Study of perioperative traditional Chinese medicine syndrome in patients with coronary heart disease undergoing coronary bypass graft surgery
Zhao Tiefu
Ma Hanying
Zhang Weijun
Wang Liqun
Yang Qing
Guo Wen
Han Hongya
Abstract：Objective To explore the alternation of TCM syndrome before and after coronary bypass graft surgery in patients with coronary heart disease. Methods A total of 386 patients were divided into four clinical types of TCM syndrome: heart blood stasis syndrome group(262 cases,67.9%), phlegm blocking heart vessel syndrome group(51 cases, 13.2%), dual deficiency of qi and yin syndrome group(47 cases,12.2%) and yin deficiency of heart and kidney syndrome group(26 cases,6.7%). The 3 days, 7days and 6 months postoperative TCM syndrome were collected and analyzed. Results Phlegm blocking heart vessel syndrome group had a higher rate of three vessel lesion[92.2%(47/51)] than the other three groups(P<0.05). Three days postoperative, the ratio of heart blood stasis syndrome decreased to 5.4%(21/386)(P<0.05)while the ratio of phlegm blocking heart vessel syndrome increased to 0.7%(350/386)(P<0.05). Seven days postoperative, the ratio of phlegm blocking heart vessel syndrome slightly decreased to 80.8%(312/386). At 3 to 6 months follow-up, the ratio of phlegm blocking heart vessel syndrome still decreased to 20.3%(78/386)(P<0.05)and 15.3%(56/386)(P<0.05), respectively. Conclusion Heart blood stasis syndrome is the main type of coronary heart disease patients who undergo coronary bypass graft surgery. Phlegm blocking heart vessel syndrome may increase postoperative and have relative severe lesion.
Keywords：Coronary artery lesionsPerioperative periodTraditional Chinese medicine syndrome
Publication Date：2014-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 318-321 )