摘要
目的采用流行病学方法研究冠心病证候要素与冠状动脉病变程度的相关性,探索伏邪致病特点。方法通过前瞻性调查方法收集冠心病心绞痛(冠脉造影术后)患者120例临床资料,结合指标描述性分析、多元线性回归分析等分析方法,总结证候要素与冠状动脉病变程度及范围的内在联系。结果痰浊+血瘀、气虚+血瘀是冠心病心绞痛中出现频率最高的内在组合。血瘀、痰浊、阳虚、气虚与Gensini积分正性相关,血瘀、痰浊、阴虚、气虚与冠脉病变血管支数正性相关。结论痰浊和血瘀是引起冠脉病变程度和范围加重的重要因素。
Objective: To research the correlation between TCM syndrome factors of CHD and degree of coronary lesions,and to explore the characteristics of insidious pathogen with epidemiological methods. Methods: The clinical data of 120 patients with angina pectoris(postoperative coronary angiography) were collected by prospective investigation. The descriptive analysis and multiple linear regression analysis were used to summarize the intrinsic relationship between syndrome factors and coronary lesions. Results: The phlegm+blood stasis and Qi deficiency+blood stasis was the most common combination of coronary heart disease angina. The blood stasis,phlegm,Yang deficiency and Qi deficiency were all positively correlated to the total grades of Gensini. The blood-stasis,phlegm,Yin deficiency and Qi deficiency were all positively correlated to the pathologic number of the coronary artery. Conclusion: The phlegm + blood stasis is an pivotal factor factor causing the severity and extent of coronary lesions.
作者
石锐
常立萍
王国强
孟文宜
邓悦
Shi Rui;Chang Liping;Wang Guoqiang(Affiliated Hospital of Changchun University of Traditional Chinese Medicine,Jilin,Changchun 130021,China)
出处
《中国中医急症》
2019年第3期435-437,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
吉林省中医药管理局科研课题(2017198)
关键词
冠心病心绞痛
痰瘀伏邪
冠脉病变程度
证候要素
Coronary heart disease angina
Insidious pathogen of phlegm and blood stasis
Degree of coronary lesions
Syndrome factors
