Study On The Correlation Between TCM Syndrome And MUSIC Score In Patients With Chronic Heart Failure

ObjectiveTo investigate the correlation between TCM syndrome and MUSIC score in chronic heart failure(CHF).MethodsA retrospective study was conducted to analyze the data of patients diagnosed as chronic heart failure(CHF)in the Department of Cardiovascular Medicine of Guangdong traditional Chinese Medicine Hospital from December 1,2017 to December 1,2018.The basic information such as sex,age,basic disease and related test indexes were recorded according to the data of admission,and the risk score was carried out according to the MUSIC score.With the inpatient information collection of TCM syndrome differentiation is the need of tongue pulse information for syndrome differentiation.According to the 2014 consensus of TCM experts on diagnosis and treatment of chronic Heart failure,the TCM Syndrome types of chronic Heart failure are divided into the following three basic syndrome types:Qi deficiency and blood stasis syndrome,qi-yin de'ficiency blood stasis syndrome,yang qi deficiency blood stasis syndrome and 1 syndrome of phlegm-drink syndrome.In order to explore the chronic heart failure among the various levels of cardiac function and TCM syndrome types and gender,age and associated diseases among the relationship;To explore whether there is correlation between cardiac function classification and TCM syndrome type,and to analyze whether there is correlation between heart function at all levels in chronic heart failure and TCM syndrome type and the size of MUSIC risk score.Statistical method uses SPSS25.0 statistical software,the measurement data is expressed by the mean±standard deviation(tables),and the comparison between the groups satisfying the uniformity of normal and variance is analyzed by one-way ANOVA;disordered meter The data were tested by Chi-square test,when the differonco was statistically significant(P<0.05).ResultsThere were 25(21.0%)patients with chronic heart failure(?),69(58.0%)with ? and 25(21.0%)with IV.57 cases(47.9%)were female,the mean age was(72.98±8.48)years,62 cases(52.1%)were male,and the average age was(72.09±10.98)years.There were 18 cases(15.1%)with Qi deficiency and blood stasis,25 cases(21.0%)with qi deficiency and blood stasis combined with phlegm-drink,24 cases(20-1%)with qi-yin deficiency and blood stasis,and 18 cases with qi-yin deficiency and blood stasis combined with phlegm-drink syndrome.Cases(15.1%),17 cases(14.3%)of yang deficiency and blood stasis and 17 cases(14.3%)of yang deficiency and blood stasis and phlegm-drink syndrome,the lowest and the maximum value of MUSIC risk score were 10 and 40 respectively.The statistical analysis of Chi-square test showed that there was no significant difference between different cardiac function and different TCM syndrome types in chronic heart failure(P>0.05).The results of ANOVA test showed that there was no significant difference in age among different types of TCM syndromes in different cardiac function grades of chronic heart failure(P>0.05).Chi-square test showed that chronic heart failure complicated with diabetes mellitus,chronic kidney disease,coronary heart disease,hypertension,dilated heart disease and heart valve disease was associated with heart valve disease.The distribution of chronic kidney disease and coronary heart disease had statistical significance(P<0.05),among them,the patients with chronic kidney disease were more common in the syndrome of yang deficiency,blood stasis and phlegm drink,but in the syndrome of yang deficiency and blood stasis combined with phlegm drink,there was a significant difference in the distribution of chronic kidney disease and coronary heart disease.There were more patients with coronary heart disease in the syndrome of deficiency of qi and yin and blood stasis combined with phlegm-drink.There was no significant difference in the distribution of complicated diseases among the other syndrome types(P>0.05),while the syndrome of yang-deficiency and blood stasis combined with phlegm-drink syndrome had no significant difference(P>0.05).The results of Chi-square test showed that chronic heart failure was complicated with diabetes mellitus,chronic kidney disease,coronary heart disease,hypertension and dilated heart disease.The difference distribution of heart valvular disease was only associated with diabetes mellitus and chronic kidney disease(P<0.05).Chronic heart failure complicated with diabetes mellitus(? grade)and chronic kidney disease(? grade)were more common than those with chronic kidney disease(P<0.05).There was no significant difference in the distribution of complicated diseases in the rest of cardiac function grades(P>0.05).The results of Chi-square test showed that the distribution of TCM syndromes with different cardiac function grades in chronic heart failure was statistically significant.There were 18 cases(15.1%)of qi-yin deficiency and blood stasis combined with phlegm-drink syndrome,17 cases(14.3%)of yang deficiency and blood stasis syndrome,and 18 cases(15.1%)of qi-yin deficiency and blood stasis combined with phlegm-drink syndrome.There were 17 cases(14.3%)of yang deficiency and blood stasis combined with phlegm-drink syndrome,in which Qi-deficiency and blood stasis syndrome combined with phlegm-drink syndrome,Qi-yin deficiency and blood stasis syndrome were concentrated in ? patients with chronic heart failure.Qi deficiency and blood stasis combined with phlegm-drink syndrome,qi-yin deficiency and blood stasis combined with phlegm-drink syndrome were mostly distributed in ? patients with cardiac function,while qi-yin deficiency and blood stasis combined with phlegm-drink syndrome,Yang deficiency and blood stasis syndrome Syndrome,Yang-deficiency blood stasis and phlegm-drink syndrome were mostly distributed in ? patients with cardiac function.Chi-square test was used to analyze the distribution of center-derived death risk score in TCM classification of chronic heart failure(P<0.05).The risk score of cardiogenic death was Qi-deficiency and bloodstasis syndrome,Qi-deficiency-blood-stasis syndrome and phlegm-drink syndrome,and the risk score of heart-derived death was significantly different(P<0.05).Qi-yin deficiency and blood stasis syndrome,qi-yin defieiency and blood stasis syndrome combined with phlegm-drink syndrome,Yang deficiency-blood stasis syndrome with phlegm-drink syndrome risk score gradually increased.Chi-square test was used to analyze the difference of heart function grade center-derived death risk score in chronic heart failure,and the highest heart function ? center-derived death risk score was found in patients with chronic heart failure(P<0.05).Death and shock of the rest of pump failure There was no significant difference in the distribution of death risk scores among TCM syndrome types and cardiac function grades(P>0.05).ConclusionThe risk of cardiac death was related to the TCM syndrome type of chronic heart failure.The risk score of cardiogenic death was the highest in the syndrome of yang deficiency and blood stasis combined with phlegm and drink,and the risk score of cardiogenic death in the syndrome of qi deficiency and blood stasis was lower than that of the syndrome of qi deficiency and blood stasis.The TCM syndrome type of chronic heart failure has certain value in predicting the risk of cardiac death,in which the syndrome of yang deficiency,blood stasis and phlegm drink has a relatively high risk of cardiac death.