冠心病痰瘀辨证与冠脉病变特点的相关性研究.pdf

《冠心病痰瘀辨证与冠脉病变特点的相关性研究.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、中西医结合心脑血管病杂志2012年l1月第1O卷第ll期心管病临床观察研冠心病痰瘀辨证与冠脉病变特点的相关性研究D刘鹏，张鹏，徐伟建，毕力夫，王伟摘要：目的探讨冠心病(coronaryheartdisease，CHD)痰瘀辨证与冠状动脉病变特点之间的关系，为证候客观化研究提供依据。方法入选经冠状动脉造影术(coronaryangiography，CAG)确诊的冠心病患者368例，观察冠脉病变程度(累及支数、狭窄度)与痰瘀辨证之间的关系。结果不同狭窄程度例数在各中医痰瘀辨证的分布：轻度、中度狭窄以非痰瘀证多见；重度狭窄(51／368)、完全狭窄(26／368)以痰瘀

2、相兼证主(P<0．05)。不同狭窄程度支数在各中医证型分布情况：轻度、中度狭窄以非痰瘀证多见(P<0．05)；重度狭窄、完全狭窄以痰瘀相兼证(123／755、41／755)为主(P<0．05)。冠脉病变支数与痰瘀辨证关系：冠脉单支病变者以非痰瘀证为主，多支病变者以痰瘀相兼证为主。各中医证型组间冠脉病变总支数由痰浊证、血瘀证、痰瘀相兼证、非痰瘀证逐渐增加。结论冠心病痰瘀辨证与冠脉病变程度之间有一定的关系。关键词：冠心病；冠状动脉造影；痰瘀辨证中图分类号：R541．4R256．2文献标识码：B文章编号：1672—1349(2012)11—1281—03Relation

3、shipbetweentheDifferentiationofPhlegm—stasisSyndromeandtheCoronaryArteryLesionsinCoronaryHeartDiseaseLiuPeng，ZhangPeng，XuWeUian，etai／／WuhanHospitalofTraditionalChineseMedicine(Wuhan430O14)Abstract：0bjectiveToinvestigatetherelationshipbetweenthedifferentiationofphlegm-stasissyndromeand

4、thecoronaryar—teryinpatientswithcoronaryheartdisease(CHD)．MethodsThreehundredandsixty—eightCHDpatientswhodiagnosisedbycoro—naryangiography(CAG)wereselected，thecharacteristicsofcoronaryarterylesionsincludingtheseverityofcoronaryarteryandtheguantityofinvolvedcoronaryarterywereobserved．T

5、hecharacteristicsofthedifferentiationofphlegm—stasissyndromewereana—lyzed．ResultsThemostcommonsyndromeswasnonphlegm—stasissyndromeinCHDpatientswithmildormoderatecoronaryste—nosis．Thesyndromeswasphlegm—stasissyndromeinCHDpatientswithseverestenosis(51／368)andcompletelystenosis(26／368，P<

6、O．05)．Thesyndromeswasphlegm—stasissyndromeinCHDpatientswithseverestenosis(123／755)andcompletelystenosis(41／755，P

7、llesion．Thevesselnumberofcoronarylesionweregraduallyincreasedbyphlegmsyndrome，bloodstasissyndrome，phlegm—stasissyndromeandnonphlegm—stasissyndrome．ConclusionTherewasacertainrelationshipbetweenthedifferentiationofphlegm—stasissyndromeandthecoronaryarteryinpa—tientswithCHD．Keywords：coro

8、naryh