摘要
目的探讨冠心病(CHD)冠脉造影(CAG)Gensini评分与血瘀证的相关性。方法选取209例经CAG确诊的CHD患者,记录其中医证候与血瘀证计分,并根据CAG结果行Gensini评分,分析其与CHD血瘀证计分及中医证候分布之间的相关性。结果 CHD患者以血瘀证、痰浊证、气虚证最为多见,分别为144例(68.9%)、93例(44.5%)、74例(35.4%)。血瘀证患者冠状动脉最重狭窄和Gensini评分均高于非血瘀患者(P<0.05),痰浊患者的Gensini评分较非痰浊患者严重(P<0.05),其余证型比较,差异均无统计学意义。CHD血瘀证计分与Gensini评分呈正相关(Pearson相关系数为0.68,P=0.012 8)。结论 CHD患者血瘀证计分与冠状动脉病变严重程度呈正相关。
Objective To study the correlation between blood stasis syndrome and the characteristics of coronary angiography in coronary heart disease（CHD） patients without intervention.Methods The syndrome types of traditional Chinese medicine（TCM） and blood stasis score in 209 CHD patients confirmed by coronary angiography were recorded.Gensini score was calculated according to the coronary angiography.The correlations between Gensini score and blood stasis syndrome score and distribution of TCM syndrome were analyzed.Results Among the TCM syndrome types,blood stasis syndrome,turbid phlegm syndrome and qi deficiency syndrome were the most common syndromes,revealed in 144 patients（68.9%）,93 patients（44.5%） and 74 patients（35.4%）,respectively.The Gensini score and heaviest narrow in the patients with blood stasis syndrome were higher than those in the patients without blood stasis syndrome（P＆lt;0.05）.The Gensini score in the patients with turbid phlegm syndrome were higher than those in the patients without turbid phlegm syndrome（P＆lt;0.05）.Besides,with bivariate analysis,the blood stasis syndrome score showed positively correlation with Gensini score（Pearson correlation coefficient was 0.68,P=0.012 8）.Conclusion The blood stasis syndrome score have positively correlation with the characteristics of coronary angiography,and it can reflect the severity of coronary lesion.
出处
《中西医结合心脑血管病杂志》
2013年第2期129-130,共2页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
基金
中医药行业科研专项(No.201007001)
国家"重大新药创制"科技重大专项(No.2009ZX09502)
北京市中医药科技项目(No.SF-2009-I-09)
关键词
冠心病
血瘀证
GENSINI评分
coronary heart disease
blood stasis syndrome
Gensini score
