冠心病中医证型与冠脉钙化和造影相关性探讨

目的:探讨冠心病中医证型与冠脉钙化、冠脉造影的相关性,为冠心病中医临床辨证施治提供参考。方法:选取70例冠状动脉造影患者行胸部CT、中医辨证分型,记录CT结果、冠脉病变支数、狭窄程度。结果:70例冠心病患者中,冠脉钙化58例,钙化率83%,冠脉钙化患者中,中医证型分布大体趋势与冠脉造影病变患者相符:心血瘀阻证多见,痰浊内阻证次之,心气虚弱证最少。冠状动脉以多支病变为主,单支病变次之,双支病变最少。痰浊内阻证、心血瘀阻证患者冠脉以3支病变为主,心气虚弱证则以单支病变为主。结论:冠脉钙化与冠心病间具有显著的正相关性,冠脉钙化、冠脉病变可为冠心病中医辨证施治提供客观依据。

Correlation of TCM syndromes of coronary heart disease and coronary calcification,coronary angiography

Objective：To investigate the correlation of coronary heart disease and coronary calcification,coronary angiography,to provide a reference for coronary heart disease clinical syndrome differentiation.Methods：70 cases of patients undergoing coronary angiography underwent chest CT,TCM typing,recorded the CT results,the number of coronary lesions,the degree of stenosis.Results：In 70 patients with coronary heart disease,58 cases of coronary calcification,calcification rate was 83%,in patients with coronary calcification,TCM syndromes general trend is consistent with the coronary angiography lesions：Blood stagnation syndrome was more common,phlegm resistance card was less than blood stagnation syndrome,followed by heart weakness gas card was least.In coronary,vessel disease was the most,Single vessel disease was less than vessel disease,double vessel disease was the lest.Phlegm resistance certificate,blood stagnation syndrome patients treated 3 branch pathological changes as the main,the heart qi weakness certificate patients treated single vessel disease as the main.Conclusion：Coronary calcification and coronary heart disease has a significant positive correlation,coronary calcification,coronary lesions can provide an objective basis for coronary heart disease TCM syndrome differentiation.