Coronary Syndromes Elements Of Research - Of Heart Yang Deficiency, Phlegm, Blood Stasis In Coronary Heart Disease,

Purpose: This experiment to use frequency, the decision tree and neural networketc. various mathematical statistic method to analysis clinical expert questionnaire 3d structural correlation database of coronary heart disease syndrome factor,syndrome features,syndrome pathology evolution rule, judge the standard of the syndrome factor, Yang heart,phlegm retention,blood stasis are the major coronary syndrome factor, clear its actions in incidence of coronary heart disease with different phases and the relationship of coronary syndromes.Material and method: According to the national standards, the literature,expert consultation, from modern psychological measurement theory and the method of structured decision-making, application of the Scale learn, have Delphi methods, develop the clinical expert questionnaire of coronary heart disease syndrome factor,syndrome features,syndrome pathology evolution rule,its reliability and validity of the evaluation of excellent, survey the northeast, north, northwest, southwest, southeast China, six areas, 41 hospitals, collect 1218 questionnaires, using a qualified computer equipment, established the questionnaire survey database of Access, input and second check input, established clinical expert questionnaire 3d structural correlation database of coronary heart disease syndrome factor,syndrome features,syndrome pathology evolution rule, using SAS software, use frequency, the decision tree and neural network etc. Various mathematical statistical analysis method.Results:1.Main coronary heart disease syndrome factors in the four stages of frequency results:Yang heart syndrome factor in four phases (early onset period, paroxysm period, remission period, recovery period)frequency distribution as follows: 61%, 90%, 71%, 41%;Phlegm retention for:78%, 96%, 76%, 61%;Blood stasis:58%, 83%, 66%, 51%. Gradually increased frequency in early and paroxysm period, and general equilibrium decline in remission and recovery period, show the changes the development trend from vigorous to failure.2. Relationship of major coronary heart disease syndrome and syndrome factor by statistic result shows:Syndrome factor of the Yang heart,phlegm retention,blood stasis, in the early onset period of Qi and Yin deficiency syndrome,Qi open-minded syndrome, in the paroxysm period of Yang malaise heart syndrome,Cold coagulation heart vessel syndrome,Blood stasis Yang syndrome,Qi open-minded syndrome, in the remission period of cardiopulmonary Qi deficiency syndrome,Liver and spleen no coordination syndrome,Heart renal Yang syndrome, in the recovery period of Heart Qi difficiency syndrome,Qi and Yin deficiency syndrome,Yang Qi syndrome, the frequency distribution in 9. 94% -99. 53% between; Conversely, the syndromes in stages of Yang Heart,phlegm retention,blood stasis syndrome factors of frequency distribution in 9. 42% -66. 51% between. Gradually increased frequency in early and paroxysm period, and general equilibrium decline in remission and recovery period, show the changes the development trend from vigorous to failure.3. The decision tree results show:The judgment rules of Coronary heart syndrome main factors of Yang heart,phlegm retention,blood stasis in the four stages of coronary heart disease (early onset period, paroxysm period, remission period, recovery period), neural network training, the forecast effect is consistent with that, whether training sets or set of evaluation,test sets accuracy reached 58 %-94% between.Conclusion:1. Questionnaire research. Chinese medicine theory as the guide, combining the characteristics of coronary heart disease pathogenesis, from theory and modern psychological measurement into a structured decision-making, developed the clinical expert questionnaire of coronary heart disease syndrome factor,syndrome features,syndrome pathology evolution rule. In a comprehensive, objective comparison of the whole process of lesion reduction of coronary heart disease, to describe the different stages of symptoms,signs and using Delphi method revision of questionnaire, structure and content of coronary heart disease symptoms dimensions and the dialectical dimension beneficial exploration and try to analysis and summary coronary heart disease syndrome factor,syndrome features,syndrome pathology evolution rule. It will be on humanism philosophy and science in the modernization of TCM theory research, provide reference templates and methodology.2. Questionnaire survey. This subject adopts evidence-based medicine and clinical epidemiological methods, reliability and validity good, and easier to implement, and is a valuable research methods, The longitudinal observation method can be considered.3. Syndrome factor. Frequency distribution of the analysis results show that the main coronary heart syndrome factor including Yang heart,phlegm retention,blood stasis, gradually increased frequency in early and paroxysm period, and general equilibrium decline in remission and recovery period. The decision tree and the neural network is discussed in this syndrome factor plays an important role.4. Symptoms distribution. All variables in the questionnaire for coronary heart disease by statistical methods of frequency distribution, rendering the four stages of all items, and frequency distribution histogram analysis theory of TCM pathogenesis, each variable in early onset period, paroxysm period, remission period, recovery period,the results show that the dynamic changes of the most concentrated in early onset period and paroxysm period, including paroxysm period general intensified, gradually reduce variable extent lighter in remission and recovery period, comply with the clinical manifestations of the disease, coronary syndrome factor for induction provides data to support and laid a foundation.