The Research About Traditional Chinese Medicine Syndrome Of Atrial Fibrillation In Coronary Heart Disease

Objective:TO research the formula about traditional chinese medicine syndrome ofatrial fibrillation in coronary heart disease, and analyse therelationship between syndrome and gender,age,course of diseases,different kinds of coronary heart diseases,dangerous factor,differentkinds of ventricle rate,different kinds of atrial fibrillation,coronaryartery pathological change, in order to enhance the veracity andstandardization of the clinical analyse and cure effect.Method:Adopt a retrospective research method, according to the related standard.establishment clinic observation form, Adopt 259 patients with atrialfibrillation in coronary heart hospitalized in Guangdong province of TCHfrom January in 2004 to February of in 2007, recording-their gender,age,course of diseases,kinds of coronary heart disease,dangerousfactor,ventricle rate,kinds of atrial fibrillation, coronary arterypathological changeses and primary symptoms, differentiating traditionalchinese medicine syndroms, using SPSS to analyse and make a conclusion.Result:In 259 patients, the blood stasis and sluggishness of qi is 84, the turbidphlegm hinders.is 64, the heart spleen two deficiency is 40, the liverand kidney, yin-deficiency is 35, the water affects the heart is 21, theheart yang-deficiency is 11. The comparision of each chinese medicinesyndrome about gender,age,course of diseases,kinds of coronary heartdiseases and kinds of atrial fibrillation are without the statisticsignificance. In respect to the dangerous factor analysis, the bloodstasis and sluggishness of qi merger diabetes,the turbid phlegm hindersmerger blood fat abnormality are maximum, are accounting for 54.8％, 38.2％respectively, (P＜0.01). The quotiety of the blood stasis andsluggishness of qi,the turbid phlegm hinders,the water affects the heartwith fast ventricle rate account for 54.8％,60.3％,66.7％respectively,comparing to the heart spleen two deficiency,the liver and kidneyyin-deficiency,the heart yang-deficiency, P＜0.05.62 patients whooperated ACG, the quotiety of The corporeal syndrome have threepathological changes coronary arterys account for 59.4％and 24.3％; thequotiety of the deficiency syndrome have single pathological changesescoronary artery accounts for 56.0％, P＜0.05; The comparision of each chinesemedicine syndrome about the most serious coronary artery is no statisticsignificance; the total point of the coronary artery pathologicalchangeses in the blood stasis and sluggishness of qi,the turbid phlegmhinders,the heart spleen two deficiency,the liver and kidneyyin-deficiency account for 58.2±23.1,53.9±37.1,30.3±18.9,25.3±18.8, respectively (P＜0.05).Conclusion:The blood stasis and sluggishness of qi is the most common chinesemedicine syndrome in the patients with atrial fibrillation in coronaryheart disease, the turbid phlegm hinders is the second. Between chinesemedicine syndrome and gender,age,course of diseases,kinds of coronaryheart disease and kinds of atrial fibrillation there is nointerrelation. The blood stasis and sluggishness of qi merger diabetes andthe the turbid phlegm hinders merger blood fat abnormality are the mostcommon, the others have no interrelation with each dangerous factor. Thecorporeal syndrome with fast ventricle rate are the most common, and manyof the deficiency syndromes are normal ventricle rate or slow-movingatrial fibrillation. The corporeal syndrome group is mostly three or twocoronary artery pathological changeses, the deficiency syndrome group issingle mostly; The pathological changeses of the blood stasis andsluggishness of qi and the turbid phlegm hinders are more serious thanthe heart spleen two deficiency,the liver and kidney yin-deficiency;But the comparision of each chinese medicine syndrome about the mostserious coronary artery is no interrelation.