The Study Of Correlation Analysis Between Chest Pain Emergency Syndrome Type And D-dimer Levels

ObjectiveThrough detailed analysis of emergency department with chest pain syndromes sorting Distribution and plasma D-dimer levels in patients with chest pain and elevated level, and to explore the relevance of different syndromes and D-dimer, dialectical diagnosis and treatment of chest pain emergency to provide objective, simple clinical reference.MethodsRetrospective survey research methods, analysis 139 cases from January 2015 to December 2015 Guangdong Provincial Hospital emergency department diagnosis from the symptoms perspective chest pain, gathering general information patient’s chief complaint, duration of symptoms, past history and D-dimer indicator results using excel data entry, data analysis software for statistical analysis using spss19.0 the syndrome of chest pain frequency and distribution of common syndromes and D-dimer relevant results. Statistical description of measurement data using mean±standard deviation or median (interquartile range), count data indicates adoption or constituent ratio; statistical inference measurement data between groups were compared using analysis of variance or rank sum test, count data using chi square test, correlation between the two variables were analyzed using rank correlation; Multiple linear regression analysis was used to analyze the influencing factors; influencing factors were analyzed by using multiple linear regression analysis.Results1. Emergency chest pain syndromes type empirical distribution, followed by the actual situation mixed card, at least for the deficiency;specific syndrome type from more to less were Phlegm type (31.0%), and blood stasis (28.9%), stagnation of the vital energy (15.7%), Qi-type (15.7%), Hanning type (5.10%),Yang type (2.50%), Yin type (1.0%).2. Emergency chest pain increased D-dimer levels greater than the cutoff value (500ug/L) of TCM type and blood stasis and Phlegm type, and obviously more than Phlegm and blood stasis type. The elevated levels of D- dimer values below the cutoff point of TCM syndrome type in Phlegm, Qi stagnation, Qi main type.3. The elevation level of Mixed emergency chest pain syndrome type D- dimer is significantly higher than the elevation level (P<o. o5)of single syndromes D-dimer.4. Deficiency, empirical, actual situation mixed card classification, three groups of D-dimer in the presence of elevated levels of statistical significance, showing deficiency group D- dimer group and significantly less than the empirical reality mixed syndrome group (P＜0.001)5. Different syndromes of D-dimer showed significant difference in Statistical difference, blood stasis significantly larger than the other syndromes, no difference between other syndromes (P<0.001)ConclusionAccording to this study, we summarized distribution of TCM syndrome type: emergency chest pain is mainly based on the distribution of empirical group, and the distribution of actual situation mixed card is less for emergency chest pain, but the distribution of deficient syndrome is the least; Phlegm type and blood stasis from more to less in turn are qi stagnation, Qi type, Hanning type, yang deficiency and yin deficiency typey type. Among them, the elevation level of emergency chest pain empirical group and the actual situation mixed card group D- dimer are significantly higher than the elevation level of deficient syndrome. Chest pain and blood stasis and reflect fibrinolytic activity D-dimer there is a certain correlation between the other six chest pain syndromes and D- dimer type Phlegm, Qi stagnation, Qi type, etc. not significantly elevated levels contact. D- dimer cutoff value is greater than the increase in the value of chest pain syndromes of blood stasis type, followed by the phlegm obstruction. Therefore, the vivo coagulation and for patients with emergency chest pain and abnormal fibrinolytic system are related with the empirical group of traditional Chinese medicine and stagnation of blood.