stasis, phlegm turbidity resistance collaterals syndrome(96.3), qi deficiency and qi stagnation, fever, mixed blood stasis blocking collateralssyndrome (100%).910top patients with syndrome before and after treatment in selected cases with primarysymptom and disease, the curative effect of coating on the tongue, tongue, pulse condition have significant statistical significance (P <0.01).10Before and after treatment of patients with angina pectoris symptoms have significantstatistical significance (P <0.01).11the total effective rate on Before and after treatment of electrocardiogram (ecg) ofpatients was42.96%.12The total efficacy of patients was97.87%.Conclusion:1Dialectical treatment of TCM combined with western medicine routinetreatment can obviously improve the symptoms and signs of patients with coronary heartdisease angina, effectively improve the symptoms of angina, and improve the patients qualityof life.2In selected patients, the type number diagnosis and treatment scheme accounted for(58.69%), outside evidence type (41.31%), to increase the coverage and treatment afterdiagnosis and treatment plan which also needs to be further expanded.