Correlation Analysis Between The Characteristics Of Coronary Artery Lesions And TCM Syndrome Types In Patients With Coronary Heart Disease Combined With Metabolic Syndrom

Purpose:The degree and characteristics of coronary artery lesions in coronary heart disease with metabolic syndrome and coronary heart disease with different number of risk factors were analyzed.To explore the distribution characteristics of TCM syndromes of coronary heart disease with metabolic syndrome and the correlation between TCM syndromes and coronary artery disease.Material and method:This study is a retrospective study,by viewing the medical records of 326 inpatients in the Department of Cardiology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from January 2022 to January 2023.According to the inclusion criteria and exclusion criteria,the medical records of 218 patients who met the requirements were screened,102 cases in CHD combined with MS group and 116 cases in CHD without MS group.Integrate the patient ’s general data,physical and chemical indicators,and imaging results,and perform TCM syndrome differentiation according to the patient ’s four diagnostic information.Finally,statistical analysis was performed.Firstly,the general clinical information,the degree and characteristics of coronary artery disease were compared between CHD with MS group and CHD without MS group.Secondly,in the CHD combined with MS group,the above comparison was completed according to the number of CHD combined with different risks.Finally,the indexes,the number of coronary artery lesions and the coronary Gensini score were compared between different syndrome groups.Results:1.There were 46 males and 56 females in the CHD group with MS,with an average age of 64,and 54 males and 62 females in the CHD group without MS,with an average age of 65.There were no differences in sex or age between the two groups(P>0.05).Compared with the CHD group without MS,the FPG,TG and BMI were higher,HDL-C was low,the number of lesions was higher(P<0.05),and the Gensini score was high(P<0.05).2.CHD combined with MS4 risk factor group and CHD combined with MS3 risk factor group were statistically significant in FPG,BMI and coronary Gensini score comparison(P<0.05).3.There was a significant comparison between the frequency of blood stasis,sputum and stasis,qi and yin deficiency,and qi deficiency and blood stasis between CHD and non-MS group(P<0.05).4.There were significant differences between CHD combined MS group and CHD unmerged MS group in FPG,BMI,TG,HDL-C in blood stasis obstruction and sputum stasis mutual evidence(P<0.05).There was a statistically significant difference in FPG between the CHD combined MS group and the CHD uncombined-MS group in the qi deficiency and blood stasis type(P<0.05),and in the CHD and blood stasis type,there were statistical differences in TG and HDL-C between the CHD combined MS group and the CHD uncombined-MS group,(P<0.05).5.There was a statistical difference in the number of lesions between CHD combined with MS group and CHD without MS group in stasis obstruction(P<0.05).6.There was a statistical difference in Gensini scores between CHD-combined MS group and CHD unmerged MS group in stasis blockage and sputum stasis interjunction type(P<0.05).Conclusion:1.Patients with CHD and MS have a large number of coronary artery lesions and a severe degree of lesions,and patients with CHD combined with 4 risk factors often have poor control of BMI and FPG.2.In the CHD and MS group,sputum and stasis are more common,and qi and yin deficiency are rare.3.CHD combined with MS group,TCM symptom type is blood stasis obstruction,sputum and stasis patients with severe coronary lesions,blood stasis obstruction lesions have a large number of lesions.