Objective

2

To analyze the syndrome characteristics and distribution regularity of patients with non-ST segment elevation myocardial infarction (NSTEMI)

in order to guide clinical practice and improve the efficacy of traditional Chinese medicine.

Method

2

Inpatients with non-ST segment elevation myocardial infarction in line with the diagnostic criteria were selected

and the frequency statistics method was used to analyze the syndrome elements and their frequency degree and distribution characteristics.

Result

2

According to the analysis of syndrome elements and their frequency degree of 263 patients with NSTEMI

the pathogenesis of NSTEMI was mostly deficiency in origin and excess in superficiality. As for deficiency in origin

Qi deficiency (171 times

32.39%) was the most common

which was followed by Yin deficiency (42 times

7.95%)

Yang deficiency (16 times

3.03%)

and blood deficiency (1 times

0.19%). As for excess in superficiality

blood stasis (129 frequency

24.4%) and phlegm turbidity (125 frequency

23.7%) were the most common

which were followed by heat accumulation (42 frequency

7.95%)

water drinking (2 frequency

0.38%). According to the syndrome diagnosis analysis of the combination of syndrome elements

220 cases (83.65%) had single syndrome differentiation

42 cases (15.97%) had two syndromes at the same time

and 1 case (0.38%) had three syndromes at the same time. Among all the syndrome types

Qi deficiency and blood stasis syndrome (94 cases

42.7%) was the most common

which were followed by phlegm and blood stasis syndrome (46 cases

20.9%)

Qi and Yin deficiency syndrome (41 cases

18.6%) and heart and kidney deficiency syndrome (32 cases

14.6%). And Yang deficiency and water flooding syndrome (6 cases

2.73%) and heart fire blazing syndrome (1 case

0.45%) were relatively rare. According to the distribution regularity of syndrome

traditional Chinese medicine therapies were mainly for tonifying vital qi and protecting kidney Qi

with equal emphasis on removing phlegm

eliminating dampness and diuresis

activating blood circulation and removing blood stasis.

Conclusion

2

The pathogenesis of NSTEMI is deficiency in origin and excess in superficiality. Deficiency in origin is mostly Qi deficiency and Yin deficiency

while excess in superficiality is mostly blood stasis

phlegm and heat accumulation. traditional Chinese medicine therapies are mostly for invigorating Qi and nourishing Yin

promoting blood circulation and removing blood stasis

clearing heat and resolving phlegm.