胸痹心痛中医证型与16层螺旋CT冠状动脉成像的相关性研究

目的:探讨胸痹心痛的证型和16层螺旋CT冠状动脉成像之间的关系,为胸痹心痛的临床治疗提供客观依据。方法:对167例胸痹心痛患者进行中医辨证分型并行16层螺旋CT冠脉造影检查,观察不同证型的冠脉狭窄范围及程度。结果:胸痹心痛的不同证型在冠脉狭窄中具有统计学差异(P均<0.05);3个实证与3个虚证之间有显著差异。心血瘀阻证及痰浊壅塞证在重度狭窄中具有统计学意义(P均<0.05),且在病变范围上均显著高于其他证型组(P均<0.05)。结论:胸痹心痛中医证型与16层螺旋CT冠状动脉成像间具有一定的相关性。胸痹心痛实证较虚证重。痰浊壅塞证与心血瘀阻证无论在狭窄程度还是在病变分布上都明显高于其他证型,是胸痹心痛的危险证型。

Reaserch of the Relationship between Traditional Chinese Medicines Syndrome-type in Chest Stuffiness And Pains And the Outcome of 16 Slice MSCT Coronary Angiograph

Objective:To investigate the relationship between traditional Chinese medicines(TCM) Syndrome-type in chest stuffiness and pains(CSP) and the outcome of 16 slice MSCT coronary angiograph and provide the evidence for therapy of CSP.Methods:One hundred and sisity sevene cases were diagnozed as CSP and received 16 slice MSCT coronary angiograph,and the outcome was analyzed to find out if there were differences between different syndrome types of CSP.Results: There were differences among the different syndromes in the stenosis of coronary artery.There were significant differences between the three asthenia syndromes and the three sthenia syndromes;there were differences in heart blood stasis syndrome and phlegm-turbid retention syndrome in severity stenosis(P<0.05) and in branches lesion group (P<0.05).Conclusion:There are some relationship between different syndromes and the results of 16 slice MSCT coronary angiograph.The asthenia syndromes were seriouser than the sthenia syndromes.Heart blood stasis syndrome and phlegm-turbid retention syndrome were more seriouser than other syndromes both in stenosis degree and affection extent.So,they were danger syndromes.