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活动平板试验阴性的冠心病患者中医证候特点分析
引用本文:廖蔚茜,房莉萍,丛鹏,耿登峰. 活动平板试验阴性的冠心病患者中医证候特点分析[J]. 河南中医学院学报, 2011, 26(2)
作者姓名:廖蔚茜  房莉萍  丛鹏  耿登峰
作者单位:深圳市罗湖区中医院;广州医学院第三附属医院;中山大学附属第二医院;
摘    要:目的:分析活动平板试验阴性的冠心病患者中医证候特点,为冠心病的早期辨证治疗及二级预防提供依据。方法:将36例活动平板试验阴性,但经冠状动脉造影确诊的冠心病患者进行辨证分型,辨证方法采用虚实辨证,虚证分为气虚、阴虚、阳虚,实证分为气滞、血瘀、痰浊、寒凝;并对证型分布、证型相兼、血瘀证积分及冠状动脉造影情况分别进行初步分析。结果:在证型分布中以气滞证、阴虚证为主,而所有病例均存在有不同程度的血瘀征象;与冠状动脉造影对照,这类患者主要为单支病变,狭窄程度较轻。结论:活动平板试验阴性的冠心病患者中医证候特点以气滞证、阴虚证为主,血瘀贯穿于冠心病的整个发生、发展过程;这类患者的冠脉病变通常较轻,早期干预治疗有助于延缓冠心病的发展速度。

关 键 词:冠心病  活动平板试验  虚证  实证  气滞血瘀  

Analysis of Traditional Chinese Medicine Syndromes of Coronary Heart Disease Patients with Negative Results of Treadmill Exercise Test
Liao wei-qian,Fang Li-ping,Cong Peng,Geng Deng-feng. Analysis of Traditional Chinese Medicine Syndromes of Coronary Heart Disease Patients with Negative Results of Treadmill Exercise Test[J]. Journal of Henan University of Chinese Medicine, 2011, 26(2)
Authors:Liao wei-qian  Fang Li-ping  Cong Peng  Geng Deng-feng
Affiliation:Liao Wei-qian1 Fang Li-ping2 Cong Peng2 Geng Deng-feng3 Luohu Hospital of TCM,Shenzhen,Guangdong,China 518001 The Third Affiliated Hospital of Guangzhou Medical College,Guangzhou,China 510150 The 2nd Affiliated Hospital of Sun Yat-sen university,China 510120
Abstract:Objective:To analyze characteristics of traditional Chinese medicine syndromes of coronary heart disease(CHD) patients with negative results of treadmill exercise test,and guide early dialectical therapy and secondary prevention of CHD.Methods:Using differential diagnosis with asthenia and sthenia,to divide 36 cases of CHD,whose Treadmill exercise tests were negative and Coronary angiography were positive,into asthenia syndrome and sthenia syndrome.The former included Qi-deficiency syndrome,Yin-deficiency s...
Keywords:coronary heart disease  treadmill exercise test  asthemia syndrome  sthenia syndrome  Qi-stagnation and blood stasis  
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