Clinical Study On Relationship Between Syndrome Differentiation Type Of TCM And Coronary Angiogram,Homocysteine And High Sensitivity C Reactive Protein In Patients With Coronary Heart Disease

Objective:①To observe the relationship between coronary heart disease (CHD) and plasma homocysteine (HCY) and high sensitivity C reactive protein (hsCRP) etc.②To observe the relationship between syndrome differentiation type of traditional Chinese medicine (TCM) and coronary angiogram (CAG),HCY and hsCRP in CHD patients.Methods:①According to the CAG of 102 patients with the chief complaints of chest pain,the patients with CAG positive were selected and classified into the observed group (CHD group),and others ,the CAG negative the normal control group.The plasma HCY,hsCRP,blood fat,total bilirubin and blood uric acid of these patients were tested to analyze the relationship between all the data and CHD.②The CHD patients were classified into 8 types based on syndrome differentiation standard in TCM to study the relationship between syndrome differentiation type,CAG and all the laboratory results above-mentioned. Results:(1) Relationship between CAG and syndrome differentiation type of TCM:①Stenosis degree:The patients with CHD,who chiefly belong to Qi deficiency and blood stasis type in TCM,mostly showed the serious stenosis and have more integral points than others.②Anomalous branches:Signal ramus,double rami and three rami almost have the equal probability no matter deficiency or excess syndrome.③Anomalous shape:The shape of coronary artery in CHD patients mostly belongs to eccentric stenosis while the patients with the concentric stenosis belongs to the heart blood stagnation type,Qi deficiency and blood stasis type,Qi stagnation and blood stasis type and obstruction of cardiac vessels with phlegm type in TCM.Nevertheless,there is no evident difference between these four types(P>0.05).④Anomalous length: The patients with CHD,who chiefly belong to deficiency of heart-Yin and kidney-Yin type and Qi and Yin deficiency type,mostly showed the diffuse stenosis in CAG.But there is no evident difference between these two types(P>0.05).⑤Special stenosis location: The special stenosis positions mostly locate at the bifurcation in CHD patients,who belong to the Qi deficiency and blood stasis type in TCM.There is no significance between this type and others(P>0.05).⑥Other anomalies...