Study On Relationship Between Different TCM Syndromes Of Coronary Heart Disease And Coronary Artery CAG

Objective:Through the correlation of different TCM syndrome types of coronaryheart disease and the severity of coronary artery stenosis, and various syndromes andrelated indicators, and provide the basis for the TCM syndrome objectification andcombine traditional Chinese and Western medicine treatment of coronary heart disease.Method:A retrospective analysis of cases, from August to2013in September2011inthe First Affiliated Hospital of Shandong University of Traditional Chinese Medicinehospital treatment and in accordance with the conditions of61cases. Coronaryangiography was performed before differentiation, through fasting forearm venous plasmatriglyceride (TG), determination, total cholesterol (TC), high density lipoprotein (HDL-C),low density lipoprotein (LDL-C), prothrombin time (PT), fibrinogen (FIB), thrombin time(TT), activated partial thromboplastin time (APTT), age, gender, medical history, pastmedical history and other clinical data. According to the coronary angiography showsvascular lesion site, Gensini score, the degree of stenosis, and record the number ofvascular lesions. The interaction analysis of its relationship with the syndrome type oftraditional Chinese medicine and the various factors.Result:Different TCM syndrome type of coronary heart disease among average lesionvessels from more to less as follows: heart qi deficiency, heart and kidney yin deficiency,phlegm syndrome, blood stasis syndrome, there was statistically significant differencebetween groups (P=0.013) and. The single branch lesions with deficiency of heart qi weakcard based, multi vessel lesions in heart and kidney yin deficiency think, double branchlesions in heart and kidney yin deficiency, phlegm syndrome, accounted for36.4%. There was no significant difference of Gensini score between different type of syndrome. Gensiniscore, severity, duration of judgment syndrome is a predictor of empirical or deficiencysyndrome;The TCM syndrome types of chest group blood lipids, coagulation four generalno obvious difference;Was negatively correlated with HDL-C, PT, TT and Gensini score (P=0.016,0.012,0.005), FIB associated with the Gensini score was positively (P=0.000),and significantly positive; total cholesterol associated with the Gensini score, but thedifference between groups is not obvious. Multiple linear regression showed significanteffects: FIB, the regression equation was Gensini=17.753FIB-4.875(F=18.183, P=0.000).Conclusion:Relationship between different TCM Syndromes of coronary heartdisease and the number of diseased vessels. Heart qi deficiency, kidney yin deficiency andheart vascular disease severity in phlegm syndrome, blood stasis syndrome. Gensini score,severity, duration prediction for TCM syndrome factors. FIB is a strong correlation factorsin patients with coronary heart disease, can be used as a risk factor for coronary heartdisease.