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1、中西医结合心脑血管病杂志2010年6月第8卷第6期639心血管病临床观察/研究冠心病介入治疗围术期中医证候特征及1)分布规律的研究任毅,吴瑜,张敏州,陈可冀,尤士杰,张健,欧爱华摘要:目的探索冠心病介入治疗围术期中医证候特征及分布规律,了解介入治疗对中医证型的影响。方法选择经冠状动脉造影确诊的冠心病患者405例,分析介入治疗围术期中医证候及分布规律,四诊指标变化情况,证型相兼、虚实的变化规律。结果冠脉介入治疗后气虚证增加,血瘀证、寒凝证减少;介入治疗后胸痛、胸闷、脉涩等均显著改善,神疲乏力、纳食减少、脉细等显著性增加;术前实证所占比例最大,术后本虚标实证所占比例最大。结论
2、介入术对冠心病辨证分型的影响为介入治疗后气虚证增加,血瘀证、寒凝证减少,提示应充分关注介入治疗后补气活血、标本兼治的重要性和必要性。关键词:冠心病;中医证候;冠脉介入治疗;围术期中图分类号:R541.4R256.2文献标识码:B文章编号:1672-1349(2010)06-0639-03StudyonChineseMedicineSyndromesCharacteristicsandDistributionRuleAroundPercutaneousCoronaryInterventionPerioperativePeriodRenYi,WuYu,ZhangMinzhou,e
3、talGuangdongHospitalofTraditionalChineseMedicine(Guangzhou510120)Abstract:ObjectiveToexplorethecharacteristicsanddistributionruleofChinesemedicinesyndromesatperioperativeperiodofpercutaneouscoronaryintervention(PCI),andinfluenceofsyndromeonaccountofPCI.MethodsFourhundredsandfivepatients(pts)withc
4、oronaryheartdisease(CHD)wereselectedforthestudyofcoronaryangiography,characteristicsanddistributionruleofChinesemedicinesyndromes.TheruleofChinesemedicinesyndromescomplexes,deficiencyandexcesssyndromeatPCIperioperativeperiodwereanalyzed.ResultsQideficiencysyndromewasincreased,bloodstasissyndromean
5、dcoldcoagulationsyndromeweredecreasedafterPCI.Chestpain,chestdistress,hesitantpulseweredecreasedsignificantly.Spiritlessness,weakness,anorexia,andthreadypulsewereincreasedsignificantlyafterPCI.ExcesssyndromehadabiggestproportionbeforePCI.Deficiencyinrootandexcessinsuperficialityhadabiggestproport
6、ionafterPCI.ConclusionPCIhadinfluenceforChinesemedicinesyndromesofCHD.Qideficiencysyndromewereincreased,bloodstasissyndromeandcoldcoagulationsyndromeweredecreasedafterPCI.TheresultssuggestedthatmoreattentionshouldbepaidtotonifyingQi,activatingbloodcirculation,andtreatingbothBiaoandBensyndromeafter
7、PCItreatment.Keywords:coronaryheartdisease;Chinesemedicinesyndrome;percutaneouscoronaryintervention;perioperativeperiod冠状动脉粥样硬化性心脏病目前仍是导致人类死亡的主要1.2诊断及纳入标准西医诊断标准参照1979国际心脏病学疾病之一,近年其发病率仍趋高不下,流行病学研究表明我国每会
