胸痹辨证分型与冠状动脉造影结果相关性分析

Study on Correlation between Thoracic Obstruction Syndrome and Result of Coronary Angiography

目的:探讨胸痹证型与冠状动脉造影结果的关系,为胸痹的诊断及治疗提供客观依据。方法:对心内科确诊为胸痹且行冠状动脉造影的844例患者进行回顾性调查,观察胸痹各证型与冠状动脉造影结果的关系。结果:经统计学检验,不同证型在阻滞支数上有极显著性差异(P=0.001),在阻塞程度上有极显著性差异(P=0.003)。3支阻塞比例最高者为痰瘀互结组,其次为气虚血瘀组;冠脉造影阳性者中,比例最高者亦为痰瘀互结组,其次为气虚痰瘀组。结论:痰瘀互结证为胸痹最危险证型,其次为气虚血瘀和气虚痰瘀证。

Objective：To study the relation between thoracic obstruction syndrome and result of coronary angiography,so that the objective proof and treatment of thoracic obstruction diagnosis can be offered.Methods：Retrospective study was carried on 844 thoracic obstruction patients with coronary angiography results,and the relation between thoracic obstruction syndrome and results of coronary angiography was studied.Results：Statistical analysis showed that there was obvious difference in obstruction numbers（P=0.001）and obstruction degree（P=0.003）in different syndromes.The max obstruction proportion was phlegm and blood-stasis group among the three branches obstruction,subsequent proportion was Qi asthenia and blood-stasis group.The max obstruction proportion was also phlegm and blood stasis group in positive cases with coronary angiography,subsequent proportion was Qi asthenia and phlegm-stasis group.Conclusion：The most dangerous syndrome of thoracic obstruction is phlegm and blood stasis,and Qi asthenia and blood-stasis and Qi asthenia and phlegm-stasis are less dangerous syndromes.