冠心病患者中医证型与冠状动脉Gensini积分、病变支数的相关性研究

目的观察冠心病患者中医证型与冠状动脉Gensini积分、病变支数的关系,寻找辨证客观化指标。方法对102例冠心病患者进行中医分型和冠状动脉造影检查,对比分析中医证型与冠状动脉Gensini积分、病变支数的关系。结果单纯血瘀证组和血瘀兼气滞证组多见单支病变,血瘀兼痰浊证组和血瘀兼寒凝证组多见3支以上病变。阴虚证组以单支病变、双支病变为主,阳虚证组以双支病变、3支以上病变为主。标实证、本虚证各组间冠状动脉病变Gensini积分有显著性差异(P<0.01)。结论冠心病患者中医证型与冠状动脉Gensini积分、病变支数间存在相关性。

Contrast Study between Syndrome Type of Traditional Chinese Medicine(TCM) and Gensini Score,Number of Coronary Artery Lesion in Patients with Coronary Heart Disease(CHD)

Objective: To define the relationship between the TCM syndrome type and Gensini score,number of coronary artery lesion and find the macroscopic index in different syndrome type.Methods: 102 patients with CHD,were divided into different syndrome types,received coronary arteriography(CAG),analysed on the relationship between the TCM syndrome type and Gensini score,number of coronary artery lesion.Results: One artery lesion constituted the majority in blood stasis syndrome group,and Qi stagnation and blood stasis syndrome group,while three-artery and four-artery lesion were the most in phlegm turbid and blood stasis syndrome group and cold condensation and blood stasis syndrome group;one artery lesion and two-artery lesion constituted the majority in Yin deficiency group,two-artery lesion and three artery lesion constituted the majority in Yang deficiency group.There were differences in Gensini score between secondary excess syndrome groups and primary deficiency syndrome groups(P<0.01).Conclusion: There is a correlation between the TCM syndrome type and Gensini score,number of coronary artery lesion.