不同证型冠心病患者螺旋CT冠状动脉CTA影像分析  

Analyses on CTA Image of Coronary Artery by Spiral CT in CHD Patients of Different Syndromes

作　　者：周涛[1] 何彪[1] 霍利[2] 李超 何龙[1] 王铁钢[1] 

机构地区：[1]唐山市中医医院,河北唐山063000 [2]玉田县医院 [3]唐山市古冶区中医医院

出　　处：《西部中医药》2015年第2期130-131,共2页Western Journal of Traditional Chinese Medicine

摘　　要：目的:观察不同中医证型冠心病患者冠状动脉CTA影像表现。方法:将100例患者分为心血瘀阻、痰阻心脉、寒滞心脉、气滞心脉、心气亏虚、心阴亏虚和心阳亏虚等7个证型。分析冠状动脉CTA影像特点。结果:心外膜脂肪体积(EAV)心血瘀阻证与其他证型比较差异有统计学意义(P<0.05);钙化积分(CACS)除气滞心脉证与心气亏虚证之间无统计学差异(P>0.05),其他各组间两两比较差异均有统计学意义(P<0.05)。结论:冠心病患者中医证型与冠状动脉CTA影像表现具有一定相关性。Objective： To observe CTA images of coronary artery in patients with coronary heart disease （CHD） of different TCM syndromes. Methods：Totally 100 CHD patients were classified into 7 syndromes-stagna-tion of heart-blood stasis, blockage of heart vessels by phlegm, cold accumulation and qi stagnation in heart vessels as well as heart-qi, heart-yin and heart-yang deficiency. The characteristics of the CTA images were analyzed. Re-sults：The differences of epicardial adipose volumn （EAV） in comparing stagnation of heart-blood stasis and other syndromes had statistical meaning （P〈0.05）;the differences of CACS in comparing each two groups had statistical meaning （P〈0.05） except for the comparison between stagnation of heart-blood stasis and heart-qi deficiency with no statistical meaning （P〉0.05）. Conclusion：There exists certain relations between CHD syndromes and CTA im-ages of coronary artery.

关 键 词：冠心病 中医证候 心外膜脂肪体积 钙化积分 多排螺旋CT 

分 类 号：R541.4[医药卫生—心血管疾病]