冠心病患者中医证型与SYNTAX评分的相关性

Study on Cor-relativity between Different TCM Syndrome Types and SYNTAX Score in Patients with Coronary Heart Disease

目的:探讨冠心病患者中医辨证分型与SYNTAX评分及危险因素的相关性。方法:将符合标准的150例冠心病病人辨证分为六型,进行冠状动脉造影并采用SYNTAX评分评定冠状动脉病变程度。结果:冠心病病人中,女性偏于心肾阴虚证与气阴两虚证等虚证;而男性偏于痰浊闭阻证、心血瘀阻证与气滞血瘀证;随着年龄的增加,患者多表现为心肾阴虚证、气阴两虚证等证。气虚血瘀证的TC水平高于心血瘀阻证、气滞血瘀证、心肾阴虚证;心血瘀阻证的TG水平高于气虚血瘀证与痰浊闭阻证;痰浊闭阻证的LDL-C水平高于其余五组。痰浊闭阻型的SYNTAX评分均高于其他5型。结论:冠心病患者中医证型与年龄、性别存在一定相关性;不同证型患者TC、TG、LDL-C水平有所不同;痰浊闭阻证冠心病患者SYNTAX评分最高,病变更为复杂和显著。治疗上应重视健脾化痰与益气活血法的应用。

Objective:To explore the correlation between TCM syndrome differentiation and SYNTAX score and risk factors in patients with coronary heart disease.Methods:150 patients with coronary heart disease who met the criteria were classified into six types,coronary angiography was performed,and the SYNTAX score was used to evaluate the degree of coronary artery disease.Results:Among patients with coronary heart disease,women tended to have deficiency syndromes such as heart and kidney yin deficiency and Qi and yin deficiency;while men tended to have phlegm-turbid obstruction syndrome,heart-blood stasis syndrome,and Qi stagnation and blood stasis syndrome;with age,Increase,patients mostly show symptoms of heart and kidney Yin deficiency syndrome,Qi and Yin deficiency syndrome and other syndromes.The TC level of Qi deficiency and blood stasis syndrome is higher than that of heartblood stasis syndrome,Qi stagnation and blood stasis syndrome,and heart and kidney yin deficiency syndrome;the TG level of heart-blood stasis syndrome is higher than that of Qi deficiency and blood stasis syndrome and phlegm-turbid obstruction syndrome;phlegm-turbid obstruction syndrome The LDL-C level of the patients was higher than that of the other five groups.The SYNTAX scores of the phlegm-turbid obstruction type are higher than those of the other 5 types.Conclusion:There is a certain correlation between the TCM syndrome types of patients with coronary heart disease and age and gender;the levels of TC,TG,and LDL-C are different in patients with different syndrome types;the SYNTAX score of patients with coronary heart disease with phlegm-turbid obstruction syndrome is the highest,and the lesions are more complex and Significantly.In treatment,attention should be paid to the application of strengthening the spleen and reducing phlegm and replenishing Qi and activating blood circulation.