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40例冠心病合并2型糖尿病患者冠状动脉病变及中医证型分析
引用本文:梁国庆,戴小华,邵正斌,夏铭蔚. 40例冠心病合并2型糖尿病患者冠状动脉病变及中医证型分析[J]. 安徽中医学院学报, 2010, 29(3): 18-21
作者姓名:梁国庆  戴小华  邵正斌  夏铭蔚
作者单位:安徽中医学院第一附属医院心血管内科,安徽,合肥,230031
摘    要:目的观察冠心病合并2型糖尿病(diabetes mellitus type 2-coronary heart disease,DM-CHD)患者冠状动脉病变及中医证型的特征。方法经冠状动脉造影诊断的冠心病患者80例,根据有无合并糖尿病分为2组,其中DM—CHD组40例,非合并糖尿病的冠心病(non diabetes mellitus type 2-coronary heart disease,NDM—CHD)组40例,观察两组患者冠状动脉病变情况(累及支数、狭窄程度及形态病变)及中医证型(虚证、实证及虚实夹杂证)的分布特征。结果DM-CHD组冠状动脉病变多见于3支病变或重度弥漫狭窄或严重钙化,与NDM—CHD患者的1支病变、轻重度狭窄和局限性狭窄比较,差异具有显著性(P〈0.01)。两组多见气虚、血瘀、痰浊、阴虚4证,DM—CHD组痰浊、阴虚、阳虚证发生率显著高于NDM—CHD组(P〈0.05),同时DM-CHD组多见复合证及虚实夹杂证,与NDM-CHD比较,差异具有显著性(P〈0.05)。结论DM—CHD患者冠脉病变程度较NDM—CHD患者严重,DM—CHD患者中医证型复杂,在气虚、血瘀基础上,多有阴虚、痰浊。

关 键 词:冠心病  2型糖尿病  中医证型  冠状动脉造影

Analysis on Characteristics of Traditional Chinese Medicine Syndromes and Pathological Changes of Coronary Artery in Patients with Coronary Heart Disease Complicated with Type 2 Diabetes: A Report of 40 Cases
LIANG Guo-qing,DAI Xiao-hu,SHAO Zheng-bin,XIA Ming-wei. Analysis on Characteristics of Traditional Chinese Medicine Syndromes and Pathological Changes of Coronary Artery in Patients with Coronary Heart Disease Complicated with Type 2 Diabetes: A Report of 40 Cases[J]. Journal of Anhui Traditional Chinese Medical College, 2010, 29(3): 18-21
Authors:LIANG Guo-qing  DAI Xiao-hu  SHAO Zheng-bin  XIA Ming-wei
Affiliation:(Department of Cardiovascular Diseases, the First Hospital Affiliated to Anhui College of Traditional Chinese Medicine ,Anhui Hef ei 230031,China)
Abstract:Objective To observe the characteristics of traditional Chinese medicine (TCM) syndromes and pathological changes of coronary artery in patients with diabetes mellitus complicated with coronary heart disease (DM-CHD). Methods A total of 80 patients with coronary heart disease (CHD) diagnosed by coronary artery angiography, were divided into two groups complicated with or without type 2 diabetes, 40 patients with diabetes mellitus into DM CHD group and another 40 patients with non diabetes mellitus (NDM) into NDM-CHD group. Pathological changes of coronary artery (including involved branches, the severity of coronary stenosis and morphological lesions), and distribution characteristics of TCM syn- dromes (including asthenia syndrome, sthenia syndrome, and asthenia complicated with sthenia syndrome) were observed and compared/ Results Pathological changes of coronary artery in DM-CHD group showed multiple lesions in three branches of coronary artery, or widespread stenosis or severe calcification; the in- cidence rates of one branch lesion, mild stenosis, severe stenosis, and local stenosis were significantly low- er than those in NDM-CHD group .The main four syndromes in both groups were qi deficiency, blood stasis, turbid-phlegm and yin deficiency in turn; the incidence rates of turbid-phlegm, yin deficiency and yang deficiency in DM-CHD group were higher than those in NDM-CHD group; and complex syndrome and asthenia complicated with sthenia syndrome were frequently found in DM-CHD group, incidence rates being significantly higher than those in NDM-CHD group. Conclusion The coronary lesions in patients with DM-CHD are severer than those in NDM-CHD patients; TCM syndromes are complex in DM-CHD patients, fre- quently showing yin deficiency and turbid-phlegm on the basis of qi deficiency and blood stasis.
Keywords:Coronary heart disease  Type 2 diabetes mellitus  Syndrome of traditional Chinese medicine  Radiography of coronary artery
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