脉压与冠心病中医证型及冠脉病变严重程度的相关性研究被引量：6

Correlation between Pulse Pressure,TCM Syndrome Differentiation and Lesions of Coronary Artery in Coronary Heart Disease

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摘要目的探讨脉压与冠心病中医证型及冠脉病变严重程度的相关性。方法临床诊断冠心病患者136例,测得脉压,于冠状动脉造影前对其进行中医辨证分型,分析脉压与冠心病中医证型及冠脉病变严重程度的相关性。结果脉压≤40mmHg者与脉压>40mmHg者比较,冠脉病变数量及冠脉病变程度均有统计学意义(P<0.05);且脉压≤40mmHg时,冠心病中医证型以心气虚弱型为主,脉压>40mmHg时,以心血瘀阻型、痰浊内阻型为主。结论脉压≤40mmHg与脉压>40mmHg对预测冠脉病变程度有重要意义,脉压的增大反映着冠状动脉病变的严重程度,脉压与冠心病中医证型之间有一定相关性。 Objective To explore the correlation between pulse pressure（PP）,traditional Chinese medicine（TCM） syndrome differentiation and lesions of coronary artery in coronary heart disease （CHD）.Methods Pulse pressures of 136 patients （pts） with CHD,who were differentiated by TCM syndrome before coronary arteriongraphy,were studied.The correlation between pulse pressure,TCM syndrome differentiation and lesions of coronary artery in CHD was analyzed.Results There were significant differences between group 1（PP≤40 mmHg） and group 2（PP40 mmHg） in degree of coronary artery lesions（P0.05）.When PP was lower than 40 mmHg,TCM syndrome was heart-Qi deficiency syndrome in pts.When PP was higher than 40 mmHg,TCM syndrome were heart blood stasis syndrome and stagnation of turbid phlegm in pts.Conclusion PP was a very important index to predict the degree of coronary artery lesions.The higher pulse pressure had,the more lesions of coronary artery existed.Besides,there was definite correlation between PP and TCM syndrome differentiation in CHD.

作者庄微潘涛

机构地区南京中医药大学第一临床医学院

出处《中西医结合心脑血管病杂志》 2010年第12期1423-1424,共2页 Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

关键词脉压冠心病中医证型冠脉病变 pulse pressure coronary heart disease traditional Chinese medicine syndrome differentiation coronary artery lesion

分类号 R259 [医药卫生—中西医结合]

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