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Study On The Correlation Between Acute Myocardial Infarction And Traditional Chinese Medicine Physique And Poor Lifestyle

Posted on:2020-12-16Degree:MasterType:Thesis
Country:ChinaCandidate:J T SiFull Text:PDF
GTID:2434330599976928Subject:Integrative Medicine
Abstract/Summary:PDF Full Text Request
Purpose:In this paper,an epidemiological survey of 128 patients with acute myocardial infarction and 132 healthy subjects was conducted.Combining the theory of physique of traditional Chinese medicine,To explore the correlation between acute myocardial infarction and TCM constitution type distribution and unhealthy lifestyle,On the one hand,through statistical analysis,which TCM constitutions and unhealthy lifestyles are related to the onset of acute myocardial infarction,And the clinical syndrome differentiation of high-risk TCM constitution types that are prone to acute myocardial infarction,Change its high-risk TCM constitution type,Provide a Chinese medicine treatment plan and theoretical guidance in the early stage of treatment of acute myocardial infarction.On the other hand,through statistical analysis,the correlation between people's daily unhealthy lifestyles and the onset of AMI is obtained.Further,in the process of preventing acute myocardial infarction,a new treatment plan is provided to remove these high-risk bad habits,In order to prevent the occurrence of diseases from the perspective of Chinese medicine.Through the analysis of the conclusions of this study,It can provide a more objective theoretical basis for guiding clinical practice from the direction of TCM constitution.Reflecting the treatment thought of "treating the disease".Material and method : First of all,Retrospective research method in clinical epidemiology,Continuous sampling survey,Sampling questionnaire survey conducted by people attending the Department of Cardiology,Department of Untreated Medicine and Physical Examination Center of Affiliated Hospital of Liaoning University of Traditional Chinese Medicine.Among them,128 patients with acute myocardial infarction were selected as case groups after screening by inclusion criteria and exclusion criteria.132 healthy patients were used as a control group.A clinical epidemiological investigation of TCM constitution types and unhealthy lifestyles in two groups,Thus,the analysis of common physical types associated with acute myocardial infarction and common unhealthy lifestyles.Then,based on the results of the epidemiological investigation,a case-control study is used.Investigate the unhealthy lifestyle associated with AMI,and then investigate the common lifestyles of acute myocardial infarction and different types of TCM constitutions,Finally,the statistics and analysis of the data obtained from the investigation and research lead to conclusions.Results: 1.In the acute myocardial infarction group,the physical types of the patients were mostly heterozygous.The common physical types were spleen deficiency(71.9%),phlegm-dampness(50.0%),qi stagnation(45.3%),and damp heat(14.5%).),qi deficiency(12.5%),yang deficiency(10.2%),yin deficiency(9.4%),peace(5.5%),bloody sputum(3.1%),and sputum(1.6%).2.Among the patients with acute myocardial infarction,The number of people aged 60 to 69 is the highest,with 41 cases,accounting for 32.0%.The male patients in the myocardial infarction group had a maximum age of 84 years,a minimum age of 31 years,an average age of 61.41±10.97 years,a female patient with a maximum age of 85 years,a minimum age of 49 years,and an average age of 72.00±9.04 years.Men and women in the myocardial infarction group were The age distribution showed a statistically significant difference(P<0.05)with an independent sample T test.In the study of the relationship between TCM constitution types and different age groups in the myocardial infarction group,the chi-square test showed that there was a statistically significant difference in the phlegm-dampness between the 50-59 age group and the 70-79 age group.P < 0.05.There was a statistically significant difference in the statistical analysis of yin deficiency,sputum blood quality and spleen deficiency in the age group over 80 years old P<0.05.3.Among the patients with myocardial infarction,87(68.0%)were male and 41(32.0%)were female.In the comparison of TCM constitution type distribution and gender in patients with myocardial infarction,t The chi-square test showed that there