胸痹中医证型与冠脉造影的相关性研究

Study on the Correlation between TCM Syndromes of Chest Pain and Coronary Angiography

目的探讨胸痹中医辨证与冠状动脉病变程度的关系,为胸痹的中医辨证施治提供一定的参考依据。方法对冠心病患者进行中医本虚标实辨证分型,分为标实证组及本虚证组,并进行冠状动脉造影,分析胸痹中医辨证与冠状动脉病变程度的关系。结果冠心病组患者各标实证组、各本虚证组Gensini评分比较有差异(P<0.05)。结论冠心病患者随着冠状动脉病变支数增多,狭窄程度加重,病变渐趋复杂,由气入血,由实到虚,虚实夹杂。

Objective To explore the relationships between thoracic obstruction of TCM and degree of coronary arteriography,to provide a reference for thoracic obstruction of TCM syndrome differentiation. Methods 300 cases of patients after coronary angiography were carried out TCM syndrome differentiation type,and they were divided into excess in superficiality syndrome group and deficiency origin group. They carried out coronary angiography. The correlation between TCM syndromes of chest pain and coronary angiography was analyzed. Results The Gensini score between excess in superficiality syndrome group and deficiency origin group had significant difference（ P〈0. 05）.Conclusion There were different lesions between the various syndromes coronary heart disease,with increased syndromes,and folders coronary severity was increased. Blood stasis,phlegm and qi were the main pathogenesis of coronary heart disease,syndrome of blood stasis,phlegm,qi mutual inclusions were the main TCM syndromes portfolio.