冠心病患者中医辨证分型与冠脉造影结果的关系研究

Study of Relationship Between TCM Syndrome in Patients with Coronary Heart Disease and Coronary Angiography

目的:探讨冠心病中医证型与冠脉病变的相关性,为冠心病中医辨证分型提供客观指标。方法:选取250例冠状动脉造影患者进行中医辨证分型,记录冠脉病变支数、狭窄程度,并采用Gensi ni法计算冠脉病变积分。结果:心气虚弱型、心肾阴虚型以冠脉正常、单支病变、轻中度狭窄为主,病变积分低;痰浊内阻型、心血瘀阻型以多支病变、闭塞性病变为主,病变积分高。结论:冠心病中医证型与冠脉病变有一定相关性,冠脉病变可以为冠心病中医辨证提供客观依据。

Objective：To evaluate coronary syndromes associated with coronary artery disease,so that to provide objective indicators coronary heart disease of TCM syndrome.Method：250 cases of patients with coronary angiography,coronary artery disease recorded count,degree of stenosis,and coronary artery disease using Gensini method to calculate the points.Heart coronary syndromes are divided into heart gas weak type,heart-kidney yin deficiency type,phlegm resistance type,heart blood stasis type.Result：Normal coronary,single-vessel disease,mainly mild to moderate stenosis,lesion points lower are in heart gas weak type and heart-kidney yin deficiency type.And multi-vessel disease,blocking diseases,histopathologic scores high in phlegm resistance type and heart blood stasis type.Conclusion：The coronary syndromes are associated with coronary artery disease,and can provide objective indicators coronary heart disease of TCM syndrome.