| 贾宝善,徐启营,唐巍,梁慧,石刚,孟繁良.冠心病心气虚与核听诊器检测心功能关系的初步探讨[J].,1987,(4):203-205,195 |
| 冠心病心气虚与核听诊器检测心功能关系的初步探讨 |
| Relationship between Diagnosis on Heart Qi deficiency of CHD and Nuclear Stethoscope in Determining Cardiac Function |
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| 中文关键词: 核听诊器 心气虚证 冠心病 气虚血瘀 左心功能 心功能不全 舒张功能减退 检测结果 正常对照组 显著差异 |
| 英文关键词: |
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| 中文摘要: |
| 本文应用核听诊器对44例冠心病心气虚患者左心室功能检测结果表明:心气虚证候的变化与左心功能不全密切相关,气虚轻证组首先表现为舒张功能减退(PFR 降低,TPFR 延长),而重证气虚患者除有心舒张功能减退表现外,还有泵血功能减退(EF 降低)。颇与中医的气病在先,血病在后,气虚血瘀的病机相符。在与 STI 对比观察中,发现PFR 与 TPFR 要比 STI 更能及早反映冠心病心气虚的心功能不全,具有早期诊断意义。 |
| 英文摘要: |
| This article reports the results of using the nuclear stethoscope in determining cardiac function.The cardiac function of 44 cases with heart Qi deficiency of CHD(coronary heart disease)and of 15 healthy persons which served as a control group were examined.The results showed that there was no significant difference in EF(52.92±6%)between the 14 cases with mild heart Qi deficiency and 15 healthy persons (57.53±8%)(P>0.05),while the PFR(3.2±0.5 EDV/sec)was greatly reduced,and the TPFR(189±31 ms) obviously prolonged in the patients compared with the control(4.4±0.9 EDV/Sec and 122±28 ms respectively).The difference was significant,P<0.01.In the 30 cases with severe deficiency of Qi,very significant difference was noted in the EF(34.13±7%)reduction in comparing with the groups of both healthy persons(57.53±8%)and mild heart Qi deficiency(52.92±6%)(P<0.01).The PFR(3.1±0.8 EDV/sec)and TPFR(193±68 ms)also showed significant difference in comparison with the normal group (4.4±0.9 EDV/scc and 122±28 ms respectively)(P<0.01).It revealed that the abnormal change of the diastolic function came earlier and the impairment of systolic function appeared later,which corresponded to the severity of the degree of heart Qi deficiency.34 cases were examined by instruments of both nuclear stethoscope and STI.The results showed that 21 cases with heart dysfunction were determined with STI (61%),while 30 cases with heart disorders were determined with nuclear stethoscope(88%).The difference between these two results was significant statistically(P<0.05).Especially in the group of mild heart Qi deficiency,the abnormal rate reached 78.5% with the nuclear stethoscope,but only 21% with STI,the difference between them being very significant.The reason could be that in mild cases,the disorder belonged mostly to the diastolic dysfunction,which could not be detected with STI.Therefore the nuclear stethoscope was much more superior than the STI in determining the early stage heart disorder of the patients with heart Qi deficiency of CHD.The PFR and TPFR have greater clinical value in the early diagnosis of these patients.It offers a scientific basis for the diagnosis of heart Qi deficiency of CHD qualitatively and quantitatively. |
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