Author + information
- Deng Dong,
- Zhao Huihui,
- Li Xueli,
- Chen Jing,
- Chen Kun,
- Wang Juan and
- Wang Wei
To observe the relationship between the TCM syndrome type and coronary Gensini integral of patients with coronary heart disease (CHD) instability angina for objective indicators of clinical syndrome differentiation type and to explore a new way to guide the clinical standard of syndrome differentiation.
212 patients with coronary heart disease (CHD) instability angina were clinically investigated according to the CRF content, meanwhile the TCM syndrome type and coronary angiography results were processed. By using t test, descriptive statistics (frequency distribution) and Gensini integral calculation principles, the relationship between the TCM.
212 patients with unstable angina in this study were classified into three categories according to the actual situation of syndrome differentiation: the excess syndrome (106 cases), the deficiency syndrome (59 cases)and the mixed syndrome of deficiency and excess (47 cases). The severity of coronary lesions in different syndrome types was expressed in the form of Gensini integral. The research showed that the average Gensini integral of each groups' patients displayed a trend of excess syndrome (53.45 ± 50.3) >mixed syndrome (50.19 ± 50.76) > deficiency syndrome (47.44 ± 43.53). The 212 patients of TCM syndromes with unstable angina in coronary heart disease were divided into blood stasis (149 cases) and non blood stasis syndrome (63 cases). According to the principle of the Gensini integral, the coronary artery disease of two groups was expressed in the form of integral, respectively. The value of blood stasis integral is (52.82±51.14) while for non blood stasis syndrome the value is (47.24 ±41.26). The value of blood stasis syndrome group is higher than that of the non blood stasis syndrome group, but without significant difference.
There is a certain correlation between TCM syndrome differentiation, blood stasis and coronary Gensini integral, Eight principal syndromes and blood stasis dialectical has certain guidelines on the judgment of coronary artery disease.