超声心动图联合甲状腺指标在缺血性心肌病中医辨证分型中的研究  

Study on Echocardiography Combined with Thyroid Index in Traditinoal Chinese Medicine Syndrome Differentiation of Ischemic Cardiomyopathy

作　　者：马秀云[1] 马民凯[1] 魏丽珍 MA Xiuyun;MA Minkai;WEI Lizhen(The Fourth Central Hospital of Baoding City/the People's Hospital of Tangxian County,Baoding Hebei 072350,China)

机构地区：[1]保定市第四中心医院/唐县人民医院

出　　处：《四川中医》2019年第12期77-80,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：河北省中医药管理局-超声心动图联合甲状腺指标在缺血性心肌病中医辨证分型中的研究(编号:2016301)

摘　　要：目的:观察超声心动图联合甲状腺指标在缺血性心肌病中医辨证分型中意义及指标差异。方法:选取缺血性心肌病患者80例为实验组,根据中医辨证分型标准分为阳气虚脱型、阳虚水泛型、血脉瘀阻型、气阴两虚型、心肺气虚型;另选取同期健康体检者40例作为对照组,检测两组超声心动图[左心室内径(LV)、搏出量(SV)、左心室舒张末容积(LVEDV)、左心室收缩末容积(LVESV)、左心室射血分数(LVEF)和左室短轴缩短率(FS)]、脑钠肽(BNP)、甲状腺激素[血清总三碘甲状原氨酸(T3)、四碘甲状原氨酸(T4)、游离血清总三碘甲状原氨酸(FT3)、游离四碘甲状原氨酸(FT4)、促甲状腺素(TSH)]等指标。结果:实验组患者LVEF、SV、T3明显低于对照,不同证型之间存在差异(P<0.05),BNP、FT3明显高于对照组,不同证型之间存在差异(P<0.05);LV、LVEDV、LVESV、FS、T4、FT4、TSH水平与对照组比较差异均无统计学意义,不同证型之间无显著差异(P均>0.05)。结论:超声心动图及甲状腺指标表现与缺血性心肌病中医辨证分型存在关联,合理运用超声心动图及甲状腺指标有助于帮助临床正确治疗。Objective: To explore the significance and index difference of echocardiography combined with thyroid index in TCM syndrome differentiation of ischemic cardiomyopathy.Methods: Eighty patients with ischemic cardiomyopathy were selected as experimental group.According to TCM syndrome differentiation criteria,they were divided into Yang deficiency,Yang deficiency,blood circulation,Qi and Yin deficiency,and heart and lung Qi deficiency.Another 40 healthy subjects were selected.As a controlled group,two groups of echocardiograms(left ventricular diameter,stroke volume,left ventricular end-diastolic volume,left ventricular end-systolic volume,left ventricular ejection fraction,and left ventricular short-axis shortening rate),brain natriuretic peptide,and thyroid were detected.Hormone(serum total triiodothyronine,thyroxine,free serum total triiodothyronine,free thyroxine,thyrotropin) and other indicators.Results: The LVEF,SV and T3 of the experimental group were significantly lower than the controlled group,BNP and FT3 were significantly higher than the controlled group,the difference was statistically significant(P < 0.05).LV,LVEDV,LVESV,FS,BNP,T4,FT4,TSH levels were no significant difference between the two groups(P > 0.05).Conclusion: Echocardiography and thyroid index are associated with TCM syndrome differentiation of ischemic cardiomyopathy.Rational use of echocardiography and thyroid indicators can help clinically correct treatment.

关 键 词：缺血性心肌病 超声心动图 甲状腺指标 中医辨证 

分 类 号：R542.21[医药卫生—心血管疾病]