摘要
目的:探讨冠状动脉粥样硬化性心脏病(简称冠心病)患者冠脉狭窄程度及生化指标与其出生年干支运气的相关性。方法:选择2015年1月-2020年11月在无锡市中医医院住院的冠心病患者140例。根据冠脉造影术检查结果,计算冠脉狭窄程度的百分数积分。并检测患者的血脂、血清同型半胱氨酸(Homocysteine,HCY)等生化指标。统计每一位患者的出生时间,并根据出生时的天干地支,推演年运、岁气等运气学状态。通过SPSS 22.0软件计算干支运气与冠脉狭窄程度及生化指标的相关性。结果:(1)冠心病患者出生年支与前降支(Left Anterior Descending,LAD)血管狭窄积分之间存在相关性,差异具有统计学意义(P<0.05)。(2)出生年干与脱脂转化酶(Defatted invertase,Lpa)之间未见相关性,但不同年干之间Lpa水平有差异(P<0.05);冠心病患者出生年的干支运气与血清HCY之间存在相关性;出生年的司天之气与血清低密度脂蛋白(Lowdensity Lipoprotein,LDL)、高密度脂蛋白(High-density Lipoprotein,HDL)之间存在相关性,差异具有统计学意义(P<0.05)。(3)冠心病患者冠脉狭窄程度与生化指标之间存在相关性。其中载脂蛋白AI(Apolipoprotein AI,APO-AI)与LAD百分数积分、总百分数积分呈负相关;载脂蛋白E(Apolipoprotein E,APOE)与左回旋支(Left Circumflex,LCX)百分数积分、右冠状动脉(Right Coronary Artery,RCA)百分数积分、总百分数积分呈正相关;Lpa与冠脉狭窄总百分数积分呈正相关。(4)年龄与LAD百分数积分以及HCY呈正相关,与血红蛋白(Hemoglobin,Hb)、三酰甘油(Triglyceride,TG)呈负相关,差异具有统计学意义(P<0.05)。结论:冠心病患者出生年的干支运气与冠脉狭窄程度及血清生化指标之间存在相关性。出生年干支运气可能是冠心病患者冠脉狭窄程度的影响因素之一。
Objective:To investigate the correlation between the stenosis severity of coronary artery and biochemical indicators and sexagenary cycle Yunqi(运气)of patients with coronary heart disease.Methods:140 cases from January 2015 to November 2020 were selected.According to the results of coronary angiography,the percentage score of the stenosis severity of coronary artery was calculated.The serum lipid,serum HCY and other biochemical indicators were measured.Each patient’s birth time was recorded,and the Yunqi state such as Yun of year(年运)and Qi of year(岁气)is deduced according to the sexagenary cycle at birth.The correlation between sexagenary cycle Yunqi and the stenosis severity of coronary artery,biochemical indicators was calculated by SPSS 22.0.Results:(1)There was a statistically significant correlation between Terrestrial Branches of year of coronary heart disease patients and the score of LAD vascular stenosis.(2)There was no correlation between Celestial Stems of year and LPA,but there were differences in LPA level between different Celestial Stems of year(P<0.05).There was a statistically significant correlation between the serum HCY and sexagenary cycle Yunqi at birth of CHD patients,and there was a statistically significant correlation between celestial manager Qi at birth and serum LDL,HDL(P<0.05).(3)There was a correlation between the stenosis severity of coronary artery and biochemical indexes of CHD patients.APO-AI was negatively correlated with LAD percentage score and the total percentage score.APOE was positively correlated with LCX percentage score,RCA percentage score and the total percentage score.LPA was positively correlated with the total percentage score of coronary artery stenosis.(4)Age was positively correlated with LAD percentage score and Hcy,but negatively correlated with Hb and TG(P<0.05).Conclusion:There is a correlation between sexagenary cycle Yunqi and the stenosis severity of coronary artery,biochemical indicators in CHD patients.The sexagenary cycle Yunqi at birth may
出处
《中医临床研究》
2021年第34期23-26,共4页
Clinical Journal Of Chinese Medicine
基金
无锡市卫健委中青年拔尖人才资助计划(BJ2020064)
南京中医药大学自然科学基金项目(XZR2020080)
江苏省青年医学重点人才培养项目(QNRC2016205)
关键词
五运六气
天干
地支
冠状动脉粥样硬化性心脏病
冠状动脉造影术
Five-movements and six-Qi
Celestial Stems
Terrestrial Branohes
Coronary atherosclerotic heart disease
Coronary angiography
