冠心病本虚标实证冠状动脉造影结果分析

对35例冠心病患者行经皮腔内冠状动脉成形术前进行本虚与标实辨证及冠状动脉造影检查,结果表明,阳虚(包括阴阳两虚)者与气虚(包括气阴虚)者比较,前者平均冠脉狭窄支数增多,3支狭窄的患者阳虚者显著多于气虚者,1～2支狭窄的患者阳虚者显著少于气虚者,提示多支冠脉狭窄与本虚证由气虚向阳虚发展有密切关系;标实证方面,在普遍存在血瘀证的情况下,兼有气滞者冠脉狭窄程度似较轻,兼痰浊或寒凝者则狭窄程度似较重。因而认为冠状动脉粥样硬化性狭窄的冠脉支数和狭窄程度,可能是冠心病本虚与标实证的基本病理基础。

CORONARY ARTERIONGRAPHIC ASSESSMENT OF CHD PATIENTS WITH DEFICIENCY SYNDROME OR EXCESS SYNDROME

Before percutaneous transluminal coronary angioplasty(PTCA),thirty-five patients with coronaryheart disease(CHD) were analysed according to TCM theory and performed coronary arteriongraphy.In the group of defkciency syndrome,on the average,there were more stenosed branches of coronary in patients with insufficiency of Yang than that in patients with insufficiency of Yin.Patients with insufficiency of Yang who had three stenosed branches of coronary were more than patients with insufficiency of Qi markedly,but patients with insufficiency of Qi who had one or two stenosed branches of coronary were more than patients with insufficiency of Yang.The results indicated that there was a close relationship between multiple stenosed branches of coronary and the deliciency syndrome of CHD developing from insufficiency of Qi to insufficiency of Yang.In the group of excess syndrome,the degree of stenosis of coronary was slight in patients with blockage of Qi and serious in patients with phlegm or cold coagulation,which blood stasis generally exist in patients.It indicated that the number of branch of stenosed coronary and the degree ot stenosis of coronary may be the pathogenesis of deficiency syndrome and excess syndrome of CHD.