肛瘘辨证分型与血流动力学关系的研究  

Study on the Relationship of Syndrome Classification and Hemodynamics

作　　者：甄金霞[1] 曹永清[2] 潘友珍[1] 

机构地区：[1]上海市浦东新区公利医院中医肛肠科,上海200135 [2]上海中医药大学附属龙华医院肛肠科,上海200032

出　　处：《辽宁中医杂志》2010年第7期1298-1300,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:探讨肛瘘中医证型与瘘管周围血流动力学的关系。方法:收集175例肛瘘患者为研究对象,按中医辨证分型分为3型:湿毒内蕴型,正虚邪恋型,热毒蕴结型,并通过超声多普勒检查,检测瘘管周围动脉的最大流速(Vm ax)及阻力指数(R I)、瘘管回声,分析证型与血流动力学之间的关系。结果:热毒蕴结型瘘管以低回声伴无回声为多见,周围血流呈低阻频谱,瘘管周围血管最大流速偏高;湿毒内蕴型瘘管以低回声多见,周围血流未见特征性改变;正虚邪恋型瘘管内部回声不均,以高低混合回声为主,周围血流呈高阻频谱,瘘管周围血管最大流速偏低。结论:多普勒超声检测与难治性肛瘘的证型分布有一定相关性,为辨证分型提供客观参考依据。Objective：Purpose：to study the relationship of syndrome classification and HemodynamicsMethods：The 175 refractory anal fistula patients were divided into three types by TCM Syndrome classification：the type of shiduneiyun,the type of zhengxuxielian,the type of reduyunjie,examined by Doppler ultrasound,Vmax、RI and echo were examined,studying the relationship of syndrome classification and Hemodynamics.Results：Group of reduyunjie shows mainly sign of hypoechic mass,Blood around the fistula shows low-resistance frequency spectrum,Vmax is higher than others;group of shiduneiyun shows mainly sign of hypoechic mass,Blood around the fistula shows no statistic significance between among the three groups;group of zhengxuxielian shows mixed-resistance frequency spectrum,Blood around the fistula shows high-resistance frequency spectrum,Vmax is lower than others.Conclusion：There is Relationship between Syndrome Classification and Hemodynamics,it will provide more information for Syndrome classification.

关 键 词：辨证分型 血流动力学 

分 类 号：R657.16[医药卫生—外科学]