摘要
采用无创性心功能检测法和脉图法对生理迟脉和病理迟脉进行了对比研究。病理退脉以冠心病患者为研究对象。结果表明：①与生理迟脉相比，冠心病退脉之脉图主波幅和降支斜率减小，降中峡位置较高。同时心输出量下降，心指数和心脏功能指数减小，主动脉顺应性下降，总外周阻力升高。提示心血管功能受损是冠心病迟脉脉图改变的病理生理学基础，也是生理迟脉与冠心病迟脉二者在脉诊上有力和无力差异的原因。②冠心病迟脉兼脉有弦脉、细脉、涩脉等，以兼弦脉居多；但脉图改变和心血管功能受损程度，以兼细脉、兼涩脉者尤为显著。
With the method of non-invasive cardiac function test and pulse graph, the author comparatively investigated the physiological (normal) slow pulse and pathological (morbid) slow pulse. Pathological slow pulse was studied on cases with coronary heart disease (CHD). The results showed: 1. The height of main wave and slope of descending branch o f isthmur of descending branch increased in comparision with that of physiological slow pulse, in the meantime,cardiac output, cardiac index, cardiac function index, aortic compliance reduced, total peripheral resistance added. These results indicated that the injury of cardiovascular function laid the foundation for pathophysiology of slow pulse of CHD,it was also the cause which made diference between the strong of physiological slow pulse and the weak of CHD slow pulse. 2. CHD slow pulse was always accompanied by string pulse,thready pulse and uneven pulse, etc, but the change of pulse graph and the degree of injury of cardiovascular function were significant in patients whose pulse accompanied by thready pulse or uneven pulse.
出处
《北京中医药大学学报》
CAS
CSCD
1996年第1期35-38,共4页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家中医药管理局重点资助项目
国家自然科学基金
关键词
脉诊
脉图
迟脉
心血管功能
Pulse Diagnosis
Pulse Graph
Impedance Cardiogram
Cardiovascular Function
Coronary Heart Disease
