冠心病中医辨证分型与心电图相关性研究

目的:探讨冠心病不同中医辨证分型与心电图检测结果的相关性。方法:将100例冠心病作为研究组,以及同期门诊体检的健康人员100例作为对照组,均采用24 h动态导联心电图检测,分析不同中医证型冠心病患者与心电图相关性。结果:100例研究对象,52例本虚证,占52.00%;48例标实证,占48.00%。标实证、本虚证传导阻滞、房颤、早搏检出率均高于心肌梗死、室速、窦速(P <0.05)。对照组QT离散度(QTd)值>标实证QTd值>本虚证QTd值(P <0.05)。结论:冠心病患者心电图与中医辨证分型存在一定相关性,标实证患者心电图QTd值显著高于本虚证,应当引起临床重视。

A Study on Correlation between Chinese Medicine Syndromes and Electrocardiogram in Patients with Coronary Heart Disease

Objective: To discuss the correlation between Chinese medicine syndromes and electrocardiogram(ECG) in patients with coronary heart disease(CHD). Methods:A total of 100 cases of CHD patients were included as the study group,and 100 cases of healthy people who underwent physical examination in the outpatient department at the same time were included as the control group. Both groups detected the 24 h dynamic electrocardiogram(DCG) to discuss the correlation between different Chinese medicine syndromes and ECG in CHD patients. Results:Among the 100 cases,52 cases were with syndrome of deficiency in origin(52.00%),and 48 cases with syndrome of excess in superficiality(48.00%). In patients with syndrome of excess in superficiality or with syndrome of deficiency in origin,the detection rates of conduction block,atrial fibrillation and premature beats were higher than those of myocardial infarction, ventricular tachycardia and sinus tachycardia(P < 0.05). The order of the value of QT dispersion(QTd) was as follows:the control group,syndrome of excess in superficiality, syndrome of deficiency in origin(P < 0.05). Conclusion: There is a certain correlation between ECG and Chinese medicine syndromes in CHD patients,and the QTd value of ECG in patients with syndrome of excess in superficiality is significantly higher than that in patients with syndrome of deficiency in origin,which should be paid attention to clinically.