冠状动脉病变与中医辨证分型关系的初步研究

Preliminary study on relationship between coronary artery lesions and different syndrome-type in traditional Chinese medicine

目的探讨冠心病中医辨证分型与冠状动脉病变之间的内在联系.方法 对95例初诊患者辩证分型后,与冠状动脉造影结果相对照.结果 冠状动脉造影阳性组气虚血瘀型(26/62例)与阴性组(4/33例)比较,有非常显著差异(P<0.01);双支及3支病变气虚血瘀型占60.6%(20/33例),心阳虚型左主干及3支病变占87.5%(7/8例);阳性组累及前降支者82.3%(51/62例),提示与气虚血瘀型有对应关系.结论 冠状动脉病变与中医辩证分型之间有一定关系,初步认为是中医辩证的客观化指标之一.

Objective To explore the relationship between Syndrome-type of coronary artery disease(CHD) with coronary artery stenosis. Methods To contrast results of coronary angiography in TCM. Results There were significantly differences between Heart-Qi Deficiency and Blood Stasis(HQDBS) type of groups with abnormal and normal coronary angiography(P<0. 01). In abnormal group,HQDBS type with doube- and triple- vessel lessions were 60. 6% ,or Heart-Yang Deficiency(HYD) type with LM and triple-vessel lesions were 87. 5%,82. 3% affected LAD in abnormal group,and was related to HQDBS type. Conclusions Conoary artery stenosis might be corelated with Different Syndrome-type in TCM,also were one of objective parameters.