64层螺旋CT冠脉成像与胸痹证型的相关性研究

目的：探讨64层螺旋CT冠脉成像与胸痹证型的相关性。方法：收集疑诊冠心病患者470例,按64层螺旋CT（64MSCT）冠脉成像结果根据冠脉有无病变、病变范围、钙化积分、冠脉狭窄程度、斑块性质分组,观察胸痹不同证型中冠脉病变程度,并分析相关性。结果：病变冠脉以心血瘀阻证和痰浊痹阻证多见,冠脉病变范围、狭窄程度两组均显著高于其他证型组;粥样斑块以心血瘀阻证和痰浊痹阻证多见,两组中软斑块比例高,均显著高于其他证型组。结论：冠状动脉病变与胸痹中医证型存在一定相关性。心血瘀阻证、痰浊痹阻证冠脉病变范围广,狭窄程度严重,软斑块比例高,是胸痹的危险证型。

Research on the Relationship Between the Syndrome-type in Chest Distress and the Outcome of 64 Slice MSCT Coronary Angiograph

Objective：To investigate the relationship between the syndrome-type in chest distress and the outcome of 64 slice MSCT coronary angiography. Methods：To collect 470 cases who were suspected to coronary heart disease. They all received 64 slices MSCT coronary angiography ,and they were evaluated to groups according to the range of disease the degree of calcium scoring the degree of stenosis and the characteristic of plaque. Observe the disease of coronary artery in different syndrome-types to study on the correlation. Results：The heart blood stasis syndrome group and turbid-phlegm symptom group showed the much range of coronary artery disease more severe degree of stenosis and higher percentage of soft plaque than others. Conclusion：There was relationship between the syndrome-type in chest distress and the outcome of 64 slice MSCT coronary angiography. There was almost complicated coronary artery disease moderate-severe calcification more severe stenosis higher percentage of soft plaque in the heart blood stasis syndrome and turbid-phlegm symptom,and they showed more severe coronary artery disease.