Objective: To explore the patterns of Syndrome Differentiation (SD) of coronary heart disease (CHD) patients in peri-operative stage of coronary artery bypass graft (CABG).Methods: One week after operation, thirty-sev...Objective: To explore the patterns of Syndrome Differentiation (SD) of coronary heart disease (CHD) patients in peri-operative stage of coronary artery bypass graft (CABG).Methods: One week after operation, thirty-seven CHD patients, who received CABG of internal mammary artery or great saphena vein under conventional general anesthesia with low or middle temperature extracorporeal circulation were differentiated as various syndromes, with the pre- or post-operational EKG, color Doppler echocardiography were done during and after operation. The hemodynamic parameters were monitored.Results: In the CHD patients, 64.9% were differentiated as Qi-Yin deficiency, 67.6% were complicated with phlegm syndrome and 62.2% with blood stasis, suggesting that Qi-deficiency, phlegm and stasis are the basic pathogenetic factors in patients with CABG. Moreover, the peri-operative syndrome was correlated with the condition of coronary artery lesion, heart and lung functions before operation, and the extracorporeal circulation time during the operation.Conclusion: TCM SD conducting in peri-operative stage might be useful in exploring the patterns of syndrome alteration which provided a basis for preventing peri-operative complications and elevating success rate of operation.展开更多
目的系统评价慢性心力衰竭中医证型与左室射血分数相关性的研究。方法计算机检索中国期刊全文数据库(CNKI)、中国生物医学全文数据库(CBM)、中文科技期刊全文数据库(VIP)、中国重要会议论文全文数据库、美国国立医学图书馆(PubM ed)数据...目的系统评价慢性心力衰竭中医证型与左室射血分数相关性的研究。方法计算机检索中国期刊全文数据库(CNKI)、中国生物医学全文数据库(CBM)、中文科技期刊全文数据库(VIP)、中国重要会议论文全文数据库、美国国立医学图书馆(PubM ed)数据库,收集慢性心力衰竭中医证型与左室射血分数相关性的文献,按照文献纳入、排除标准纳入文献,进行文献质量评价、提取数据,应用RevM an 5.3进行Meta分析。结果最终纳入文献10篇,阳虚水泛与气虚血瘀、气阴两虚、心肾阳虚比较,左室射血分数Meta分析均有统计学意义,敏感性分析后结论统一,漏斗图显示存在发表偏倚。结论左室射血分数偏低可以作为慢性心力衰竭阳虚水泛证诊断的客观化参考指标之一。展开更多
文摘Objective: To explore the patterns of Syndrome Differentiation (SD) of coronary heart disease (CHD) patients in peri-operative stage of coronary artery bypass graft (CABG).Methods: One week after operation, thirty-seven CHD patients, who received CABG of internal mammary artery or great saphena vein under conventional general anesthesia with low or middle temperature extracorporeal circulation were differentiated as various syndromes, with the pre- or post-operational EKG, color Doppler echocardiography were done during and after operation. The hemodynamic parameters were monitored.Results: In the CHD patients, 64.9% were differentiated as Qi-Yin deficiency, 67.6% were complicated with phlegm syndrome and 62.2% with blood stasis, suggesting that Qi-deficiency, phlegm and stasis are the basic pathogenetic factors in patients with CABG. Moreover, the peri-operative syndrome was correlated with the condition of coronary artery lesion, heart and lung functions before operation, and the extracorporeal circulation time during the operation.Conclusion: TCM SD conducting in peri-operative stage might be useful in exploring the patterns of syndrome alteration which provided a basis for preventing peri-operative complications and elevating success rate of operation.
文摘目的系统评价慢性心力衰竭中医证型与左室射血分数相关性的研究。方法计算机检索中国期刊全文数据库(CNKI)、中国生物医学全文数据库(CBM)、中文科技期刊全文数据库(VIP)、中国重要会议论文全文数据库、美国国立医学图书馆(PubM ed)数据库,收集慢性心力衰竭中医证型与左室射血分数相关性的文献,按照文献纳入、排除标准纳入文献,进行文献质量评价、提取数据,应用RevM an 5.3进行Meta分析。结果最终纳入文献10篇,阳虚水泛与气虚血瘀、气阴两虚、心肾阳虚比较,左室射血分数Meta分析均有统计学意义,敏感性分析后结论统一,漏斗图显示存在发表偏倚。结论左室射血分数偏低可以作为慢性心力衰竭阳虚水泛证诊断的客观化参考指标之一。
