颈动脉粥样硬化患者颅外段颈动脉彩色多普勒超声特点和中医证候要素的关系  

Relationship of carotid ultrasound characteristics and TCM syndrome elements in carotid artery atherosclerotic patients

作　　者：董国菊[1] 史大卓[1] 刘剑刚[1] 

机构地区：[1]中国中医科学院西苑医院心血管病中心,北京100091

出　　处：《环球中医药》2012年第12期885-888,共4页Global Traditional Chinese Medicine

基　　金：国家重点基础研究发展规划课题(G1999054405)

摘　　要：目的回顾性研究颈动脉粥样硬化(CAS)患者的临床资料,分析CAS患者的颈动脉彩色多普勒超声特点及其与中医证候要素的相关性。方法选择中国中医研究院西苑医院2003年1月至2006年1月CAS住院患者411例为研究对象,对超声检查动脉斑块好发部位、动脉斑块性质与中医证候要素的关系进行分析。结果 (1)CAS患者的中医证候要素主要为气虚、阴虚、痰浊、血瘀;(2)CAS的斑块性质和血管狭窄程度均与血瘀、痰浊有高度相关性。结论 CAS的病机为本虚标实,本虚为气虚、阴虚,标实为痰浊、血瘀;痰浊、血瘀和痰瘀互结可能是促发颈动脉粥样硬化斑块的主要病理机制。Objective We retrospectively investigated patients of carotid artery atherosclerosis（CAS） and analyzed the relationship between the color doppler ultrasound characteristics of CAS and TCM syndrome elements.Methods We investigated 411 CAS patients admitted in Xiyuan Hospital from 2003 January to 2006 January,and analyzed susceptible factors,predilection site,plaque characteristics and the correlation with TCM syndrome elements.Results（1）The main TCM syndrome elements of CAS included qi-deficiency,yin-deficiency,Phlegm turbidity and blood stasis.（2）The plaque characteristics and the degree of stenosis are related with phlegm turbidity and blood stasis.Conclusions The pathogenesis of CAS is primary deficiency and secondary excess.Primary deficiency included qi-deficiency and yin-deficiency;secondary excess included phlegm turbidity and blood stasis.Phlegm,stasis and Phlegm stasis mutual resistance promoted the unstable plaque and stenosis of CAS.

关 键 词：颈动脉粥样硬化 颈动脉 彩色多普勒超声 证候要素 

分 类 号：R543.5[医药卫生—心血管疾病]