冠心病辨证分型与冠脉造影、血脂、EF的相关性研究

目的：探讨冠心病中医证候分布特征,并分析其与血脂水平、EF及冠状动脉造影结果的相关性。方法：对95例接受冠状动脉造影检查的冠心病患者进行中医证型判别,同时检测血脂水平、EF,分析证型与血脂水平、EF及冠脉造影结果的相关性。结果：中医证型为痰浊内阻证、心血瘀阻证、心气虚弱证等。单支病变多见气滞血瘀证,多支病变多见痰浊内阻型、心血瘀阻证;气滞证冠脉狭窄程度较轻,而阴寒凝滞证冠脉狭窄程度最重。痰浊、瘀血证TG、TC、LDL-C水平高于其他证型（P〈0.05）,HDL-C痰浊证低于其他证型（P〈0.05）。中医各证型EF无特异性差别。结论：随着冠状动脉病变部位及程度改变,冠心病中医证候分布呈现一定规律,血脂水平与中医证型有一定的相关性。

Coronary Heart Disease Typification and Coronary Angiography Blood Fat and EF Hemorrhage

Objective：Explore coronary syndromes distribution,and analyses its and lipid levels,EF coronary angiography results of relevancy.Methods：95 cases accepted coronary artery patients with coronary angiography revealed TCM syndrome type,and testing lipid levels discriminant analysis syndrome types,EF,with lipid levels,EF and coronary angiography results of relevancy.Results：TCM syndrome type is phlegmy turbidity resistance syndrome,painstaking care stasis resistance syndrome,mood but weak certificate and etc.See more single lesion and blood stasis,multivessel disease see more phlegm turbidity impedance type,painstaking care stasis resistance syndrome;Qi stag.card coronary artery stenoses to a lesser degree,and Yin cold grinds to a card coronary stenosis degree heaviest.Phlegmy turbidity and blood stasis syndrome TG,TC,LDL-C level than other card type（P〈0.05）,hdl-c phlegm turbidity card below other card type（P〈0.05）.Chinese medicine every syndrome type EF nonspecific difference.Conclusions：with the coronary artery disease,coronary heart disease change location dextent of TCM syndrome distribution on a rule,lipid levels and TCM syndrome type has certain correlation.