摘要
目的:分析颈动脉粥样硬化患者不同中医证型的动脉超声特点。方法:通过对216例颈动脉粥样硬化患者进行中医辨证分型,运用彩色多普勒超声检测颈动脉粥样硬化斑块的程度、部位、性质,分析比较不同中医证型的动脉超声表现。结果:216例颈动脉粥样硬化患者的中医证型分布为:气虚痰瘀互结证69例(31. 94%)、阴虚痰瘀互结证65例(30. 09%)、阳虚痰瘀互结证37例(17. 13%)、气滞痰瘀互结证24例(11. 11%)、血虚痰瘀互结证21例(9. 72%)。气虚痰瘀互结证颈动脉粥样硬化程度以3级(50. 72%)多见,其次为2级(40. 58%);阴虚痰瘀互结证颈动脉粥样硬化程度以3级(60. 00%)多见,其次为4级(24. 62%),两组比较差异有意义(P <0. 05)。不同中医证型患者斑块发病部位比较,无明显差异(P> 0. 05)。气虚痰瘀互结证软斑出现频率最高(57. 97%),其次为阳虚痰瘀互结证(56. 75%),与气滞痰瘀互结组、血虚痰瘀互结组比较,差异有统计学意义(P <0. 05);气滞痰瘀互结证硬斑出现频率最高(41. 67%),与气虚痰瘀互结组比较,差异有统计学意义(P <0. 05)。结论:颈动脉粥样硬化患者以气虚痰瘀互结证和阴虚痰瘀互结证为主,气虚痰瘀互结证和阴虚痰瘀互结证颈动脉粥样硬化程度以3级多见;气虚痰瘀互结证、阳虚痰瘀互结证软斑的出现频率较高,气滞痰瘀互结证硬斑的出现频率较高。
Objective： To analyze the ultrasonic characteristics of carotid atherosclerosis with different TCM syndromes.Methods ： 216 cases of carotid atherosclerosis were classified according to TCM syndrome. Color doppler uhrasonographywas used to detect the degree, location and nature of carotid atheroselerotie plaques, and uhrasonie manifestations of dif-ferent TCM syndromes were compared and analyzed. Results ： The TCM syndromes of 216 cases of patients with carotidatherosclerosis were as follows： syndrome of Qi deficiency and phlegm and blood stasis （syndrome I） in 69 cases （31.94% ）, syndrome of Yin deficiency and phlegm and blood stasis（syndrome II） in 65 cases（30.09% ）, syndrome ofYang deficiency and phlegm and blood stasis（ syndrome III） in 37 cases（17.13% ）, syndrome of Qi stagnation andphlegm and blood stasis （ syndrome IV） in 24 cases （ 11.11% ）, and syndrome of blood deficiency and phlegm and bloodstasis（syndrome V） in 21 cases（9.72% ） ; the degree of carotid atherosclerosis in syndrome I was mostly at grade III（50.72%） , followed by grade 11（40.58% ）. The degree of carotid atherosclerosis with syndrome II was mostly at gradeIII（60.00% ）, followed by grade IV（24.62% ）; the difference between the two groups was significant （P 〈0.05 ）.There were no significant differences in the location of plaque among different TCM syndromes（P 〉0.05）. Soft plaque occurred mostly in syndrome I（57.97% ）, followed by syndrome III（56.75% ） ; there were statistical differences corn-pared to syndrome IV and syndrome II（P 〈 0.05）. Hard plaque occurred mostly in syndrome IV（41.67% ） ; comparedto syndrome I, the difference was statistically significant（P 〈 0. 05）. Conclusion： Syndrome I and syndrome II are themain syndromes of carotid atherosclerosis; the degree of carotid atherosclerosis were mainly at grade III. Soft plaquewere commonly seen in syndrome I and syndrome III; however, hard plaque were commonly seen in syndrome IV.
作者
尹玉兰
叶小汉
吕洪雪
王婷
YIN Yulan;YE Xiaohan;LYU Hongxue;WANG Ting(Dongguan TCM Hospital,Dongguan 523000,China)
出处
《中医药学报》
CAS
2018年第5期107-110,共4页
Acta Chinese Medicine and Pharmacology
基金
2016年东莞市科技局课题(2016105101059)
关键词
颈动脉粥样硬化
证候
彩色多普勒超声
Carotid atherosclerosis
Syndrome
Color doppler ultrasound
