颈动脉內-中膜厚度与冠心病中医辨证分型关系  

Relationship between TCM Syndrome Type of Coronary Heart Disease and Thickness of Carotid Endarterectomy

作　　者：秦研[1] 王玉燕[2] 

机构地区：[1]天津中医药大学第一附属医院 [2]天津中医药大学第二附属医院

出　　处：《山西中医》2014年第6期13-15,共3页Shanxi Journal of Traditional Chinese Medicine

摘　　要：目的：探讨颈动脉血管内-中膜厚度与冠心病中医辨证分型之间的关系.方法：223例冠心病患者依临床症状及体征辨证分8组,并常规彩超检查颈动脉血管内-中膜厚度分轻、中、重度.结果：223例冠心病患者中医证型分布为,心血瘀阻占30.04％（67/223,95％CI =24.02％～36.06％）;痰浊闭阻占24.66％（55/223,95％CI=19.00％ ～ 30.32％）;气滞心胸占12.56％（28/223,95％CI=8.21％～16.91％）;心肾阳虚占10.31％（23/223,95％CI=6.32％～14.30％）;心肾阴虚占9.42％（21/223,95％CI =5.59％ ～ 13.25％）;气阴两虚占8.52％（19/223,95％CI =4.86％ ～ 12.18％）;寒凝心脉占4.48％（10/223,95％CI=1.76％ ～7.20％）;其中,心血瘀阻、痰浊闭阻与气滞心胸、心肾阳虚、心肾阴虚、气阴两虚、寒凝心脉比较（95％CI不重叠,P＜0.05）,差异有显著性意义;痰浊闭阻与寒凝心脉比较（95％CI不重叠,P＜0.05）,差异有显著性意义.223例冠心病中医证型颈动脉内-中膜病变分级比较（x2 =26.695 3,f=6,P＜0.01）,差异有显著性意义;组间比较,心血瘀阻、痰浊闭阻、气滞心胸、心肾阴虚的颈动脉血管内-中膜厚度显著高于寒凝心脉组（P＜0.05）.结论：冠心病的中医辨证分型分布之间存在差异;冠心病的中医证型颈动脉内-中膜病变分级存在差异.Objective： To investigate relationship between TCM syndrome type of coronary heart disease and carotid intima-media thickness （IMT）. Methods： According to clinical symptoms and physical signs, 223 cases patients with coronary heart disease were randomly divided into 8 groups by dialectical diagnosis, and by conventional ultrasound inspected the carotid IMT, then divided into mild, moderate and sever. Results： In the 223 cases patients with coronary heart disease, the patients with heart-blood stagnation accounted for 30. 04% （67/ 223, 95% C1 = 24.02% - 36.06% ） ; phlegm closed stagnation for 24. 66% （55 /223,95% CI = 19.00% - 30. 32% ） ;Qi stagnation in cardiothoracic for 12.56% （28/223, 95% CI =8.21% -16.91% ） ;Yang deficiency of heart and kindey for 10.31% （23/223,95% CI = 6. 32% - 14. 30% ） ;Yin deficiency of heart and kindey for 9.42% （21 /223, 95% CI =5.59% - 13.25% ） ;deficiency of both Qi and Yin for 8.52% （ 19/223,95% CI = 4.86% - 12. 18% ） ; cold accumulating in heart meridian for 4. 48% （ 10/223,95% CI = 1.76% - 7.20% ） ; among these compared heart-blood stagnation, phlegm closed stagnation to Qi stagnation in cardiothoracic, Yang deficiency of heart and kindey, Yin deficiency of heart and kindey, deficiency of both Qi and Yin, cold accumulating in heart meridian （95 % CI not overlap, P 〈 0. 05 ） , the differences are significant ; compared phlegm closed stagnation to cold accumulating in heart meridian （95 % CI not overlap, P 〈 0. 05 ）, the difference is significant. By TCM syndrome type classifiablely compared carotid intima-media lesion of 223 cases patients with coronary heart disease（χ^2 =26. 695 3 ,f=6,P 〈0.01 ） , the differences were significant; in comparing among groups, carotid IMT of heart-blood stagnation, phlegm closed stagnation, Qi stagnation in cardiothoracic and Yin deficiency of heart and kindey was significantly higher than the group of cold accumulating in heart meridian （ P 〈 0.05 ）. Conclusion ： Among the distribution

关 键 词：冠心病 中医证型 颈动脉彩超 

分 类 号：R541.4[医药卫生—心血管疾病]