不同中医体质冠心病病人冠状动脉病变程度的比较分析

[目的]探讨冠心病中医体质与冠状动脉病变程度的关系。[方法]选择经冠状动脉造影确诊为冠心病的290例病人进行中医体质判定,应用Gensini积分和冠状动脉病变支数来评价冠状动脉病变程度,比较平和质和偏颇体质间冠状动脉病变的特点。[结果]290例病人中医体质分布情况:平和质(正常质)18例,占总病例数的6.21%;偏颇体质(病理体质)272例,占总病例数的93.79%。偏颇体质病人冠状动脉Gensini评分中、高分组所占比例高,且Gensini总评分高于平和质病人,两者比较差异有统计学意义(P0.05)。[结论]偏颇体质发生冠心病的倾向较平和质高,冠状动脉狭窄程度较平和质严重。说明冠状动脉病变与中医体质类型有一定的关系,由此可预测冠心病发病的危险体质因素。

Comparison and analysis of degree of coronary artery disease in patients with coronary heart disease with different TCM constitutions

Objective： To probe into the relationship between the traditional Chinese medicine constitutions of coronary heart disease （CHD）patients and degree of coronary artery disease. Methods：A total of 290 patients with CHD diagnosed by coronary angiography were evaluated on their TCM constitutions. Gensini score and number of coronary artery with disease were used to evaluate the degree of coronary artery disease, then to compare the characteristics of coronary artery disease between balanced constitution of patients and unbalanced constitution of patients. Results： Among the 290 patients, 18 patients （6.21%）had balanced constitution （normal constitution） , and 272 patients （93.79 %） had unbalanced constitution （pathological constitution）. Most of the patients who had unbalanced constitution got high Gensini score, and their total Gensini score was significantly higher than that of balanced constitution of patients （P〈0.05）. Conclusion：The unbalanced constitution of patients had a much higher risk of CHD than the balanced constitution of patients. And the unbalanced constitution of patients showed higher extent of coronary stenosis compared with the balanced constitution of patients. The data showed that there was some relationship between the extent of CHD and the constitution types of traditional Chinese medicine. And it could predict by the risk constitution factors of attack of coronary heart disease .