冠心病合并糖尿病冠脉病变以及其中医证侯学的特点研究被引量：2

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摘要目的探讨冠心病合并糖尿病冠状动脉病变及中医证候学特点。方法对研究组冠心病合并糖尿病患者与对照组冠心病未合并糖尿病患者临床资料进行回顾性分析,记录两组患者冠状动脉造影检查结果及中医辨证分型情况,给予统计学分析后得出结论。结果研究组发生三支冠状动脉病变所占比例高达51.22%,C型病变率高达78.05%,显著高于对照组发生三支冠状动脉病变所占比例26.83%,C型病变率53.66%;研究组中医证候学分布为血瘀(73.17%)、气虚(70.73%)、阴虚(53.66%)所占比例显著高于对照组(56.10%、53.66%、31.71%)(P<0.05)。结论冠心病合并糖尿病患者冠状动脉病变数量较多且多属C型,中医症候群以血瘀、气虚、阴虚为主,临床医生应准确掌握此类患者冠状动脉病变及中医证候学特点,根据其实际情况进行综合判断后提出正确治疗方案,有利于保障患者疗效及预后。

作者杨保成

机构地区山西省大同市第五人民医院中医科

出处《光明中医》 2015年第12期2571-2572,共2页 GUANGMING JOURNAL OF CHINESE MEDICINE

关键词冠心病糖尿病冠状动脉病变中医证候学

分类号 R259 [医药卫生—中西医结合]

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