摘要
目的探讨冠心病(CHD)患者与中医证型的关系及冠心病介入治疗情况,为冠心病临床科研一体化技术平台服务。方法选择2012年5月-2013年5月于新疆医科大学附属中医医院心内科经冠脉造影检查诊断为冠心病并行PCI术375例出院患者。分为秽浊痰阻、心血瘀阻、痰阻心脉、气滞血瘀、气虚血瘀、气阴两虚、心肾阴虚7类中医证型。将病案资料中的相关信息填入表格,经核准后对数据进行全面分析。结果 (1)375例冠心病行PCI术患者中,中医辨证标实证中秽浊痰阻证210例(56.00%),所占比例最多,非秽浊痰阻者165例(44.00%);非秽浊痰阻中以气虚血瘀、痰阻心脉、气阴两虚为主要证型;(2)冠心病患者中以汉族、维吾尔族、哈萨克族多见,显示证型以秽浊痰阻为主;(3)男性冠心病患者发病率高于女性(P<0.001);(4)冠心病各中医证型中秽浊痰阻为主要证型;(5)以高血压、吸烟及糖尿病为冠心病主要危险因素;(6)冠心病患者的冠脉病变以前降支为主,秽浊痰阻证型以多支病变为主;(7)冠心病患者PCI术前与术后中医证型均以秽浊痰阻为主要证型。(8)秽浊痰阻证的冠脉狭窄以重度狭窄为主,且以多支病变为主要证型,非秽浊痰阻型冠脉病变程度轻于秽浊痰阻证,PCI术前、术后均以秽浊痰阻型为主证。结论秽浊痰阻证是新疆医科大学附属中医医院冠心病患者行PCI术前术后的主要中医证型,中医证型与冠脉病变具有一定的相关性。
Objective To study on coronary heart disease （CHD） patients and the relationship between TCM syndromes and interventional therapy for coronary heart disease, in order to service for coronary artery disease clinical research technology. Methods Selected 375 cases of discharged patients during May 2012 to May 2013 in Traditional Chinese Medicine Hospital of Xinjiang Medical University, all of them were diagnozed by coronary angiography, they also undertaken percutaneous coronary intervention （PCI）. They included RID turbid phlegm blocking, blood stagnation and phlegm blocking heart vessel, Qi stagnation blood stasis, Qi-deficieney and blood stasis and Qi-Yin deficiency and seven categories such as heart and kidney Yin deficiency syndromes of traditional Chinese medicine. The related information in the medical record information into the form ,a comprehensive analysis of the data after it has been approved. Results （1） 375 cases of coronary heart disease （CHD） taken PCI operation, dirty phlegm syndrome was in 210 cases （56.00%）, which aaounted for the most proportion, none-dirty phlegm obstruction were 165 cases （44.00%） ; None-dirty phlegm obstruction of qi deficiency with blood stasis and phlegm obstruction heart arteries and veins, gas Yin deficiency was the main syndrome types. （2） Patients with coronary heart disease was mainly comtained Han, Uyghur,Hui nationality, display card type was given priority to with dirty phlegm resistance, its causes and all nationalities in xinjiang unique natural environment and living habits are closely connected. （3） Male patients with coronary heart disease incidence was higher than female group （P 〈0.001）. （4） Dirty phlegm obstruction type was the main type TCM syndrome types in Coronary heart disease （CHD）. （5） In patients with coronary heart disease risk factors in high blood pressure, smoking and diabetes were the main risk factors. （6） the coronary heart disease in patients with coronary artery lesions before descending was given priority to, dirty phlegm syndrome was given priority to with multivessel lesions. （7） the PCI preoperative and postoperative patients with coronary artery disease of TCM syndrome types were dirty phlegm resistance as the main syndrome types. （8） dirty phlegm obstruction of the coronary artery stenosis was given priority to severe stenosis, and multivessel disease as the main syndrome types, the dirty degree was lighter than phlegm obstruction type of coronary lesions dirty phlegm syndrome, preoperative after PCI card was given priority to with dirty phlegm resistance type. Conelusioll Dirty phlegm syndrome is the major type of syndrome in Xinjiang Autonomous Region Hospital of Traditional Chinese Medicine of coronary heart disease patients with preoperative PCI postoperative, and the degree of stenosis is more and more serious, he main lesion counted more, the study shows that preoperative PCI postoperative are given priority to with dirty phlegm resistance type certificate, the TCM syndrome type and coronary artery disease have a certain correlation.
出处
《新疆医科大学学报》
CAS
2014年第1期74-78,共5页
Journal of Xinjiang Medical University
基金
中医药行业科研项目(201191166)
关键词
冠心病
PCI
中医证型
秽浊痰阻
coronary heart disease
percutaneous coronary intervention （PCI）
TCM syndromes of turbid phlegm
dirty phlegm obstruction type
