中医体质辨证与动态心电图相结合对冠心病早期诊断的研究

Study on TCM Syndrome Differentiation Combined with Dynamic ECG in Early Diagnosis of Coronary Heart Disease

目的探讨传统中医体质辨证与现代医学动态心电图相结合对冠心病早期诊断的作用。方法通过本院保健中心开展的中医体质分析检查,筛选出血瘀体质、痰湿体质及平和体质受试者各80名参与研究。一年内出现过不明原因的胸闷、胸痛症状,并达到3次以上者进行动态心电图观察比较。结果三种体质人群中冠心病的发病率有差异。结论中医体质辩证为痰湿体质和血瘀体质的受试者冠心病的发病率较平和体质高。

Objective To investigate the value of traditional Chinese medicine syndrome differentiation combined with dynamic electrocardiogram on the early diagnosis of coronary heart disease. Methods Base on the ＂Analysis of Chinese Medical Constitution＂ item in the health center of our hospital, blood stasis constitution （n = 80）, phlegm-dampness constitution （n = 80） and moderate constitution （n = 80） were selected as the research objects. The patients who had unexplained chest tightness or chest pain, and up to 3 times in a year were required to take dynamic electrocardiogram examination in order to compare with others. Results The incidence of coronary heart disease had difference among these 3 groups. Conclusions Those with phlegm dampness constitution and blood stasis constitution have higher incidence of coronary heart disease than those with moderate constitution.