冠状动脉狭窄程度与心肌肌钙蛋白Ⅰ及中医证类关系探讨  

Study on the Relationship between Severity of Coronary Stenosis and cTn I and Syndrome Differentiation Typing in CHD

作　　者：李俊[1] 万虹[1] 王佳勇[1] 刘映峰[1] 杨俊[1] 

机构地区：[1]第一军医大学附属珠江医院,广州510282

出　　处：《中国中医急症》2001年第5期280-281,共2页Journal of Emergency in Traditional Chinese Medicine

摘　　要：目的研究冠状动脉狭窄程度与心肌肌钙蛋白ⅠcTnⅠ及中医证类的关系。方法对确诊为冠心病CHD的124例患者进行冠状动脉造影CAG,同时检测血清cTnⅠ,并进行中医证候分类。结果冠状动脉狭窄者82例,cTnⅠ水平与冠状动脉狭窄程度呈正相关P<0.05;在重度狭窄者中血证组高于气证组P<0.05;中医证类分布,在冠状动脉正常组气证多于血证P<0.05,在冠状动脉重度狭窄组则血证多于气证P<0.05。结论cTnⅠ与中医证类和冠状动脉狭窄程度有一定的相关性,可作为CHD中医证类客观化研究的一个参考指标。To explore the relationship between the degree of stenotic in coronary artery and cTn I and syndrome differentiation typing in CHD.Methods:124 CHD parients were undergone CAG,observed the syndrome differentiation typing of TCM,and tested cTn I.Results:There were stenotic lesions in coronary artery on 82 patients,the cTn I in severe stenotic lesions parients in coroary artery was significantly higher than that in slight stenotic lesions and normal ones in coronary artery (P<0.05),that was significantly higher in Xue syndrome on the severe stenotic lesions Patients than that in Qi syndrome (P<0.05).The Qi synrome was outnumber the Xue syndrome in the normal coronay artery patients,which was contrary to severe stenotic lesions pari-ents(P<0.05).Conclusion:The cTn I are correlated with the syndrome differentia-tion typeing and the degree of stenotic lesions in coronary artery,it might be taken as a good criterion for the study of CHD in syndrome differentiation thping.

关 键 词：冠心病 冠状动脉造影术 心肌肌钙蛋白Ⅰ 中医证候分类 

分 类 号：R259.414[医药卫生—中西医结合]