| Objective;To study the relationship between TCM syndrome of coronary heart disease patients with unstable angina pectoris and degree of coronary artery stenosis,so that there are differences in different TCM Syndromes of the degree of risk of unstable angina,provide an objective basis for the classification of TCM Syndromes of type,degree of risk,to further understanding of unstable angina the theory of TCM Prevention and treatment of angina pectoris.Methods;122 cases with coronary angiography diagnosed with unstable angina pectoris of coronary heart disease patients,the clinical application of investigation at smell and asked the pulse information collected after syndromes of blood stasis,Qi deficiency and blood stasis,qi stagnation and blood stasis,phlegm blocking heart vessel,heart and kidney deficiency,Qi and yin deficiency and yang two deficiency of seven groups,the extent of coronary artery stenosis,number of coronary artery lesions and Gensini the severity of coronary artery disease and coronary artery lesion site according to coronary angiography results were statistics,database,using Spss21.0 statistical analysis.Results;different syndrome types are different in the number and degree of coronary artery disease Gensini coronary artery disease score,coronary artery disease,there was a significant correlation between the severity of coronary artery disease and syndrome of narrow;TCM syndrome differentiation of different site type of coronary artery disease with no obvious correlation.The number of diseased coronary artery lesions in single qi stagnation and blood stasis,Qi deficiency and blood stasis,accounted for 70.6%,69.6%,double branch with blood stasis syndrome,Qi Yin deficiency two,accounted for 42.1%,38.5%,multivessel disease to syndrome of phlegm blocking heart vessel mainly accounted for 59.3%,followed by heart and kidney Yang,Yang Qi time permits,two Qi and yin deficiency syndrome.It shows that the phlegm obstruction,blood vesselobstruction and blood stasis syndrome have many pathological changes and wide range.The degree of stenosis,mild stenosis with qi stagnation and blood stasis,Qi deficiency and blood stasis were respectively 82.6%,82.4%,moderate stenosis with blood stasis syndrome,two Qi and yin deficiency syndrome with respectively 52.6%,53.8%,severe stenosis with syndrome of phlegm blocking heart vessel,Yang Qi deficiency syndrome is respectively 44.4%,43.8%.Therefore,it is known that the phlegm obstruction heart pulse is characterized by severe stenosis,and the stagnation of blood stasis is mild stenosis,with Qi deficiency blood stasis syndrome and qi stagnation blood stasis syndrome.It shows that the phlegm obstruction,the pulse of the heart,the deficiency of Yang Qi,the blood stasis in the heart and the degree of the disease are serious.The three cases are the dangerous syndrome differentiation of unstable angina pectoris.(3)the lesion integral is from big to small,followed by sputum obstruction,pulse syndrome > Yang Qi deficiency syndrome >blood stasis syndrome,Qi Yin two deficiency syndrome > heart Yin deficiency syndrome > Qi Deficiency Blood Stasis Syndrome > qi stagnation blood stasis syndrome.The phlegm stasis blocking pulse syndrome,Yang Qi deficiency syndrome and blood stasis syndrome are bigger than other syndromes.The greater the integral of the three,the more dangerous the lesion is.There was no correlation between the lesion location,TCM syndromes and the location of coronary lesions.Conclusion;there are differences in the degree of coronary stenosis in different TCM syndromes,and the dangerous degree of phlegm blocking heart and blood stasis syndrome and yang qi deficiency syndrome is higher than that of other syndromes,which is the type of dangerous syndrome.There is no obvious correlation between TCM syndrome type and lesion location. |