冠状动脉介入特征与冠心病中医证型变化规律的相关性研究  

Research of the relativity between TCM syndrome and CAG results in the patients with Coronary Heart Disease

作　　者：颜芳[1] 张敏州[1] 郭力恒[1] 唐光华[1] 陈全福[1] 王磊[1] 杨广[1] 赵立诚[2] 

机构地区：[1]广东省中医院ICU,广东广州510120 [2]广州中医药大学第一附属医院心内科,广东广州510006

出　　处：《中国现代医学杂志》2011年第2期309-311,315,共4页China Journal of Modern Medicine

基　　金：广州中医药大学创新基金课题(No:2005C054)

摘　　要：目的探讨冠心病患者冠状动脉介入特征与其手术前后中医证型变化规律之间的相关性。方法对189例冠心病患者进行介入治疗,并对其中104例进行随访,同时对纳入病例进行了介入术前、术后1周及1个月的中医证候的观察,将其介入时的冠脉特征与后者进行统计学比较。结果①介入术前冠心病中医证候中以血瘀证165例(87.2%)、气虚证145例(76.5%)及痰浊证90例(47.5%)最为常见。介入术后1周及术后1个月,冠心病中医证候中仍以血瘀证、气虚证及痰浊证最为常见。②冠心病患者冠脉病变以双支病变为最多见,其中又以阳虚、痰浊、血瘀及气虚等证型病变支数为最多:阳虚(平均2.32支)>痰浊(平均2.16支)>血瘀(平均2.15支)>气虚(平均1.96支);气虚、血瘀、痰浊及阳虚等证型的冠脉狭窄程度较重。在冠脉Gensini评分上,标实证型中以痰浊证及血瘀证为最高,本虚证中则以阳虚证为最高。结论冠心病患者冠脉病变的介入特征与其中医证型之间存在一定的相关性。【Objective】 To investigate the correlation between Coronary Interventional Characteristic and the variation of TCM syndrome in patients with Coronary Heart Disease before and after surgery.【Methods】 189 patients receiving Coronary interventional therapy,and 104 of them were followed up.To abserve TCM syndrome involved before and in the week and month after Coronary interventional therapy,and compare the results of CAG and the variation of TCM syndrome statistically.【Results】 Three most common syndromes of 189 patients with CHD before Coronary interventional therapy are blood stasis（165 cases,87.2% of total）,qi deficiency（145 cases,76.5% of total） and phlegm turbidity（90 cases,47.5% of total）,in the week and month after Coronary interventional therapy,CHD syndromes are still blood stasis,qi deficiency,phlegm turbidity most commonlly.The most common type of pathological changes of coronary artery is double-branch disease,more pathological artery appearing especially in the syndrome of yang deficiency,phlegm turbidity,blood stasis and qi deficiency： yang deficiency（average 2.32 branches） phlegm turbidity（average 2.16 branches） blood stasis（average 2.15 branches） qi deficiency（average 1.96 branches）,the syndromes of yang deficiency,phlegm turbidity,blood stasis and qi deficiency have more severe coronary stenosis.In coronary artery Gensini score,phlegm turbidity and blood stasis highest in the syndrom of branch excess,yang deficiency highest in the syndrom of root deficiency.【Conclusion】 Correlation existing between coronary interventional characteristic of coronary artery pathological features and TCM syndrom in Patients with CHD.

关 键 词：冠心病 冠状动脉介入 中医证型 

分 类 号：R542.1[医药卫生—心血管疾病]