| ObjectiveAnalysis of coronary heart disease with type 2 diabetes and non-diabetic patients with coronary heart disease in the general information,TCM syndrome,physical and chemical examination,Western medicine,the difference between the data.Further study of coronary heart disease with type 2 diabetes risk factors,syndrome differentiation rule.For the prevention and treatment of coronary heart disease with type 2 diabetes in combination with traditional Chinese and Western medicine.MethodScreening from October 1,2015 to October 1,2016 in Beijing University of Traditional Chinese Medicine Affiliated Dongzhimen Hospital Department of Cardiology Hospital hospitalization of coronary heart disease with type 2 diabetes in 100 cases,referred to as diabetes group;and non-diabetic patients with coronary heart disease in 100 cases,referred to as non-diabetic group.And the results of statistics,the differences between the two groups were analyzed,and the differences between TCM syndromes and western medicine were analyzed.The risk factors of type 2 diabetes mellitus complicated with coronary heart disease were analyzed.Result1.General information:the average age of the two groups is 70 years old,60%of patients aged between 61-80 years old,the two groups of patients with male patients slightly more than female patients.The history of smoking in both groups was less than 30%,and there was no significant difference between the two groups.Twenty percent of the patients had family history of cardiovascular disease.2.Chinese medicine information diabetic patients with traditional Chinese medicine diagnosis of heart failure more frequent than non-diabetic group,non-diabetic patients with traditional Chinese medicine diagnosis of palpitations than the frequency of diabetes.In the diabetic group,frequency of main symptoms appear in the top 5 were:chest tightness,shortness of breath,dry mouth,thirst,palpitations.In the non-diabetic group,the first five cases were chest tightness,shortness of breath,palpitations,fatigue and chest pain.Compared with the two groups,chest tightness,palpitations,fatigue and total score were statistically different.Diabetic group of patients with dark tongue in 56 cases,20 cases of red tongue,15 cases of Cracked tongue,tongue probability of the top three followed by white greasy moss,thin white moss,little moss;Non-diabetic group of patients with dark tongue,a total of 86 cases,the probability of the first three consecutive white greasy grass,yellow greasy moss,thin white fur.In the diabetic group,Qi deficiency and blood stasis syndrome and heart yang deficiency syndrome for the main syndromes,followed by Qi and Yin Deficiency.Qi deficiency as the main performance,accounting for about 50%;combined have phlegm accounted for 21%,and retained fluid for 12%.In the non-diabetic group,qi deficiency and blood stasis is the main syndromes,followed by blood stasis syndrome,blood stasis as the main performance,accounting for about 70%;and phlegm phlegm accounted for 22%,and retained fluid for 30%.3.Western medicine information:90%of the patients in the diabetic group had hypertension and 73%of the non-diabetic patients had hypertension.57%of the diabetic patients had hyperlipidemia and 42%of the non-diabetic patients had hyperlipidemia.Compared with nondiabetic group,triglyceride was statistically significant,low-density lipoprotein was higher than non-diabetic group,but no statistically significant;diabetes group with arrhythmia frequency of 35%,non-diabetic combination and arrhythmia.Of the frequency of 55%,two groups of patients with the highest incidence of atrial fibrillation;diabetes in patients with chronic heart failure more than the frequency of non-diabetic group.Conclusion1.Coronary heart disease with type 2 diabetes in patients with atypical cardiovascular symptoms;simple coronary heart disease in patients with tongue,pulse is relatively simple,coronary heart disease with type 2 diabetes patients with tongue,pulse is more complex.2.Qi deficiency and blood stasis syndrome and heart yang deficiency syndrome for coronary heart disease with type 2 diabetes,the main syndromes,followed by Qi and Yin Deficiency,Qi Deficiency as the main performance,phlegm is the main pathological products of diabetes;Qi deficiency and blood stasis is not combined with diabetes,coronary heart disease patients with the main type,followed by blood stasis syndrome,blood stasis as the main performance of retained fluid for non-diabetic group,the main pathological products.3.Coronary heart disease with type 2 diabetes in patients with hypertension and hyperlipidemia frequency is higher than patients with simple coronary heart disease,coronary heart disease patients with arrhythmia more than coronary heart disease with type 2 diabetes patients4.Patients with coronary heart disease complicated with type 2 diabetes compared with patients with coronary heart disease:blood glucose can increase by 140%of coronary heart disease with diabetes risk;triglyceride abnormalities can increase 170%of coronary heart disease with diabetes risk.Hypertension and coronary heart disease total score is still coronary heart disease with type 2 diabetes risk factors,but does not increase the risk of coronary heart disease with type 2 diabetes. |
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