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Study Of The Relationship Between The Syndrome Differentiation Of TCM, Locus Of Myocardial Infarction And Wall Motion Scoring In Patients With Acute Myocardial Infarction

Posted on:2007-01-08Degree:MasterType:Thesis
Country:ChinaCandidate:X M HuangFull Text:PDF
GTID:2144360185452443Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Objective: Through a great amount documents retrospective study in this research, wefound that, most of studies about the reasons and mechanisms of the formation of AMI marked by phlegm-blood stasis syndrome, focus on the abnormity of lipoprotein, hemorheology and inflammation. The parts and area of AMI were measured according to the QRS scoring of electrocardiograph (ECG). That wasn't exactly. We try to explore into the relationship among the Syndrome Differentiation of TCM, wall motion scoring and parts of myocardial infarction in Patients with Acute myocardial infarction.Methods' 61AMI patients were divided into root deficiency group, branch excess groupand root deficiency & branch excess group in accordance with the standard of the syndrome differentiation of TCM. Recording the parts of MI to study the relationship between syndrome differentiation of TCM and the parts of MI. Meantime, measured WMSI, regions and LVEF by color Doppler in the three groups and analyzed the variety of them. And study the four groups how many were more in the syndrome differentiation of TCM. At last, we study the relationship among WMSI, region and LVEF.Results: The parts of MI in root deficiency group, branch excess group and root deficiencyand branch excess group were not significant(P>0.05). But the difference of the wall motion scoring ,ischemic myocardial regions and LVEF in the three groups is significant (P <0.01). Then the relationship between wall motion scoring, ischemic myocardial regions and LVEF is significant(P<0.01). And the relationship between wall motion scoring, ischemic myocardial regions and LVEF is negative(P<0.01). The relationship betweenwall motion scoring and ischemic regions is active(P<0.01).Conclusion: This study suggests that the relationship between the parts of MI and thesyndrome differentiation of TCM is no significantly. And this result is not same with some research. The reason might be that the patients' number should be small. So the relationship between the parts of MI and the syndrome differentiation of TCM need advanced research by increasing the content of sample. The difference of wall motion scoring, ischemic myocardial regions and LVEF in the three groups is significantly. And the relationship between wall motion scoring, ischemic myocardial regions and LVEF is significant. So through this research, wall motion scoring and ischemic myocardial regions perhaps can be the impersonality indexes of syndrome differentiation of TCM about acute myocardial infarction, which also needs more advanced studies to be approved.
Keywords/Search Tags:acute myocardial infarction (AMI), syndrome differentiation, the parts of myocardial infarction, wall motion scoring (WMSI), relationship
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