冠心病辨证分型与CT冠状动脉影像特征分析

Analysis of TCM Syndrome Differentiation of Coronary Heart Disease and CT Coronary Artery Imaging

目的探讨分析冠心病中医辨证分型与CT冠状动脉影像特征的关系。方法选取我院确诊收治的80例冠心病患者,共分为心血瘀阻、痰阻心脉、寒滞心脉、气滞心脉、心气亏虚、心阴亏虚及心阳亏虚等7个辨证。将其CT冠状动脉影像与同期正常体检健康对照组80人检查结果进行比较分析。结果冠心病患者主要中医特征为心血瘀阻(30.0%)、痰阻心脉(20.0%)及心阴亏虚(13.75%)。观察组患者心外膜脂肪组织(EAT)体积、冠状动脉钙化积分(CACS)均显著高于健康对照组,差异有统计学意义(P<0.05);观察组患者7类证候分型,组间比较差异不明显,无统计学意义(P>0.05)。结论冠心病中医辨证分型与CT冠状动脉影像具有一定关系,冠脉CTA检查具有十分重要的辅助诊断作用,值得在临床上广泛使用。

Objective To investigate the relationship between TCM s yndrome differentiation of coronary heart disease and CT coronary artery imaging. Methods Selecting 80 cases of patients with coronary heart disease diagnosed in our hospital, they were divided into blood stasis, phlegm blocking heart vessel, cold stagnation of heart meridian, qi stagnation heart meridian, qi deficient deficiency, heart deficiency of yin deficiency and deficiency of heart yang deficiency. The results were compared with 80 persons in the normal control group of the CT coronary artery imaging and the normal physical examination during the same period. Results The main characteristics of CHD were blood stasis obstruction（30%）, phlegm blocking heart pulse（20%） and heart yin deficiency（13.75%）. The epicardial adipose tissue（eat） volume and coronary artery calcification score（ CACS） of the observation group were significantly higher than those of the healthy control group, and the difference was statistically significant（P〈0.05）. Conclusion There was a certain relationship between the TCM syndrome differentiation of coronary heart disease and CT coronary artery imaging, and coronary CTA examination had a very important auxiliary diagnosis. It was worthy of clinical application.