胸痹心痛证冠状动脉造影100例临床分析

Clinical Analyses of 100 Coronary Arteriography Cases with Xiong-Bi-Xin-Tong Syndromes

目的 :应用冠状动脉造影 (冠造 )诊断胸痹心痛证 ,探求中医证候规律 ,指导临床治疗。方法 :用数字减影心血管造影系统 ,以 Judkins法对 10 0例患者行冠脉造影 ,按冠状动脉 (冠脉 )狭窄性质分为轻、中、重和闭塞性病变 ,根据冠脉受累分为左主干、单支和多支病变 ,按中医辨证分型观察。结果 :发现胸痹心痛以虚实夹杂多见 ,占 57%。冠造正常的胸痹心痛患者 ,以气虚气滞多见 ,其次是气虚痰浊 ;冠造异常冠脉多支病变及重度狭窄的以气虚痰浊、气虚血瘀多见。结论 :通过冠造可以将胸痹心痛证候量化及客观化 ,并按胸痹的缓急、轻重将本病分为气滞心脉、寒凝心脉、心络瘀阻、血瘀心脉及心脉闭阻等中医证型。根据冠脉病变程度区分“本虚标实”及“本实标虚”

Objective:To apply the coronary arteriography in the diagnosis of Xiong Bi Xin Tong Syndromes.Methods:100 cases were studied by using coronary arteriography and divided into mild,moderate and severe groups based on the stenosis levels.Results:The result showed that the Xiong Bi Xin Tong Syndromes cases were complicated with weakness(57%).Normal arteriography cases mainly have Qi asthenia Qi stagnation syndromes.Abnormal arteriography cases mainly have Qi asthenia phlegm and Qi asthenia blood stasis sydromes.Conclusions:Better treatment could be conducted based on the different TCM diagnosis to the cardiac cases with Xiong Bi Xin Tong Syndromes.