Study Of Dialectical Types Of Traditional Chinese Medicine For Ventricular Arrhythmias Coronary Heart Disease

Objective: Carries on the Chinese medicine type through correlation big sampleVentricutar Arrhythmias Coronary Heart Disease case of illness distinction,and analyzes various cards distribution situation, explores patient ordinarycircumstances, merge dangerous factor, doctor practicing western medicinedifferent type and Coronary arteries pathological change situation and theChinese medicine various cards between relations, deepens the people'sunderstanding of the Ventricular Arrhythmias Coronary Heart Disease Chinesemedicine essence, thus is helpful to enhances the Ventricular ArrhythmiasCoronary Heart Disease clinical dialectical accuracy and standard, enhancesthe clinical treatment effect.Methods:Uses the review clinical research technique, according to thecorrelation standard formulation clinical observation table, through in June,2003 to March, 2007 is hospitalized to the Guangdong Province TCM hospitaland diagnoses the Ventricular irrhythmias Coronary Heart Disease patient 292examples to carry on the investigation, 83 examples diagnose the coronarydisease after the crown arteries radiography. Earnestly records each medicalrecord the ordinary circumstances, the coronary disease type, the mergedangerous factor, the Ventricular Arrhythmias type, the coronary arterypathological change situation as well as the main clinical symptom, accordingto the clinical symptom, body examination and the pulse and Tongue conditiondistinguished its Chinese medicine card, collects the data to carry on theanalysis using statistical software, obtains the result.Results: 1. overall types: In 292 examples patients age by 37～88 years old,the average age is 71 years old. 160 examples male and 130 examples female,different sex has no difference of being sick (P＞0.05); The TCM typedistribution result from more to less is:The turbid phlegm hinders (32.5%), the blood stasis and sluggishness of qi (27.4%), the heart spleen twodeficiency (13.4%), the liver and kidney deficiency (11.6%), the heartpositive to be dispirited (6.8%). The different type course of an illness timeis similar, during the different sex of Ventricular irrhythmias Coronary HeartDisease patient, TCM type of differernt Ventricular Arrhythmias has thedifference (P＜0.05)2. The crown makes the result and the type: 83 examples diagnose after thecoronary artery radiography for the Ventricular irrhythmias Coronary HeartDisease patient is most commonly typed of turbid phlegm hinders. The heartspleen two deficiency pathological changes counts are 2, the liver and kidneyyin-deficiency is 2.60, up water affects the heart type counts 1; The bloodstasis and sluggishness if qi average is 2.33; The turbid phlegm hinders 2.03.The blood vessel pathological of deficiency type and excess type count downfrom more to less: the blood stasis and sluggishness of qi＞the liver and kidneyyin-deficiency＞turbid phlegm hinders＞the heart, spleen two deficiency.3. Dangerous factor relevance: The the heart spleen two deficiency has theLogistic return relations with the dangerous factor diabetes. Liver and kidneyyin-deficiency has. the Logistic return relations with the dangerous factorblood fats exceptionally. Up water affects the heart type insults the coreand dangerous factor hypertension, the blood fats exceptionally and smokinghas the Logistic return relations. The blood stasis and sluggishness of qihave the Logistic return relations with. dangerous factor smoking. Turbidphlegm hinders and alcohol have the Logistic return relations.Conclusion: The cause of Ventricular Arrhythmias Coronary Heart Disease is theturbid phlegm. The turbid phlegm hinders, the blood stasis, sluggishness ifqi are the Ventricular Arrhythmias Coronary Heart Disease main pathogenesis.The crown arteries radiography diagnoses in the Ventricular Arrhythmias.Coronary Heart Disease patient, the number of blood vessels pathological andthe crown arteries pathological change have the relevance. The high dangerfactor: Hypertension, the diabetes, the blood fats exceptionally, smoke andalcohol have the Logistic return relations with the Ventricular ArrhythmiasCoronary Heart Disease.