64层螺旋CT冠脉成像与胸痹证型的相关性研究  

Study on the correlation of 64 slice spiral CT coronary artery imaging and chest pain syndromes

作　　者：褚爱鹏[1] 

机构地区：[1]河南省商丘市第一人民医院放射科,河南商丘476100

出　　处：《临床医药文献电子杂志》2016年第10期1784-1785,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的：探究64层螺旋CT冠脉成像与胸痹证型的相关性。方法选取我院2013年5月～2015年7月收治的冠心病患者456例为研究对象，按照CT冠脉成像的结构，冠脉是否存在病变、病变范围、钙化积分和冠脉狭窄程度，斑块性质进行分组，观察患者胸痹不同证型的冠脉病变情况，并对其相关性进行分析。结果病变冠脉较常见心血瘀阻证和痰浊痹阻证，冠脉病变范围和狭窄程度，显著高于其他证型组患者。粥样斑块常见心血瘀阻证、痰浊痹阻证，两组患者的软斑块发病率较高，且高于其他证型。结论冠状动脉病变和胸痹中医证型有直接相关性。而心血瘀阻证、痰浊痹阻证冠脉病变的范围更广，同时狭窄程度较严重，软斑块比例较高，为胸痹中危险证型。ObjectiveTo explore the correlation of 64 slice spiral CT coronary artery imaging and chest pain syndromes.MethodsIn our hospital in 2013 456 cases of coronary heart disease patients may 2015, hospitalized from July, according to the structure of CT coronary artery imaging coronary whether there lesions and scope, calciifcation and coronary artery stenosis, plaque characteristics were grouped observation of chest pain patients of different syndrome type of coronary lesion, and to analyze the correlation.ResultsCoronary artery disease is a common blood stasis and phlegm stagnation syndrome in and extent of coronary lesions and the degree of stenosis was signiifcantly higher than that of the other syndromes patients. Atherosclerotic plaque common heart blood stasis syndrome, phlegm stagnation syndrome in, patients in the two groups of soft plaque incidence rate is higher, and higher than that of other syndromes.ConclusionThere is a direct correlation between coronary artery disease and chest pain syndromes. And blood stasis syndrome, phlegm turbid Bizu coronary lesions range is wider, and the degree of stenosis is severe, a higher percentage of soft plaque and chest in the dangerous syndrome.

关 键 词：64层螺旋CT冠脉成像 胸痹证型 相关性 

分 类 号：R256.2[医药卫生—中医内科学]