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Study On The Mechanism Of Development About TCM Symptom-type And The Correlation Between TCM Symptom-types And The Relative Objective Indexes In ACS Patients Of Intracoronary Stenting

Posted on:2010-12-04Degree:MasterType:Thesis
Country:ChinaCandidate:Y F WangFull Text:PDF
GTID:2144360275987602Subject:Traditional Chinese Medicine
Abstract/Summary:PDF Full Text Request
Object: Through the observation of the ACS patient with before and after ICS surgery, to explore the correlation between indicators and the Syndrome of TCM, and provide the objective evidence for clinical differential classification and treatment.Methods: Selecting 76 cases of this disease as study object, we write down the date of preoperative and postoperative 24 hours, after 7 days and TCM syndrome score, know ICS treatment of the Mechanism of Development about TCM Symptom-type and observe the situation of vascular lesions, C reaction protein (CRP), D-dimmer (DD), left ventricular ejection fraction (LVEF), white blood cell (WBC) and other related indicators. The use of analysis of variance, rank sum test and other statistical methods explore the relativity between familiar syndrome differentiations of TCM.Result: 1. Before and after surgery Qi Deficiency was the most common deficiency. Preoperative less by many to rank was as follows: Qi deficiency, Yin deficiency, Yang deficiency. There was a decrease of all kind of deficiency 24 hours after surgery, ranking as follows: Qi deficiency, Yang deficiency, Yin deficiency. Qi deficiency markedly increased the number of cases 7 days after surgery(P<0.05);Yang deficiency significantly reduced(P<0.05). Before the surgery stasis of blood and toxin type were the most common. After the operation showed the number of symptoms less.2.Qi deficiency after surgery markedly increased the number of cases, Yang deficiency, blood stasis and heat toxin syndrome, phlegm Example card number significantly reduced; Yin deficiency, Qi stasis syndrome number of cases was no significant change.3.Multivessel coronary artery Lesions were related with Qi deficiency, blood stasis and hot, and blood stasis.4.Qi deficiency of LVEF was significantly higher than other card-type; blood stasis and hot Syndromes WBC, CRP significantly increased; blood stasis Syndromes significantly elevated with D-dimmer.Conclusion: 1. Qi deficiency, blood stasis and hot were the main syndrome type of ACS.2.ICS could significantly reduced point, so that part of the deficiency, markedly reduced the number of empirical cases, but Qi deficiency markedly increased the number of cases.3. Multivessel coronary artery lesions were related with Qi deficiency, blood stasis and hot, and blood stasis.4. LVEF associated with Qi Deficiency Syndrome; CRP, WBC associated with blood stasis and hot; DD associated with blood stasis.
Keywords/Search Tags:ACS, intracoronary stenting, the syndrome of traditional Chinese medicine, D-dimmer, C-reactive protein, white blood cell, left ventricular ejection fraction
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