Research And Analysis Of TCM Constitution Types Distribution And Correlation Indexes In Young People With Acute Coronary Syndrome

Purpose: This study aims to investigate the TCM constitutions of young patients with acute coronary syndrome,analyze the distribution of TCM constitutions of patients with the onset of the disease,and further explore whether a certain constitution may be a high-risk factor for the onset of young patients with acute coronary syndrome.At the same time,the differences of fasting blood glucose,glycosylated hemoglobin and blood lipid among different TCM constitutions were studied,so as to provide theoretical basis and new ideas for the prevention of acute coronary syndrome among young people from the perspective of TCM constitutions.Materials and Methods: this study used a retrospective analysis method,from September 2018-February 2021 in liaoning university of traditional Chinese medicine affiliated hospital accord with standard of this study included patients 120 cases aged 45 years or less,including myocardial infarction group of 60 cases of myocardial infarction,patients with unstable angina patients with 60 cases of unstable angina group,USES the constitution questionnaire for patients with physical investigation,analysis of traditional Chinese medicine(TCM)in patients with physical distribution.According to the results of the questionnaire survey,the patients were grouped according to their constitutions,and the TCM constitutions were contrastively analyzed The difference of fasting blood glucose,glycated hemoglobin and blood lipid.Results:1.There was statistically significant difference in gender distribution between the two groups(P < 0.05).2.There was a statistically significant difference between smoking and diabetes mellitus in young patients with acute coronary syndrome(P<0.05).3.The frequency of blood stasis,phlegm dampness and qi stagnation in single constitutions of patients in both groups was higher;The frequency of phlegm dampness and blood stasis,phlegm dampness and gas stasis and gas stasis were all higher in the mixed constitution,and the difference between Qi and Yin deficiency was statistically significant(P<0.05).4.FPG,HbA1 c,TG,TC and LDL of patients with phlegm-dampness in single constitution were higher than those with non-phlegm-dampness,and the difference between the two groups was statistically significant(P<0.05).5.FPG,HbA1 c and TG of patients with phlegm,dampness and blood stasis in mixed constitution were higher than those with non-phlegm,dampness and blood stasis,and the difference between the two groups was statistically significant(P<0.05);FPG,HbA1 c and TC of phlegm-dampness depression patients were higher than those of non-phlegm-dampness depression patients,and the difference between the two groups was statistically significant(P<0.05);The FPG of patients with qi stagnation and blood stasis was lower than that of patients without qi stagnation and blood stasis,and the difference between the two groups was statistically significant(P<0.05).Conclusion:1.Cigarette smoking is a greater risk factor for acute myocardial infarction in males among young acute coronary syndromes.2.Youth acute coronary syndrome patients are mainly mixed constitution,blood stasis,phlegm dampness and qi stagnation may be the susceptible constitution of youth acute coronary syndrome.3.Simultaneous high levels of FPG,HbA1c,TG,TC and LDL were mostly seen in phlegm,dampness and blood stasis in single constitution,while simultaneous high levels of FPG,HbA1 c and TG were mostly seen in phlegm,dampness and blood stasis in mixed constitution.Simultaneous high FPG,HbA1 c and TC were more common in phlegm dampness depression.Low FPG is more common in qi stasis and blood stasis.