冠心病血瘀证及痰浊证与其他证型颈动脉彩超的对比研究

Relationship between Carotid Atherosclerosis and TCM Syndrome Types in Coronary Heart Disease

目的探讨冠心病不同中医证型与颈动脉粥样硬化程度的关系。方法对比研究冠心病病人血瘀证和痰浊证和其他证型(气虚证、阴虚证、阳虚证、气滞证和寒凝证)与颈动脉粥样硬化程度的相关性。所有病人均行颈动脉超声检查,并行血脂检查,包括三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)。结果血瘀证和痰浊证组颈动脉病变程度显著高于其他证型(P<0.05),血瘀证和痰浊证是冠心病的危险证型。结论颈动脉病变的严重程度可作为冠心病血瘀证及痰浊证与其他证型的宏观分型指标之一。

Objective To study the correlation between carotid atherosclerosis and TCM syndrome types differentiation in coronary heart disease （CHD）. Methods One hundred and twenty patients （pts） with CHD were divided into different TCM types and atherosclerosis plaques in carotid were detected by ultrasonography. The atherosclerosis plaques were compared between different types. Results The degree of atherosclerosis were more severe in blood - stasis syndrome group and phlegm - turbid syndrome group which were the risk type in CHD than that in other types （Qi deficiency syndrome, Yin deficiency syndrome, Yang deficiency syndrome, Qi stagnation syndrome and cold condensation syndrome）. Conclusion The severity of carotid atherosclerosis might related to the TCM differentiation syndrome type in CHD.