Investigation On Distribution Of TCM Syndromes In Perioperative Period Of Patients With Coronary Heart Disease And Angina Pectoris

Aim:To offer a consult for clinical treatment by investigating and studying the general information and the syndrome differentiation of traditional Chinese medicine(TCM) and the difference between the perioperative patients with coronary heart disease(CHD) and angina pectoris who before and after received percutaneous coronary intervention(PCI) treatment.Means:1. The thesis’topic and the research methods were determined by a lot of literatures and ancient books and records. By looking up the information of clinical history, questionnaire survey and directly diagnostic method to gather the relevant information of the 96 patients with CHD and angina pectoris who were received PCI treatment in the ward of Liaoning province people’s Hospital Cardiac Department from 2014 May to 2015 February.2. Using SPSS 17.0 software and Excel software for the distribution of TCM syndromes of the 96 coronary heart disease and angina pectoris patients who were received PCI treatment,and analyzing the related results of the changes of TCM syndromes in perioperative PCI treatment to come to the relevant conclusion.Results:General information shows that it includes 56 male patients (56/96) and 40 female patients (40/96) in total, and the number of male patients outnumber the female’s. The patients who are at the age of 60-69 have the highest morbidity, so the people over the age of 50 are in the high-risk groups. The age of the people who has CHD become earlier.The investigation on the TCM symptoms distribution shows that blockade of phlegm-turbidity(43.75%)>stagnant blockade of heart blood(16.66%)> qi deficiency and blood stasis(14.58%)>deficiency of qi and yin(11.46%)> qi stagnating in chest (9.38%)> deficiency and debility of yang qi(4.17%).The number of the patient who has blockade of phlegm-turbidity is the maximum;next following the stagnant blockade of heart blood and qi deficiency and blood stasis,which is considerted related to habitus and geographical factors.The results of evolved syndrome patterns after PCI are:blockade of phlegm-turbidity (P<0.05); stagnant blockade of heart blood(P<0.05); deficiency of qi and yin(P<0.05); deficiency and debility of yang qi(P<0.05); qi stagnating in chest(P<0.05),the differences between each patterns are notable; while qi deficiency and blood stasis(P>0.05) has no obvious difference. Among patients with blockade of phlegm-turbidity;stagnant blockade of heart blood;qi deficiency and blood stasis;deficiency of qi and yin; qi stagnating in chest; deficiency and debility of yang qi significant changes happened before and after PCI-The general rule is sufficient syndrome transforming into deficient syndrome, which accords with the principle of treating the same disease with different methods in TCM. No notable changes appeared in qi deficiency and blood stasis, which is a syndrome intermingled deficiency and excess, proved that the basic pathogenesis of coronary heart disease is asthenia in origin and asthenia in superficiality, and intermingled deficiency and excess.Conclusion:According to the investigation, the people over the age of 50 are in the high-risk groups; the age of the patients having CHD become earlier;blockade of phlegm-turbidity is the largest distribution of TCM syndromes in the 96 patients of CHD and angina pectoris;TCM symptoms are really changed during the perioperative period of PCI treatment,which transform from the SHI symptom to the XU symptom;The mechanism of CHD in TCM is"deficient root and excessive superficial"; Laying particular stress on the supplement of deficient root in PCI postoperative priod.