Evaluation Of Diagnosis And Treatment Of Angina Pectoris Of Coronary Heart Disease In Our Hospital In 2015

Purpose:Our department of Cardiology in the long-term clinical practice has been summarized,revised,developed in 2015 the latest coronary heart disease angina treatment program.This topic through retrospective statistics on patients with angina pectoris of coronary heart disease in our hospital department of Cardiology 2015 clinical data,evaluate the clinical application of diagnosis and treatment of angina pectoris of coronary heart disease in our department,our department to provide clinical basis for the TCM treatment of angina pectoris of coronary heart disease of TCM diagnosis and treatment plan optimization.Method: Collect the Affiliated Hospital of Changchun University of Traditional Chinese Medicine Department of Cardiology 2015 all hospitalized patients with angina pectoris clinical data of patients with general information(age and gender)distribution characteristics,the distribution of clinical syndromes,TCM type and treatment effect of statistical analysis,the final conclusion.Result:1.the patient age is mainly distributed between 50-80,the proportion of this age range accounted for 86.1%.2.of all the patients,the grade of angina pectoris was mainly secondary,and the proportion was 86.61%.The other 3 grades of angina pectoris were less,and they were grade I(6.37%),grade III(4.49),and grade 4(2.51%).3.There were 22 TCM Syndrome Types in 3.patients in the group.Among them,Qi deficiency,blood stasis,phlegm and blood stasis obstructing collaterals,Qi and yin deficiency,and blood stasis syndrome are most common,and these two syndromes account for 40.07%and 37.26% of the total number of patients,respectively.Several other syndromes including diagnosis and treatment of occurrence are: Qi deficiency and blood stasis syndrome of phlegm and blood stasis syndrome in 7.97%;3.62%;Qi deficiency and qi stagnation,cold and heat syndrome 3.67%;heat toxin and blood stasis 1.93%.In contrast,the frequency of syndromes included in the diagnosis and treatment program was higher than that in the diagnosis and treatment program.4.In the first 10 syndromes of the 4.enrolled patients,the proportion of smokers in anytype of syndrome was greater than or equal to the frequency of alcohol consumption in this syndrome.In addition,previous history of smoking in the first 10 types of syndromes,the percentage of the top three are Qi deficiency and qi stagnation,cold and heat syndrome(29.87%),phlegm and blood stasis syndrome(26.6%),two Qi and yang deficiency,phlegm and blood stasis syndrome(23.52%);the past history of drinking in the first 10 types of the percentage of the top three are Qi deficiency and qi stagnation,cold and heat syndrome(19.48%),yin deficiency,qi stagnation and blood stasis syndrome(15.38%),phlegm and blood stasis in 3(13.04%);history of smoking in the first 10 types of syndromes,the percentage of the top three are Qi deficiency and qi stagnation,cold and heat syndrome two(16.88%),Qi and yin deficiency,blood stasis syndrome in 92(11.93%),two Qi and yang deficiency,phlegm and blood stasis syndrome(11.76%).5.patients in the group refused to take traditional Chinese medicine decoction,there were 307 cases(14.83%).According to the 6 syndromes in the diagnosis and treatment program,the coincidence rate of the Chinese herbal decoction and the program is over 95%.6.before and after treatment,rank sum test,the total clinical efficacy of patients,angina symptoms before and after the comparison,there was significant statistical significance(P,<0.01).Conclusion:1.our department in 2015,coronary heart disease and angina(chest pain)in patients with higher rates of treatment such as path,and can achieve good curative effect.A good guide to clinical.2.the group of patients with a total of 22 TCM syndromes.Because some patients have other diseases or other traditional Chinese medicine syndrome factors,so this type of patients with TCM syndrome differentiation is more special.Although the proportion of this part of the patient is less,but in the future of the program can also be appropriate to increase the number of cases under the conditions of the syndrome classification standards.Because some patients in hospital suffering from colds,diarrhea and other diseases,so patients with prescription and treatment programs and inconsistent,in treatment afterwards,but how to appropriately increase the prescription prescription medication of these patients.