The Study Of AMI Patients' Unhealthy Lifestyle, TCM Syndrome Characteristics And Their Correlation With TCM Syndrome Types

Purpose: To investigate the distribution characteristics of TCM syndromes in 128 patients with acute myocardial infarction(AMI),and the correlation between TCM syndromes and symptoms,tongue images,pulse and unhealthy lifestyle.Provide theoretical basis for clinical AMI syndrome differentiation.Material and method:1.This study was a retrospective study,using a random random sampling method,from January 2016 to May 1818,the AMI patients who were admitted to the Department of Cardiology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,a total of 128 patients.2.Collect information such as symptoms,tongue images,pulse images,TCM syndrome types,and unhealthy lifestyles.The elements such as tongue image and pulse are collected after the patient is stable during hospitalization(within 1week of admission).3.The collected information is used to establish a database to analyze the correlation between TCM syndrome types and symptoms,tongue images,pulse signs and unhealthy lifestyles.Results:1.In general,87 males(68%)and 44 females(32%).The youngest is 31 years old and the oldest is 85 years old,with an average of 64.80±11.48 years old.According to the WHO age stratification criteria,younger people(60-74 years old)have the largest proportion.2.Distribution of TCM syndromes,TCM syndromes and unhealthy lifestyles: The top 5 most common symptoms are chest tightness(72.7%),sweating(41.4%),shortness of breath(40.6%),and fatigue(29.7%).With radiation pain(17.2%);dark red tongue 62 times(48.4%),licking tongue 46 times(35.9%),red tongue 28 times(21.9%),purple dark tongue 27 times(21.1%),tooth marks The tongue was 26 times(20.3%);the most common top 5 items of tongue coating were: 99 times of greasy moss(77.3%),61 times of white moss(47.7%),45 times of thick moss(35.2%),yellow moss 33 The second time(25.8%)and the dry moss 6times(4.7%);the most common top 5 items of the pulse are: 102 times(79.7%),81 times(64.1%),and 18 times(14.1%).4 cases of weak pulse(3.1%),4 times of fine vein(3.1%);66cases of phlegm and blood stasis(51.6%)> 28 cases of qi deficiency and blood stasis(21.9%)> 13 cases of qi stagnation and blood stasis(10.2%)> 11 cases of qi and yindeficiency(8.6%)> 8 cases of yang deficiency and deficiency(6.3%)> 2 cases of chills and stagnation(1.6%);66 cases of smoking,65 cases of lack of exercise,55 times of salty diet,greasy diet 48 times,less than 39 sleeps,29 nervous and anxiety,and 28 drinking.3.Correlation between TCM Syndromes and TCM Syndrome: In terms of symptoms: there was a statistically significant difference in the distribution of shortness of breath in the qi deficiency and blood stasis syndrome group and non-qi deficiency and blood stasis group(P<0.05),and it was positively correlated;There was a statistically significant difference in the distribution of yang deficiency and non-yang deficiency group(P<0.05),and there was a positive correlation.In terms of tongue image: there was a statistically significant difference(P<0.05)between the turbidity and the thick turbidity group in the turbidity and phlegm resistance group(P<0.05),and it was positively correlated;the dry moss was in the qi and yin deficiency group.There was a statistically significant difference in the distribution of non-qi and yin deficiency groups(P<0.05),and it was positively correlated.In terms of pulse: there were significant statistics on the distribution of the spleen in the phlegm and blood stasis group and the non-phlegm and phlegm resistance group.The difference was(P<0.05),and it was positively correlated.There was significant statistical difference between the syndrome of Qi deficiency and blood stasis and non-qi deficiency and blood stasis group(P<0.05),and it was negatively correlated.4.Correlation between TCM syndrome type and unhealthy lifestyle: There was significant statistical difference between smoking and drinking in the distribution of phlegm and blood stasis and non-turbid blood stasis group(P<0.05),and it was positively correlated.Correlation between unhealthy lifestyle and tongue and pulse: the distribution of greasy moss in patients with smoking and diet was statistically different from other unhealthy lifestyles(P<0.05),and it was positively correlated.5.Correlation between unhealthy lifestyle and tongue and pulse: There was a statistically significant difference(P<0.05)between the distribution of greasy moss and other unhealthy lifestyles in smoking and diet(P<0.05).Conclusion:1.The top three most common symptoms of AMI patients are chest tightness,sweating,andshortness of breath.The most common top three in the tongue are dark red tongue,licking tongue,and fat tongue;the most common top three in tongue coating are greasy moss,white moss,and thick moss.Among them,the proportion of greasy moss is the largest among all types of syndromes.The most common top three of the pulse are the slippery pulse,the string pulse,and the sinking vein.2.TCM syndromes are most common with phlegm and blood stasis,qi deficiency and blood stasis,and qi stagnation and blood stasis.3.The unhealthy lifestyle of AMI patients is mostly smokers and lack of exercise.Smoking and drinking have an important impact on the occurrence of phlegm and blood stasis syndrome.Insufficient sleep has an important impact on the occurrence of qi deficiency and blood stasis syndrome.