摘要
目的观察冠心病患者中医证型与冠状动脉Gensini积分、病变支数的关系,寻找辨证客观化指标。方法对102例冠心病患者进行中医分型和冠状动脉造影检查,对比分析中医证型与冠状动脉Gensini积分、病变支数的关系。结果单纯血瘀证组和血瘀兼气滞证组多见单支病变,血瘀兼痰浊证组和血瘀兼寒凝证组多见3支以上病变。阴虚证组以单支病变、双支病变为主,阳虚证组以双支病变、3支以上病变为主。标实证、本虚证各组间冠状动脉病变Gensini积分有显著性差异(P<0.01)。结论冠心病患者中医证型与冠状动脉Gensini积分、病变支数间存在相关性。
Objective: To define the relationsh/p between the TCM syndrome type and Gensini score, number of coronary artery lesion and find the macroscopic index in different syndrome type. Methods: 102 patients with CHD, were divided into different syndrome types, received coronary arteriography(CAG), analysed on the relationship between the TCM syndrome type and Gensini score, number of coronary artery lesion. Results: One artery lesion constituted the majority in blood stasis syndrome group, and Qi stagnation and blood stasis syndrome group, while three,artery and fourartery lesion were the most in phlegm turbid and blood stasis syndrome group and cold condensation and blood stasis syndrome group; one artery lesion and two-artery lesion constituted the majority in Yin deficiency group, two-artery lesion and three artery lesion constituted the majority in Yang deficiency group. There were differences in Gensini score between secondary excess syndrome groups and primary deficiency syndrome groups (P〈0. 01). Conclusion: There is a correlation between the TCM syndrome type and Gensini score, number of coronary artery lesion.
出处
《湖北中医学院学报》
2006年第2期10-12,共3页
Journal of Hubei College of Traditional Chinese Medicine