Investigation On Distribution Of Syndrome Characteristics And Regulation Of Restenosis Patients With Coronary Heart Disease After PTCA

ObjectiveTo investigate the distribution of syndrome characteristics and regulation of Restenosis Patients with coronary heart disease after PTCA.MethodIn this study, the status of the investigation methods for clinical observations, according to coronary heart disease diagnosis of traditional Chinese medicine selection standards formulated TCM symptoms of TCM syndrome list, with percutaneous coronary intervention of restenosis after patients return as the research object, by direct investigation, collection of patients with clinical data, history and the related data always western medicine check index, according to the requirements of information table finished fill out. The clinical cases of TCM syndrome type and collect information will put into database. According to the criteria strictly choice cases, try to rule out drugs or other factors such as the basic diseases of interference, truthfully the real response syndrome. Dialectical points before the cause of documents, after adding form of complex certificate documents ways to perform. Statistical data by SPSS16.0software of statistical analysis, we analyzed the PTCA restenosis after coronary heart disease the related risk factors.Results:113cases of coronary heart disease patients with restenosis after interventional syndromes distribution:documents syndrome once a total of287patients, with blood stasis syndrome (82.3%), deficiency syndrome (70.8%), sputum turbidity card (48.67%) see most. Syndrome combinations:combination of traditional Chinese medical syndrome3card combination most common (61.06%), two card combination (46%) is the second smallest, and four card combination less (12.39%). Qi, blood stasis for basic syndrome, is associated with qi stagnant or Yin deficiency. Viscera deficiency syndrome combinations:guilty card98cases (86.73%), kidney empty card79cases (69.91%), spleen deficiency of54(47.7%) in cases of times more. Viscera and card combinations:two card combination47patients (41.59%),3card combination52cases (46.02%). And in combination of deficiency syndrome heart deficiency syndrome is given priority to, usually accompanied by kidney deficiency and spleen deficiency syndrome. The Logistic regression analysis:blood stasis syndrome, deficiency of qi stagnant certificate, certificate for coronary heart disease PTCA postoperative patients with restenosis of traditional Chinese medical syndrome risk factors; High blood pressure, diabetes, smoking for coronary heart disease patients with restenosis PTCA postoperative risk factors.Conclusioncoronary heart disease PTCA postoperative patients with restenosis blood stasis syndrome in traditional Chinese medicine documents, qi stagnant certificate, certificate is given priority to, but rarely appearing alone, with two, three or four documents in the form of combination, among them with3card combination most, followed by two card combination and four card combination. Qi and blood stasis syndrome is the basic syndrome, debility blood stasis in the basis of the qi stagnant merger or Yin deficiency also more see. Coronary heart disease PTCA postoperative patients with restenosis the viscera in dialectical to guilty card most, though the heart deficiency syndrome appear alone, but its often by merging the spleen deficiency or kidney empty card, guilty card with two spleen and kidney deficiency syndrome also are very common. Coronary heart disease PTCA postoperative restenosis, a heart disease, often involving the spleen and kidney. Blood stasis,, sputum turbidity is PTCA restenosis after coronary heart disease risk factors of traditional Chinese medical syndrome appear, phlegm and blood stasis, turbidity patients vulnerable to stent stricture. Treatment according to the pathogenesis of postoperative restenosis characteristics, in order to foster, tonify deficiency as main therapeutic principles to dispel. In control of qi, blood stasis, qi stagnant, and on the basis of strengthening head-on, spleen, renal three regulating zang-fu organs, organs and the emergence of prevention and cure deficiency syndrome. The treatment to remove blood stasis, eliminating phlegm qi and give priority to. Positive control high blood pressure, diabetes, hyperlipidemia merger of cardiovascular disease such as to the damage. In addition to strengthen the education of the patients, in strict accordance with the doctor’s advice, taking their together fat adjustment firm spot drugs. Strictly to give up smoking, low cholesterol, low salt diet is also important.