Study On Relationship Between Coronary Arteriography And Thoracic Obstruction Of TCM Syndrome Type

Objective:To be explored the current distribution in patients with thoracic obstruction of TCM,and exploreed the relationships between thoracic obstruction of TCM and coronary arteriography’s form.To provided a reference for thoracic obstruction of TCM syndrome differentiation.Methods:1.According to the result of coronary angiography to group of patients,analysised their coronary angiography results,which involved nmuber,severity,form a,Gensini seoer and pure myocardial bridge of coronary artery lesion.2.Provide an objective basis for TCM Syndrome Differentiation-Type of CHD,aand correlation analysis istribution of cross-checksand syndromes with complications.Results:1.Coronary atherosclerosis group was given priority to with empirical documents, total of40cases (87.0%).The distribution of the most common for the CHD group and the deficiency syndrome:blood stasis161cases(75.3%)N phlegm turbidity107cases(50.1%),qi deficiency91cases(40.8%).In the combination group of all CHD syndromes most of the deficiency was blood stasis31cases(13.9%),the second were deficiency of phlegm turbidity25cases(11.2%),phlegm turbid blood stasis24cases(10.8%).2.The distribution of CHD basis disease group between the empirical groups had significant meaning(x2=19.3,P<0.05).The more of Hypertension and hyperlipidemia were simple phlegm turbidity group,phlegm turbid blood stasis group,pure blood stasis group.The more of diabetes were pure blood stasis group and phlegm turbid blood stasis group.3.The distribution of risk factor for coronary artery lesion count in different had significant meaning(X2=60.1,P<0.01).Coronary artery lesion count and risk factors was moderately correlated(r=0.5,P<0.01).Tip three pathological changes mainly in patients with multiple risk factors.With the increased of risk factors,the coronary artery lesion count also will increased.4.The distribution of coronary artery lesions counts between the empirical each groups of CHD had significant meaning(x2=33.5,P<0.01). Qi and blood stasis group12cases(70.6%) saw more single lesion,phlegm turbidity and blood stasis group24cases(53.4%)、 haemorrheological nature blood stasis group9cases(53.0%),pure blood stasis group40cases(48.8%) saw more three lesions.The distribution of coronary artery lesions counts between deficiency group coronary heart disease had significant meaning(x2=20.6,P<0.01).Qi and yin deficiency group11cases(64.7%) saw more three lesions.5.The CHD groups had coronary artery Gensini score for each table type groups statistically significant difference between all the groups (F=54.03, P=0.00).Pure blood stasis group was higher than simple phlegm turbidity syndrome group and qi stagnation and blood stasis group(P<0.05),phlegm turbidity and blood stasis group and haemorrheological nature blood stasis group were higher than simple phlegm turbidity group and qi stagnation and blood stasis group(P<0.05).The gensini score of haemorrheological nature blood stasis group was highest(47.76±20.58).Coronary artery score the groups had statistically significant berween deficiency types (F=3.41，P<0.05).The Gensini score of qi and yin deficiency group wan higher than pure yin deficiency group(P<0.05).6.There were differences between patients with simpl emyocardial bridgingthe in different syndromes, which dominated with qi stagnation.Conclusion:1.Coronary atherosclerosis group was given priority to with empirical documents.The main of TCM syndrome type in CHD group were:blood stasis,phlegm turbidity,qi deficiency.In all syndromes combination,qi deficiency, blood stasis and phlegm turbidity mixed type were the main justification of combination of TCM syndrome type.2.With the increased of risk factors,the coronary artery lesion count also will increased.Tip three pathological changes mainly in patients with multiple risk factors.3.with the increased of TCM syndrome type of CHD patients’clamp and certificate,card type was complicated,by the gas into the blood,the actually realized virtual,the inclusion of the actual.The coronary artery lesions counts increased,Coronary artery stenosis degree aggravated.4.Pure TCM syndrome type alone in patients with myocardial bridge was given priority to qi stagnation syndrome.