A Retrospective Study on the Modern Traditional Chinese Medicine Syndrome Characteristics of Coronary Heart Disease based on the Clinical Diagnosis and Treatment Data in Tianjin from 2015 to 2021
Objective To explore the characteristics and evolution trend of modern traditional Chinese medicine(TCM)syndromes of coronary heart disease.Methods Data of the inpatients with the first diagnosis of coronary heart disease,angina pectoris,acute coronary syndrome,heart failure,arrhythmia,post-percutaneous coronary in-tervention,post-coronary artery bypass grafting,and old myocardial infarction by western medicine in the Depart-ment of Cardiology,The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine from January 1st,2015 to September 30th,2021 were enrolled,and gender,age,clinical symptoms,tongue and pulse manifes-tations were retrospectively collected.Secondary proofreading judgment of the syndrome type was re-checked and judged,and the syndrome elements were extracted.Correlation analysis was performed for the syndrome elements.Results A total of 3374 patients with coronary heart disease were included.The top four symptoms were chest tight-ness(1791,53.08％),chest pain(1612,47.78％),breathlessness(1484,43.98％),and palpitations(1387,41.11％).The top four pulse manifestations were wiry pulse(2261,67.01％),thready pulse(1067,31.62％),slippery pulse(795,23.56％),and deep pulse(755,22.38％).The tongue color was mainly purple dusky(1703,50.47％),and white coating(2184,64.73％),thin coating(1321,39.15％),and greasy coating(1181,35.00％)were mostly common seen.The top four TCM syndromes were qi deficiency and blood stasis(737,21.84％),qi deficiency and phlegm stasis(432,12.80％),binding of phlegm and stasis(427,12.66％),and heart and blood stasis obstruction(393,11.65％).The syndromes were mostly deficiency-excess complex,and ac-companied by blood stasis and phlegm turbidity.The top four syndrome elements were blood stasis(2814,83.40％),qi deficiency(1928,57.14％),phlegm turbidity(1495,44.31％),and yin deficiency(560,16.60％).Syndrome elements association analysis showed that phlegm turbidity,blood stasis,and qi deficiency have the strongest correla-tion,among which the combination of phlegm turbidity and blood stasis is the strongest.The annual distribution of the syndrome elements between 2015 to 2020 showed that the proportions of the syndrome elements of yin deficiency,phlegm turbidity and blood stasis were statistically different(P＜0.05),while the differences among other syn-drome elements were not statistically significant(P＞0.05).Conclusion The basic pathogenesis of modern coro-nary heart disease is still root deficiency and branch excess,and the syndromes are mainly deficiency-excess com-plex,accompanied with phlegm and stasis.The syndrome elements related to branch excess account for the largest proportion,especially manifested as phlegm and blood stasis.
coronary heart diseasetraditional Chinese medicine syndromessyndrome elementsphlegm turbidityblood stasisretrospective study
NETL
NSTL
万方数据
