摘要
目的探讨胸痹心痛的证型和超声心动图(UCG)改变的关系。方法对305例胸痹心痛患者进行辨证分型、冠状动脉造影和UCG检查,对比研究不同证候在超声心动图各指标方面的改变。结果冠脉正常且无室壁运动异常时,血瘀证和痰浊证的比例均较低,而冠脉狭窄且室壁运动异常者血瘀证、痰浊证比例较高。冠脉狭窄且舒张功能异常组的血瘀证和痰浊证均显著高于无冠脉狭窄组。左室收缩功能正常组与异常组的证型分布无显著性差异。气滞证候组的左室射血分数(EF)低于非气滞证候组,痰浊证候组的EF值低于非痰浊组;阳虚证候组的短轴缩短率(FS)低于非阳虚证候组,痰浊证候组的FS值低于非痰浊证候组。结论超声心动图对胸痹心痛辨证分型的临床意义有限。
Objective To investigate the relationship between UCG changes and syndrome-types of chest stuffiness and pains （CSP）. Methods All 305 cases were diagnosed as CSP and received coronary angiography and echocardiography （UCG）. The relationship between UCG changes and syndrome-types of TCM was analyzed. Results When coronary arteries were normal and with no abnormal ventricular wall movemoment, the proportions of blood-stasis syndrome （BSS） group and phlegm-turbid syndrome （PTS） group were lower, while higher in the condition of coronary arteries strait and with abnormal ventricular wall movemoment. BSS and PTS were significantly higher in the group with coronary arteries strait and abnormal diastolic function of left ventricle than in the group with no coronary arteries strait. There was no significantlly different symdrome-types distributing between normal and abnormal left ventricle systolic function group. EF was lower in Qi-stagnation syndrome （QSS） group than non-QSS group. FS was lower in Yang-deficiency syndrome （YDS） group than in non-YDS group, the same condition in PTS group and non-PTS group. Conclusion There was no significantly value of dignosing syndrome-types of chest stuffiness and pains in the use of UCG.
出处
《中国中医药信息杂志》
CAS
CSCD
2008年第1期19-21,共3页
Chinese Journal of Information on Traditional Chinese Medicine
基金
广州中医药大学科研创新基金资助课题(200405)
关键词
胸痹心痛
冠心病
冠状动脉造影
超声心动图
chest stuffiness and pains： coronary heart disease
coronary angiography
echocardiography
