Study on changes of TCM syndrome in patients with coronary heart disease before and after intervention treatment.
- Author:
Bo-jun CHEN
1
;
Zong-qi PAN
;
Xue-xu SU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Angina, Unstable; diagnosis; therapy; Angioplasty, Balloon, Coronary; Coronary Disease; diagnosis; therapy; Diagnosis, Differential; Female; Humans; Male; Medicine, Chinese Traditional; Middle Aged; Myocardial Infarction; diagnosis; therapy; Stents; Syndrome
- From: Chinese Journal of Integrated Traditional and Western Medicine 2007;27(8):689-691
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo observe the changing laws of TCM syndrome type in patients with coronary heart disease (CHD) before and after intervention treatment (IT) and to explore the influence of IT on TCM syndrome type.
METHODSThe TCM syndrome type of 71 patients with "Chest-Bi" was differentiated before and after percutaneous coronary intervention (PCI) treatment, of which the most common syndrome types were qi deficiency, yang deficiency, yin deficiency, qi stagnation, blood stasis, phlegm, cold coagulation, heat-syndrome, etc.
RESULTSBefore PCI treatment, syndrome types of blood stasis (53 cases, 74.6%), qi deficiency (46 cases, 64.8%), and phlegm (28 cases, 39.4%) were the commonest, while there were 12 cases of qi stagnation (16.9%) and 12 cases of cold coagulation (16.9%); One week after PCI treatment, the most commonly seen types were blood stasis (47 cases, 66.2%), qi deficiency (39 cases, 54.9%) and phlegm (23 cases, 32.4%), while qi stagnation (2 cases, 2.8%) and cold coagulation (1 case, 1.4%) were also found; One month after PCI, qi deficiency (47 cases,85.4%), blood stasis (40 cases,72.7%), phlegm (31 cases, 56.4%) were the most commonly seen types. Comparison of the syndrome types between before and after PCI showed that the syndromes of qi deficiency and phlegm were progressively aggravating, while syndromes of qi stagnation and cold coagulation were alleviated after PCI.
CONCLUSIONAlthough PCI treatment could relieve patients' symptoms of excess in superficiality, it can't radically change the pathogenetic nature of CHD, namely, the deficiency in origin and excess in superficiality, which indicates that one should pay full attention to the importance and necessity of CHD after PCI treatment.