Preliminary Analysis Of TCM Syndrome Elements In Patients With Coronary Heart Disease Combined With Type 2 Diabetes Undergoing PCI After PCI

Objective:To investigate the distribution of TCM syndrome elements in patients with coronary heart disease complicated with type 2 diabetes mellitus and the correlation between coronary artery lesion characteristics and TCM syndrome elements.Methods:A total of 121 patients with PCI and clinical data were enrolled in the Department of Cardiology,Beijing Hospital of Traditional Chinese Medicine from May 2018 to December 2018.The patient data were recorded in the SPSS20.0 database.According to the presence or absence of type 2 diabetes,82 patients(67.8%)and 39 patients(32.2%)were divided into non-diabetic group.Statistical analysis of the data was performed using SPSS20.0 software.The measurement data were expressed as mean±standard deviation(x±s).The two independent samples were compared by t test.The original data did not satisfy the condition of t test.The variance of multiple independent samples was analyzed by ANOVA;the count data was expressed as a percentage(%),the comparison between the count data sets was performed by X2 test,and the X2 test of the two-way disordered rows × columns was calculated using the Pearson X2 forlula.The difference was statistically significant at P<0.05.Results:1.Age:From the distribution of different age groups in the two groups of patients,the incidence of premenopausal women in the non-diabetic group was lower than that of men of the same age(P<0.05).2.Risk factors:There was no significant difference in the distribution of hypertension,dyslipidemia,smoking,and biochemical indicators.3.Characteristics of coronary artery lesions:Left main disease,single-vessel disease,double-vessel disease,and three-vessel disease were not significantly different between the diabetic group and the non-diabetic group.The diabetes group is high.There were no significant differences in type A lesions,type B lesions,and type C lesions between the diabetic group and the non-diabetic group,but the type C lesions accounted for the majority of patients(64.1%)in the diabetic group and C in the non-diabetic group.Less than half of the lesions(48.8%).4.TCM syndrome elements:There was no significant difference in blood stasis syndrome,qi stagnation syndrome,qi deficiency syndrome and yang deficiency syndrome among the TCM syndrome elements of the two groups.The yin deficiency syndrome was significantly different between the two groups(P<0.05).The main syndrome element of the deficiency syndrome in the diabetes group was yin deficiency syndrome(92.3%).The turbidity syndrome was significantly different between the two groups(P<0.05),and the opacity syndrome was higher in the non-diabetic group than in the diabetic group.The most common syndrome in the two groups was the blood stasis syndrome,which was above 90%.In the diabetes group,the first three of the two syndromes are Yin deficiency and blood stasis syndrome>Qi deficiency and blood stasis syndrome>Qi and Yin deficiency syndrome;the first three of the two syndromes in the non-diabetic group are blood stasis syndrome>Qi deficiency and blood stasis syndrome>Yin deficiency and blood stasis syndrome.The top three syndromes in the diabetes group are qi deficiency,yin deficiency and blood stasis syndrome>yin deficiency and blood phlegm syndrome>qi deficiency,yin deficiency and phlegm syndrome,qi deficiency and blood phlegm syndrome;the top three in the non-diabetic group It is qi deficiency,yin deficiency and blood stasis syndrome>qi deficiency and blood phlegm syndrome>yin deficiency blood phlegm syndrome.From the distribution of syndrome elements in coronary artery lesions and coronary lesions,yin deficiency syndrome was found in single-vessel disease,double-vessel disease,three-vessel disease,C-type disease and B-type disease in both groups.There was statistical significance;qi deficiency syndrome was statistically significant in the distribution of double-vessel disease in both groups,and the distribution rate was higher in the diabetic group.Conclusion:For patients with coronary heart disease,the TCM syndromes after PCI are mainly mixed with false and real,mainly based on deficiency syndrome.It was preliminarily clarified that patients with coronary heart disease complicated with type 2 diabetes were mainly yin deficiency syndrome after PCI,followed by qi deficiency syndrome and yang deficiency syndrome.In patients with simple coronary heart disease,the deficiency syndrome after PCI is mainly qi deficiency syndrome,followed by yin deficiency syndrome and yang deficiency syndrome.The blood stasis syndrome is the main empirical syndrome of the two groups of patients.