冠心病中医证型与冠状动脉狭窄程度的相关性研究  

Correlation Research between TCM Syndrome of Coronary Heart Disease and Doronary Artery Stenosis Degree

作　　者：胡丽娜[1] 陈小光[2] 吴焕林[1] 

机构地区：[1]广东省中医院二沙岛分院,广东广州510000 [2]广州中医药大学第二临床医学院,广东广州510000

出　　处：《中国医药指南》2015年第24期5-7,共3页Guide of China Medicine

基　　金：广东省财政厅:中医特色治则治法方药临床应用研究(粤财社(2012)239号)

摘　　要：目的挖掘冠心病中医证型与冠状动脉狭窄程度相关性规律。方法采用横断面调查研究,对现代文献电子数据库进行搜索、根据纳入标准、排除标准进行文献纳入,对文献进行数据分析,探讨冠心病中医证型与冠状动脉狭窄程度相关性规律。结果共纳入文献19篇,患者例数3536例,冠心病证型前三位分别为痰证(37.14%)、血瘀证(36.27%)、气虚证(21.96%);纳入冠状动脉狭窄程度研究文献8篇,患者例数为1430例,中度、重度冠状动脉狭窄以痰证、血瘀证为主,痰证、血瘀证与非痰非瘀证比较差异有统计学意义(P<0.05)。结论气虚证、痰证、血瘀证为冠心病中、重度狭窄患者的三大证型,冠状动脉狭窄程度与痰证、血瘀证存在相关性,可以作为冠心病中医痰证、血瘀证的诊断的参考指标之一。Objective Mining correlation law between TCM syndrome of coronary heart disease and coronary artery stenosis degree. Methods Search literature according to the literature inclusion criteria and exclusion criteria in an electronic database literature,analyze the literature data and Mining correlation law between TCM syndrome of coronary heart disease and coronary artery stenosis degree. Results Top three coronary heart disease of TCM syndrome types are phlegm syndrome, blood stasis, deficiency based on 19 references and 3536 cases of patients. Moderate and severe coronary stenosis is given priority to with phlegm syndrome, blood stasis, having statistical significance when compared with other syodromes（P〈0.05）. Conclusion Top three syndrome types of TCM of moderate and severe coronary stenosis contains procession of phlegm syndrome, blood stasis, qi deficiency syndrome. Moderate and severe coronary stenosis can be used as the diagnostic criteria of TCM phlegm syndrome, blood stasis.

关 键 词：冠心病 证型 痰证 血瘀证 冠状动脉狭窄 

分 类 号：R541.4[医药卫生—心血管疾病]