Analysis of the relationship between the distribution of traditional Chinese medicine syndrome elements and coronary angiography results in patients with coronary heart disease
10.13491/j.issn.1004-714X.2025.04.008
- VernacularTitle:冠心病患者中医证素分布与冠脉造影结果的关系分析
- Author:
Jingshu LI
1
;
Linrong LI
1
Author Information
1. School of Basic Medical Sciences, Shanxi University of Traditional Chinese Medicine, Taiyuan 030002, China.
- Publication Type:OriginalArticles
- Keywords:
Coronary heart disease;
Traditional Chinese medicine syndrome element;
Coronary angiography
- From:
Chinese Journal of Radiological Health
2025;34(4):515-522
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between the distribution of traditional Chinese medicine (TCM) syndrome elements and coronary angiography results in patients with coronary heart disease (CHD). Methods A total of 100 patients with CHD admitted to our hospital between January 2024 and January 2025 were randomly selected as the research subjects. All patients underwent coronary angiography, and the distribution of TCM syndrome elements in patients with CHD was analyzed. The differences in syndrome element distribution among patients with varying numbers of diseased vessels were compared. The differences in Gensini scores of patients with different syndrome elements were assessed. A Spearman analysis was used to analyze the correlations between the number of diseased vessels, Gensini scores, and TCM syndrome elements. Results The proportions of heart, blood stasis, and Qi deficiency syndrome elements in single-vessel lesions were lower than those in triple-vessel lesions (P < 0.05). The proportions of blood stasis and Qi deficiency syndrome elements in double-vessel lesions were lower than those in triple-vessel lesions (P < 0.05). Gensini scores of patients with heart, blood stasis, and Yang deficiency syndrome elements were significantly higher, and Gensini scores of patients with Qi stagnation were significantly lower (P < 0.05). The Spearman analysis showed that the number of diseased coronary vessels in patients with CHD was positively correlated with heart, blood stasis, and Qi deficiency syndrome elements (P < 0.05), but not significantly correlated with other syndrome elements (P > 0.05). Gensini score was positively correlated with heart, blood stasis, Qi deficiency, and Yang deficiency, and negatively correlated with Qi stagnation (P < 0.05). There were no significant correlations between Gensini score and other syndrome elements (P > 0.05). Conclusion The distribution of TCM syndrome elements in patients with CHD is centered on the heart and liver, with blood stasis, phlegm turbidity, and Qi deficiency as the main diseases, reflecting the pathogenesis of “root deficiency with branch excess”. The syndrome elements of heart, blood stasis, and Qi deficiency are closely related to the results of coronary angiography, which can provide a reference for the evaluation of CHD in clinical practice.
