249例冠心病患者冠脉造影的临床特征分析

Clinical Characteristics of 249 Cases with Coronary Artery Disease in Xinjiang Region

目的探讨冠心病患者各体质类型及中医证型的冠脉病变特点。方法 2010年2月—2010年10月运用横断面调查的方法,在新疆阿克苏等5个地区收集在新疆居住3年以上且经西医确诊第一诊断为冠心病和(或)中医辨病为胸痹的住院患者660例,挑选出有冠脉造影结果且资料完整的病例总共249份,分析冠心病患者各体质类型及中医证型的冠脉病变特点。结果 249例冠心病患者冠状动脉造影分型以右冠脉优势型为主,病变血管支数以多支血管病变为主,冠脉病变部位主要累及血管依次为前降支、右冠脉、回旋支和左主干。中医体质分布情况:平和质20例(8.03%),偏颇体质229例(91.97%),其中在偏颇体质中气虚质、痰湿质、血瘀质占据前三位。各体质类型冠心病患者的冠脉病变的狭窄支数比较无统计学意义(P>0.05)。中医证型中秽浊痰阻证140例(56.22%),非秽浊痰阻证109例(43.78%),以秽浊痰阻证为主,秽浊痰阻证组冠脉多支病变与非秽浊痰阻证组冠脉多支病变比较有统计学意义(P<0.05)。结论新疆冠心病患者以秽浊痰阻证为主,且秽浊痰阻证冠脉多支病变程度较重。

Objective To discuss traditional Chinese medicine（TCM）syndrome type in patients（pts） with coronary artery disease in Xinjiang region.Methods The data of 249 patients with coronary artery disease diagnosed by coronary angiography were collected and analyzed by cross-sectional survey method.The type of constitution and TCM syndrome type of coronary lesions characteristic were discussed.Results The coronary arteriography showed that right coronary vascular lesions was the dominance.Most pts were with multivessel lesions.TCM physique distribution was as follows peace constitution（20 pts,8.03%） and biased constitution（229 pts,91.97%）.The most prevalent kinds of biased constitution were qi deficiency constitution,phlegmy wet constitution and blood stasis constitution.TCM syndrome type was as follows turbidity phlegm resistance syndrome（140 pts,56.22%） and others（109 pts,43.78%）.Conclusion Most pts with coronary heart disease in Xinjiang region were turbidity phlegm resistance syndrome and multivessel vascular lesions.