真心痛的辨证分型及其与血脂的相关性研究

The Study of Real Cardiodynia and Relationship with Blood Lipids

目的探讨真心痛的证型规律及其与血脂的关系。方法收集急性心肌梗死60例,对其辨证分型进行归纳,并以同期健康体检人员60例为对照,对其血脂数据进行对比分析。结果血瘀、气虚、痰浊为真心痛的主要病机,痰瘀痹阻证、气虚血瘀证和气阴(血)两虚证是最常见的中医证型。HDL降低和VLDL升高与真心痛发病密切相关。血瘀证、气虚证和痰证与VLDL升高密切相关,气虚证与TG升高密切相关。结论真心痛辨证应重视血瘀、气虚、痰浊;HDL降低和VLDL升高是真心痛发病的危险因素;血瘀证、气虚证和痰证的真心痛患者VLDL水平高于正常人群。

Objective： To investigate the symptomatology principles of real cardiodynia（真心痛 ）and its relationship with blood lipids. Methods： 60 cases of acute myocardial infarction （AMI）patients admitted during 2005 through June 2006 were recruited for symptomatology analysis and 60 healthy subjects were recruited as control group. Blood lipid data of both groups were collected and compared. Results： The real cardiodynia （真心痛 ）takes phlegm and blood stasis congestin（痰瘀痹阻证）,deficiency of Qi and blood stasis（ 气虚血瘀证）, deficiency both of Qi and Yin（气阴两虚证 ） as its major syndromes. Blood stasis （血瘀）, deficiency of Qi （ 气虚 ）, phlegm （痰 ） are the major causes of real cardiodynia. Blood stasis, deficiency of Qi and phlegm syndromes are related to increase of VLDL. Meanwhile, deficiency of Qi syndrome is related to increase of TG. Conclnsion： We should pay attention to blood stasis, deficiency of Qi and phlegm. The VLDL level of real cardiodynia patients with blood stasis, deficiency of Qi and phlegm syndromes is higher than normal.