| Background: With the advancement of society and the improvement of living standards,the pace of life has also accelerated markedly;high pressure has emerged with fast-paced life,and various mental illnesses have also appeared with high pressure.Clinicians have found in their work that patients with coronary heart disease are often prone to emotional disorders with long-term disease,with anxiety and depression being more common.In the pathogenesis of coronary heart disease,psychological factors have always played an important role.Coronary heart disease and psychological factors are related to each other and have a close relationship.Objective:This study is mainly to analyze the influencing factors,TCM syndrome distribution and sleep quality of patients with unstable angina pectoris and anxiety and depression,in order to find the distribution of TCM syndromes and sleep quality in patients with unstable angina pectoris and anxiety and depression.It provides a reference for the prevention,control and related clinical diagnosis and treatment of such diseases.Methods:During the period from September 1,2017 to February 25,2019,a total of211 patients with unstable angina pectoris and anxiety and depression were admitted to Zhengzhou Hospital of Traditional Chinese Medicine.Clinical information was collected through the four methods of Chinese medicine,hope,smell,and diagnosis.To conduct TCM syndrome differentiation;to score the Hamilton Anxiety Scale(HAMA)and the Hamilton Depression Scale(HAMD)to assess the degree of anxiety and depression;and to pass the Pittsburgh Sleep Quality Index.To assess the subjective sleep quality of the subjects;the general information of the patients with unstable angina pectoris and anxiety and depression,medical history characteristics,related clinical symptoms,TCM syndromes,anxiety and depression,sleep quality,etc.were analyzed using spss22.0 statistical software.analysis.Results:A total of 211 cases were collected in this study.The distribution of anxiety in patients with unstable angina and anxiety and depression was as follows: 60 patients with mild anxiety,accounting for 28.43%;patients with moderate anxiety 96 people,accountingfor 45.50%;a total of 55 patients with severe anxiety,accounting for 26.07%;The distribution of depression was as follows: 7 cases of normal patients,accounting for3.32% of the total number;103 cases of depression may occur,accounting for 48.82% of the total number;89 cases of depression were confirmed,accounting for 42.18% of the total number;There were 12 cases of depression,accounting for 5.69% of the total;The quality of sleep was: 24 cases of general sleep quality,11.38% of the total number,94 cases of poor sleep quality,44.55% of the total number,and 93 cases of poor sleep quality,accounting for 44.08% of the total number.Gender and chronic gastritis were: 76 males,accounting for 36.02% of the total;135females,accounting for 63.98% of the total;the ratio between males and females was 1:1.78.There were 105 patients with chronic gastritis,accounting for 49.76%,and about half of the patients were accompanied by chronic gastritis.Common clinical symptoms are: insomnia,chest tightness,hi too much,fatigue,fatigue,irritability,chest pain,palpitations,depression,depression,shortness of breath;common tongue: tongue has ecchymosis,sputum,purple tongue Dark;patients with TCM syndrome elements are mainly in the heart,liver,and spleen and kidney;the disease is: blood stasis,qi stagnation,qi stagnation,qi deficiency,spleen deficiency,fire syndrome,yang deficiency,yin deficiency,turbidity.The number of common TCM syndromes according to the number of cases,the proportion of the order is: blood stasis(44,20.85%),liver qi stagnation(32,15.17%),qi stagnation and blood stasis(27,12.80%),Yin deficiency liver depression(25,11.85%),liver stagnation and spleen deficiency(18,8.53%),qi deficiency and blood stasis(17,8.06%).There was no statistical difference in the ages of patients between the common syndrome groups.There was a statistically significant difference in the history of coronary heart disease between patients with common syndromes,qi stagnation and blood stasis syndrome,and liver stagnation and spleen deficiency syndrome.The patient’s medical history was longer;the BMI of the patients with common qi syndrome group,the yin deficiency liver stagnation syndrome,the qi deficiency and blood stasis syndrome were statistically different from the qi stagnation and blood stasis syndrome,and the BMI value of patients with qi stagnation and blood stasis syndrome was higher.Larger;the greater the total score of the anxiety scale,the more severe the anxiety degree.The total score of the anxiety scale of the patients in the common syndrome group,the blood stasis syndrome,the qi stagnation and blood stasis syndrome were statistically different from the liver stagnation and spleen deficiency syndrome.The degree of anxiety in patients with liver stagnation and spleen deficiency is heavier;the total score of depression scale in patients with common syndromes,the statistical difference between qi stagnation and blood stasis syndrome and liver stagnation and spleen deficiency syndrome,the degree of depression in patients with liver stagnation and spleen deficiency syndrome Heavier;there is no statistical difference in the total score of the sleep quality scale between patients in the common syndrome group.Conclusions : 1.Among the patients with unstable angina pectoris and anxiety and depression,more women than men;the degree of anxiety of patients is significantly higher than that of depression,mainly with anxiety symptoms;2.Female,advanced age,mental work,sleep disorders may induce unstable angina with anxiety and depression;the number of years of coronary heart disease history is concentrated in 6 to 10 years,with the extension of the disease course,the patient’s syndrome is converted from empirical evidence to deficiency syndrome;3.TCM syndromes of patients with unstable angina pectoris and anxiety and depression are concentrated in: heart and blood stasis,liver qi stagnation,qi stagnation and blood stasis,yin deficiency and liver stagnation,liver spleen deficiency,qi deficiency and blood stasis;the disease is in the heart and liver.It is closely related to the spleen and kidney.The syndrome elements are mainly blood stasis,qi stagnation,qi stagnation and qi deficiency.The pathogenesis changes may be closely related to the movement of the air machine;4.The main clinical symptoms of unstable angina with anxiety and depression are:insomnia,chest tightness,hi too much,fatigue,fatigue,irritability,chest pain,depression and depression;5.49.76% of patients with chronic gastritis may be associated with long-term history of coronary heart disease and anxiety and depression,leading to gastrointestinal secretion,peristaltic dysfunction,decreased gastric acid secretion,and inability to digest food in time;6.The quality of sleep in patients with unstable angina and anxiety and depression is generally poor,and sleep disorders may interact and interact with the disease;7.Comparison of common TCM syndromes between patients with unstable angina pectoris and anxiety and depression: patients with liver stagnation and spleen deficiency have a longer history of coronary heart disease;patients with qi stagnation and blood stasis syndrome have larger body mass index;patients with liver stagnation and spleen deficiency syndrome Anxiety and depression were more severe;there was no statistical difference in the age and sleep quality of patients with common TCM syndromes,P>0.05. |
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