陈旧性心肌梗塞患者血瘀、阴虚、阳虚型的若干指标观察

Observation on Some Parameters for Blood-Stasis,Yin(阴)Deficiency,and Yang(阳)Deficiency Types'Patients of Old Myocardial Infarction

在确诊为陈旧性心肌梗塞患者中进行中医辨证分型,选出符合血瘀型者20例、阴虚型者28例、阳虚型者52例,总数100例患者,进行有关实验室研究。结果发现在阴虚型患者中 HDL-C 下降,LDL-C 上升,HDL-C/TC 比值下降,血小板聚集率(PAgT)上升,因子Ⅷ相关抗原(ⅧR:Ag)上升,与血瘀型、阴虚型和阳虚型相比,P 值分别为<0.05,<0.01,<0.001,都有显著的统计学意义。阴虚型者 ACG 检查示晚期膨出或高平顶图形,A/E-O≥15%,阳虚型者示 SV、CO、CI 降低,与阴虚型相比,P 值均<0.01,三型的微循环变化相似,均见微循环瘀滞变化。

This paper demonstrates some investigations on the differentiation of symptom-complex for old myocardial infarction patients(OMI).Among total 100 cases,20 cases of blood-stasis type,28 cases of Yin deficiency type and 52 cases of Yang deficiency type.Several laboratory investigations had been carried out for them.The results indicated the level of HDL-C was decreased, LDL-C was increased,ratio of HDL-C/TC was also decreased,platelet aggregation test(PAgT)was increased, factor Ⅷ related antigen(Ⅷ R:Ag)was elevated,among the above 3 types,especially in Yin deficiency group,showed statistically significant.In Yin deficiency group,the ACG tracing demon- strated late bulge type or in a plateau form,A/E-O≥15%,Yang deficiency group,SV,CO,CI were decreased,when compared with Yin deficiency all P value<0.01.Among 3 differentiation symptom- complex,microcirculation changes and degree of blood-stasis were in same appearance.