胸痹心痛病中医病性证素与冠状动脉CTA结果的相关性

目的探讨胸痹心痛病中医病性证候要素与冠状动脉CTA结果之间的相关性。方法借助64层螺旋CT冠状动脉成像的现代医学诊断技术,将客观指标与中医辨证有机结合,对235例胸痹心痛患者进行中医病性证素分布的临床调查,分析与冠状动脉CTA不同病变支数、狭窄程度与冠心病心绞痛中医证素分布的相关性。结果胸痹心痛病常见病性证素分布由多到少排列为血瘀、气虚、阴虚、痰浊、气滞、阳虚、寒凝;血瘀证素和痰浊证素以三支病变为主,气滞证素以单支病变为主;冠心病患者狭窄程度较重者多见气虚证素、阴虚证素、痰浊证素。结论胸痹心痛病中医病性证素分布与冠状动脉CTA结果之间存在一定相关性,能为临床正确辨证论治、判断病情、拟定治法、调方用药效提供客观依据。

Correlation between TCM syndrome factors and coronary artery CTA results of chest blocking and heartache

Objective To explore the correlation between TCM syndrome factors and coronary artery CTA results of chest blocking and heartache. Methods Though the modem medical diagnostic technique of 64-slice CT coronary angiogrohy, organically combine the objective indicators and TCM syndromes, clinically investigate 235 cases of chest blocking and heartache based on TCM syndromes, analyze the correlation among the number of diseased coronary arteries （CTA）, degree of coronary artery stenosis and TCM syndrome factors of angina pectoris. Results Common syndrome factors of chest block- ing and heartache are listed as follows, with the most common one on the left and the least common one on the right：blood stasis, deficiency of vital energy, deficiency of Yin, phlegm, Qi stagnation, deficiency of Yang, congealing cold; blood stasis syndrome and phlegm syndrome are triple vessel oriented, while deficiency of vital energy syndrome is single vessel oriented; coronary heart disease patients with severe coronary artery stenosis have the following common syndromes： deficiency of vital energy, deficiency of Y in, phlegm. Conclusion There was some correlation between TCM syndrome factors and coronary artery CTA results of chest blocking and heartache, which can provide objective basis for correct clinical treatment based on syndrome differentiation, condition judgment, proposed treatment and drug use.