| Coronary angiography and the clinical application of percthe utaneous coronary interention, to save the lives of a large number of patients with coronary heart disease (CHD),Although coronary intervention can instantly enlightened stenosis and occlusion of blood vessels, but only for local pathological changes, the mechanism of shape of cause coronary artery sclerosis remains,And naked stents and drug-eluting stents implantation after still have the possibility of restenosis, some patients still exists the unwell symptom such as chest pain, chest tightness,Coronary heart disease (CHD) is a systemic disease, atherosclerosis progress won’t stop because of a certain parts of the stent, some patients will appear in the postoperative period of time of stent restenosis local or in other parts of the grow new patches and so on lead to disease recurrence,After interventional treatment in patients with coronary heart disease, therefore, must take aspirin and some lipid-lowering, antihypertensive, hypoglycemic drugs to prevent restenosis, aspirin should even require lifelong, perennial take western medicine for patients with physical harm is self-evident,Among them, long-term aspirin can cause stomach and duodenal ulcer disease and hemorrhagic gastritis, serious and even cause cerebral hemorrhage, life-threatening, for such intervention in postoperative patients with coronary heart disease (CHD),The doctor of traditional Chinese medicine has its unique advantages,Starting from the overall concept of traditional Chinese medicine, adjust the state of the patient’s body, such as improve sleep, regulate spleen and stomach, runchang purge, combined with western medicine treatment, by adjusting the overall the pathological change, to change the local reference different constitution and different syndrome types gives evidence-based medicine,Can improve the quality of life of patients with coronary heart disease (CHD) after interventional, prevention and treatment of restenosis.The evolution law of TCM syndrome after coronary heart disease (CHD) in preoperative studies can for coronary heart disease prevention and control of traditional Chinese medicine to provide sufficient basis.Abstract[Research objectives]To evaluate the impact of Traditional Chinese Medicine (TMC) syndromes on percutaneous coronary intervention (PCI) through investigating coronary heart disease (CHD) patients with the syndromes before and after intervention in Yunnan. then we study the relation between the TCM syndromes and the degree of pathologic changes of the coronary artery, and through the investigation providing the relation between the TCM syndromes and the dangerous factors of CHD,In order to provide certain reference for clinical diagnosis and treatment work.[Research method]choose patents with diagnose CHD by PGI in The first affiliated hospital of Kunming medical university and The second affiliated hospital of TCM during March2013to December2013, then analyze the relation between the TCM syndromes and the dangerous factors, And accept percutaneous coronary artery lumen angioplasty and stent implantation materials complete310patients as the research object, According to the survey time is different,Can be divided into preoperative and PCI postoperative PCI postoperative seven days, three days, respectively, on the information collection and analysis of clinical syndromes,Item by item according to the requirement to fill in coronary artery disease after PCI in patients with preoperative TCM syndrome type questionnaire (see table2) management and recycling questionnaire carefully,Completes the registration according to the facts,The last into the computer for statistics and analysis,It is concluded that310cases of coronary heart disease in Yunnan region PCI in patients with preoperative and postoperative respectively in which one or what kind of the most common type,Analysis of the type often witness and the correlation between coronary heart disease risk factors.[Research results]PCI preoperative the TCM syndrome types of patients with coronary heart disease with blood stasis resistance up to see, followed by phlegm heart arteries and veins, at least for the qi and blood stasis.From more to less order to syndrome, phlegm and blood stasis resistance heart pulse syndrome, qi deficiency and blood stasis syndrome of Yin is cold, heart, kidney Yin deficiency syndrome, qi and Yin deficiency syndrome, qi and Yin deficiency syndrome, sun be the spirit virtual failure syndrome, qi and blood stasis; PCI postoperative three days the TCM syndrome types of patients with coronary heart disease with blood stasis resistance up to see, followed by phlegm heart arteries and veins, at least for the sun be the spirit virtual failure.Arrange from more to less for: syndrome, phlegm and blood stasis resistance heart arteries and veins of syndrome of Yin is cold, heart, kidney Yin deficiency syndrome, qi deficiency and blood stasis syndrome, qi and Yin deficiency, qi and blood stasis syndrome, sun be the spirit virtual failure;PCI postoperative seven days the TCM syndrome types of patients with coronary heart disease with syndrome of blood stasis resistance up to see, followed by phlegm heart arteries and veins, at least for heart kidney Yin deficiency syndrome-Arrange from more to less for:syndrome, phlegm and blood stasis resistance heart pulse syndrome, qi deficiency and blood stasis syndrome, Yin cold freeze, qi and Yin deficiency syndrome, sun be the spirit virtual heart failure syndrome, qi and blood stasis, kidney Yin deficiency syndrome.[Research conclusions](1)After interventional card type distribution in patients with coronary artery disease, syndrome, phlegm and blood stasis resistance heart pulse card to the majority, the proportion of the proportion of postoperative preoperative has decreased, but it is still more than other type.Qi deficiency and blood stasis syndrome, sun be the spirit virtual failure after three days have improved significantly, but seven days postoperatively and upward trend.Tip:in patients with coronary heart disease should pay attention to the "real" seven days after treatment.(2)Study a risk factor for coronary heart disease (CHD) patients with TCM syndrome type and blood stasis, phlegm obstruction heart pulse syndrome of qi deficiency and blood stasis,Can be found that male patients with coronary heart disease with syndrome, phlegm and blood stasis resistance in heart pulse syndrome, Significantly more than women, Age of60or more in patients with coronary heart disease (CHD) with qi deficiency and blood stasis syndrome, Smoking in patients with coronary heart disease with phlegm obstruction heart arteries and veins,With a family history of coronary heart disease (CHD) patients with qi deficiency and blood stasis syndrome,Have a history of high blood pressure in patients with coronary heart disease with blood stasis resistance,Combined dyslipidemia in patients with coronary heart disease with syndrome, phlegm and blood stasis resistance heart pulse syndrome,Diabetes mellitus patients with coronary heart disease with phlegm obstruction heart pulse syndrome, qi deficiency and blood stasis syndrome. |
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