摘要
目的 :了解胸痹心痛的证型和冠状动脉 (冠脉 )造影结果的关系 ,为胸痹心痛的治疗提供依据。方法 :对 375例胸痹心痛患者进行辨证分型和冠脉造影检查 ,比较不同造影结果的证型特点。结果 :冠脉狭窄组的血瘀证和痰浊证均显著高于冠脉正常组 (P均 <0 .0 5 ) ;无病变组的气滞证显著高于三支病变组 (P<0 .0 5 ) ;三支病变组的血瘀证和痰浊证的比例均显著高于无病变组 (P均 <0 .0 5 ) ;双支病变组的痰浊证比例显著高于无病变组 (P <0 .0 5 ) ;不同冠脉造影结果及病变支数的证型虚实分布和证型相兼分布均有显著性差异(P均 <0 .0 0 1)。结论 :胸痹心痛的冠脉造影结果不同其证型特点不同 ,血瘀证和痰浊证是胸痹心痛危险证型。
Objective: To investigate the relationship of traditional Chinese medicines(TCM) syndrome-type in chest stuffiness and pains(CSP) and the outcome of coronary angiography(CA) and provide the evidence for therapy of CSP. Methods: Three hundred and seventy-five cases were diagnosed as CSP and received CA examination, and the characteristic of TCM syndrome-type of different outcome group of CA was analyzed. Results: The patients of blood-stasis syndrome and phlegm-turbid syndrome were significantly more in coronary artery straitness group than those in coronary artery normal group (both P<0.05). The patients of Qi-stagnation syndrome (气滞证) were significantly more in coronary artery normal group than those in three-branches lesion group (P<0.05), and the patients of blood-stasis syndrome or phlegm-turbid syndrome were significantly more in three-branches lesion group than those in coronary artery normal group(both P<0.05). The patients of phlegm-turbid syndrome were significantly more in two-branches lesion group than those in coronary artery normal group(P<0.05). The distributing of the coexist of syndrome-type or deficiency or excess of syndrome-type was significantly different in the different outcome group of CA or in the different branches lesion group (all P<0.001). Conclusion: Different outcome of CA has different TCM syndrome-type in CSP. Blood-stasis syndrome and phlegm-turbid syndrome are the risk TCM syndrome-type of CSP.
出处
《中国中西医结合急救杂志》
CAS
2004年第2期115-117,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
关键词
胸痹心痛
冠状动脉造影
中医证型
对比研究
chest stuffiness and pains
study of syndrome-types
coronary heart disease
coronary angiography
