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吴晶,黄剑阳,潘健斌,邹吉涛,王建国,李杰.湖南地区早发冠心病冠脉病变与病性证素相关性研究[J].湖南中医药大学学报英文版,2017,37(11):1231-1233.[Click to copy
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| 湖南地区早发冠心病冠脉病变与病性证素相关性研究 |
| 吴晶,黄剑阳,潘健斌,邹吉涛,王建国,李杰 |
| (湖南中医药大学中医诊断重点实验室, 湖南 长沙 410007;湖南中医药大学, 湖南 长沙 410007) |
| 摘要: |
| 目的 探讨湖南省早发冠心病（premature coronary heart disease，PCHD）患者冠脉病变程度与中医证素之间相关性。方法 对156例早发冠心病患者进行证素分类辨证分析。冠脉病变程度以狭窄程度表示，病变积分以Gensini积分计算，心功能分级采用Killip分级。结果 各证素组所占比例从高到低依次为痰浊 > 阴虚 > 血瘀 > 气虚 > 热蕴，各组间冠脉病变程度与证素无明显相关性，各组间心功能Killip分级无显著差异，各组Gensini积分气虚组病变积分较其他组高。结论 湖南地区早发冠心病以痰浊为主要证素，但含有气虚证素的早发冠心病一般较为严重。 |
| 关键词: 冠心病 中医证素 相关性 |
| DOI：10.3969/j.issn.1674-070X.2017.11.015 |
| Received:October 10, 2016 |
| 基金项目:国家自然科学课题（81673963）；湖南省科技厅计划项目（2013RS4038）；湖南省教育厅重点项目（16A160）；湖南省中医药科研计划项目（60010626；201427）；校级大学生创新课题（102210001019011）。 |
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| Correlation Analysis Between Coronary Artery Disease and Syndrome Elements in Patients with Premature Coronary Heart Disease in Hunan Province |
| WU Jing,HUANG Jianyang,PAN Jianbin,ZOU Jitao,WANG Jianguo,LI Jie |
| (Hunan Provincial Key Laboratory of TCM Diagnosis, Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Objective To investigate the correlation between coronary angiography results and TCM syndrome elements in patients with premature coronary heart disease (PCHD) in Hunan province. Methods Syndrome elements differentiation on 156 cases of patients with premature coronary heart disease were analyzed. The degree of coronary artery stenosis was indicated by the degree of stenosis, and the lesion score was calculated by Gensini integral, and the cardiac function was graded by Killip. Results The following is the proportion of each syndrome group:phlegm turbidity > Yin deficiency > stasis of blood > Qi deficiency > heat, which indicated that the results of coronary angiography and syndrome had no obvious correlation, and there were no significant difference between Killlip grade of heart function, Qi deficiency group lesions of Gensini score was higher than other groups. Conclusion Premature coronary heart disease in Hunan area is mainly due to phlegm turbidity, but the premature coronary heart disease with Qi deficiency syndrome is generally more serious. |
| Key words: coronary heart disease TCM syndrome elements correlation |
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