颈动脉粥样硬化斑块稳定性与中医证型相关性研究

The relationship between stabilization of carotid artery atherosclerosis plaques with different TCM syndromes

目的探讨颈动脉粥样硬化斑块稳定性与中医证型的关系。方法对60例颈动脉粥样硬化斑块（carotidarteryatherosclerosisplaques，CAS）患者进行辨证分型及颈动脉B超检查，探讨CAS稳定性与中医证型的相关性，为CAS治疗提供临床依据。结果CAS稳定斑块患者中气血亏虚型、肾精不足型所占比例较大。CAS不稳定斑块患者中，痰瘀阻络型、气虚血瘀型所占比例较大。表明稳定斑块患者以虚证多见，不稳定斑块患者以实证、虚实夹杂证多见。结论不同中医证型CAS的稳定性不同，痰瘀阻络证、气虚血瘀型CAS稳定性差，是颈动脉粥样硬化的高危证型。

Objective To study the relationship between stabilization of patients with carotid artery atheroscterosis plaques and different traditional Chinese medicine （TCM）syndromes. Methods 60 patients with carotid artery atherosclerosis plaques were undertaken TCM syndrome differentiation and carotid Color Doppler ultrasonography tested. Results The cases of insufficiency of kidney essence and insufficiency of vital energy and blood had occupied a larger ration in stabilization carotid artery atherosclerosis plaques; while sputum and blood stasis locking collaterals syndrome and blood stasis due to Qi deficiency syndrome had statistical significance in unstabilization carotid artery atherosclerosis plaques. Conclusion Different TCM syndromes had different stabilization of carotid artery atherosclerosis. Sputum and blood stasis locking collaterals syndrome and blood stasis due to deficiency syndrome are unstable. These two syndromes are high risk syndromes of carotid artery atheroselerosis plaques.