冠心病中医辨证分型与冠状动脉及左室造影所见的联系

作者	单位
鲍延熙	上海第二医科大学附属仁济医院内科心血管研究室
郑义	上海第二医科大学附属仁济医院内科心血管研究室
陆惠华	上海第二医科大学附属仁济医院内科心血管研究室
俞国瑞	上海第二医科大学附属仁济医院内科心血管研究室
郑道声	上海第二医科大学附属仁济医院内科心血管研究室

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中文摘要:

本文观察了43例冠心病患者中医辨证分型与冠脉造影结果的关系。结果以血瘀型为主的患者,94%有冠脉狭窄阻塞病变,6%有冠脉痉挛;以气虚气滞型为主的患者,12%有冠脉痉挛,32%有冠脉狭窄阻塞病变,56%为寇脉正常或阻塞管腔直径在50%以下。同时,对左心室射血分数、血小板聚集度、超声心动图等也作了观察与分析。

英文摘要:

From 1986～1988,43 CHD patients were analyzed on the relationship between the patterns of syndrome differentiation and the features of coronary and left ventricular angiocardiography.There were 17/18 cases(94.41%)with fixed stenotic lesions of coronary arteries in the pattern of blood stasis;1/18 cases(5.5%)had coronary spasm;none was normal The cases with blood stasis pattern were mostly of old myocardial infarction,effort angina and effort coexisting with spontaneous angina.They Complained a fixed squeezing substernal pain provoked by physical exertion.In 14/25 cases(56%)of syndrome differentiation with Qi(气)deficiency and Qi stagnation,the coronary arteries were normal.3/25 cases(12%)had coronary arterial spasm and 8/25 cases(32%)had stenotic lesions in coronary artery.The cases of Qi deficiency and Qi stagnation were mostly of spontitneous and atypical angina.They complained precordial distress or pain with undefinite location associated with shortness of breath and fatigue.The distress was relieved by a deep breath. Abnormal ejection fraction was seen mostly in the pattern of Qi symptoms and signs but less in the pattern of blood stasis(P<0.002).There was no significant difference in platelet aggregation test and echocardiogram between the two patterns.

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