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冠心病稳定期血瘀证与冠状动脉病变特点的相关性
引用本文:杜健鹏,史大卓,李田昌,徐浩,陈浩.冠心病稳定期血瘀证与冠状动脉病变特点的相关性[J].中西医结合学报,2010,8(9).
作者姓名:杜健鹏  史大卓  李田昌  徐浩  陈浩
作者单位:1. 中国中医科学院西苑医院心血管中心,北京,100091
2. 首都医科大学附属北京同仁医院心血管中心,北京,100730
3. 中日友好医院全国中西医结合心血管病中心,北京,100029
4. 无锡市中医医院心内科,江苏无锡,214001
基金项目:"十一五"国家科技支撑计划资助项目,首都医学科技发展基金(中医药类)资助项目 
摘    要:目的:探讨冠心病稳定期血瘀证及其兼证与冠状动脉造影Gensini评分的关系。方法:选取131例经冠状动脉造影证实的冠心病患者,记录其稳定期中医证候与血瘀证计分,并根据患者冠状动脉造影特点进行Gensini评分,分析其血瘀证及其兼证、血瘀证计分与其冠状动脉病变特点和Gensini评分之间的关系。结果:冠心病稳定期患者以血瘀证、痰浊证、气虚证最为多见,分别占64.9%(85/131)、63.4%(83/131)、64.9%(85/131)。血瘀证患者冠状动脉病变长度与Gensini评分的数值均高于非血瘀证者(P<0.05,P<0.01)。在血瘀证兼证中,血瘀兼痰浊患者的冠状动脉病变长度与Gensini评分的数值均高于非血瘀证者(P<0.05);血瘀证计分>9分的患者,其冠状动脉病变长度长于血瘀证计分≤9分的患者(P<0.05);冠心病稳定期患者血瘀证计分与Gensini评分无明显相关性(Pearson相关系数为0.104,P=0.241)。结论:血瘀证是冠心病稳定期患者的常见证候,血瘀证计分反映了患者血瘀证严重程度,稳定期患者的血瘀证计分与冠心病患者发病时冠状动脉病变严重程度没有相关性。

关 键 词:冠心病  血瘀  Gensini评分

Correlation between blood stasis syndrome and pathological characteristics of coronary artery in patients with coronary heart disease
Jian-peng Du,Da-zhuo Shi,Tian-chang Li,Hao Xu,Hao Chen.Correlation between blood stasis syndrome and pathological characteristics of coronary artery in patients with coronary heart disease[J].Journal of Chinese Integrative Medicine,2010,8(9).
Authors:Jian-peng Du  Da-zhuo Shi  Tian-chang Li  Hao Xu  Hao Chen
Institution:Jian-peng Du1,Da-zhuo Shi1,Tian-chang Li2,Hao Xu3,Hao Chen41. Cardiovascular Center,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China2. Cardiovascular Center,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China3. National Integrative Medicine Center of Cardiovascular Diseases,China-Japan Friendship Hospital,Beijing 100029,China4. Department of Cardiology,Wuxi Hospital of Traditional Chinese Medicine,Wuxi 214001,Jiangsu Province,China
Abstract:Objective:To study the correlation of blood stasis syndrome or its accompanied syndromes with Gensini score in patients with coronary heart disease (CHD) in stable condition.Methods:The syndrome types of traditional Chinese medicine (TCM) and blood stasis score in 131 CHD patients confirmed by coronary angiography were recorded. Gensini score was calculated according to the coronary pathological characteristics showed by angiography. The correlations of blood stasis syndrome and its accompanied syndromes wi...
Keywords:coronary heart disease  blood stasis  Gensini score  
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