was a statistically significant difference in the sex distribution of the phlegm-dampness P<0.05.4.4.In the myocardial infarction group,the common unhealthy lifestyles of males were ranked as follows: 59 cases of smoking,44 cases of lack of exercise,40 cases of greasy diet,37 cases of lack of sleep,34 cases of salty diet,and the like.There were 27 cases of alcohol drinking and 17 cases of nervous anxiety.In the female population,the unhealthy lifestyles were ranked as follows: 21 cases of lack of exercise,18 cases of saltyness,12 cases of nervous anxiety,11 cases of sleep,8 cases of greasy food,7 cases of regular smoking,and the order of occurrence.1 case of drinking alcohol.The results of the study on the correlation between gender and unhealthy lifestyle showed that there was a statistically significant difference in gender distribution between normal smoking,normal drinking,and diet-poor lifestyle(P<0.05).5.After statistical analysis of the questionnaire,81 males and 41 females in the myocardial infarction group,aged from 31 to 85 years old,with an average age of 64.80±11.48 years;132 patients in the healthy group,including 64 males and 68 females.People,aged between 19 and 83 years old,with an average age of 40.41 ± 13.10 years old.The gender and age of the two groups were statistically analyzed,and the gender and age were statistically significant(P<0.05).6.In the myocardial infarction group,the frequency of unhealthy lifestyles was as follows: 66 cases of smoking,65 cases of lack of exercise,52 cases of salty diet,48 cases of greasy food,48 cases of lack of sleep,29 cases of nervous anxiety,and 28 cases of ordinary drinking.In the healthy group,according to the frequency of unhealthy lifestyles,there were 62 cases of lack of exercise,33 cases of nervous anxiety,26 cases of plain smoking,22 cases of greasy food,18 cases of sleep,14 cases of salty diet,and 14 cases of drinking.The adverse lifestyles of the two groups were analyzed by chi-square test.The results showed that there were significant statistical differences between the two groups in the distribution of unpleasant lifestyles such as greasy food,salty diet,smoking,drinking,and lack of sleep.P < 0.05).7.In the myocardial infarction group,according to the frequency of physical appearance,there were 92 cases of spleen deficiency,64 cases of phlegm dampness,58 cases of qi stagnation,19 cases of damp heat,16 cases of qi deficiency and 13 cases of yang deficiency.There were 12 cases of Yin deficiency,7 cases of peace,4 cases of blood stasis and 2 cases of special enamel.In the health group,the frequency of appearance according to the constitution was 40 cases of phlegm-dampness,39 cases of spleen-deficiency,38 cases of yang deficiency,37 cases of peace,30 cases of qi stagnation,24 cases of damp-heat,and yin deficiency.21 cases,20 cases of qi deficiency,6 cases of special enamel,3 cases of blood sputum.Through the statistical analysis of the chi-square test of TCM constitution of the two groups,the results showed that there were significant statistical differences in the distribution of spleen deficiency,phlegm-dampness,qi stagnation,yang deficiency,and physique(P< 0.05).Conclusion: 1.The physical types of patients with acute myocardial infarction are mostly heterozygous.The common physical types are spleen deficiency,phlegm-dampness constitution,and Qi-stagnation constitution.These three physique may be the types of physiology that have an important impact on AMI.2.Common unhealthy lifestyles in patients with acute myocardial infarction are plain smoking,lack of exercise,salty diet,greasy eating,lack of sleep,nervous anxiety,and regular drinking.Among them the greasy food,salty diet,smoking,drinking,lack of sleep may be closely related to the occurrence and development of myocardial infarction.3.The number of patients with acute myocardial infarction was the highest in the 60-69 age group.Men are younger than women in the age of onset of myocardial infarction,and the number of men with myocardial infarction is higher than that of women.Patients with myocardial infarction in the age group of 50-59 years old and 70-79 years old are more likely to be seen in phlegm-dampness.Patients with myocardial infarction in the age group over 80 years old are common in yin deficiency,blood stasis,spleen deficiency.
Keywords/Search Tags:Acute myocardial infarction, TCM constitution, unhealthy lifestyle
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