冠脈介入術(shù)患者冠脈造影結(jié)果與中醫(yī)證型的臨床相關(guān)性研究

《冠脈介入術(shù)患者冠脈造影結(jié)果與中醫(yī)證型的臨床相關(guān)性研究》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。

1、提要目的：研究冠脈介入術(shù)患者的冠脈造影結(jié)果與冠心病中醫(yī)證型的臨床相關(guān)性，為中西醫(yī)結(jié)合治療冠心病提供客觀依據(jù)。方法：選擇2011.9?2012.2在山東中醫(yī)藥大學(xué)第二附屬醫(yī)院心臟中心行經(jīng)皮冠狀動脈介入術(shù)（PCI)的冠心病住院患者95例，在患者手術(shù)前進(jìn)行中醫(yī)辨證分型，并觀察冠脈造影所示病變血管部位、病變血管數(shù)目、狹窄程度，計算冠脈病變積分。結(jié)果：實證組痰濁內(nèi)阻型、心血瘀阻型在病變血管數(shù)目、狹窄程度方面均重于虛證組心氣虛弱型、心腎陰虛型（P<0.01或P<0.05):實證組冠脈病變積分高于虛證組(P<0.01)。虛證組內(nèi)兩證型冠脈病變積分無差異（

2、P>0.05):而實證組內(nèi)兩證型冠脈病變積分無差異（P>0.05)。結(jié)論：冠心病實證組患者冠脈病變程度重于虛證組，冠脈介入術(shù)患者的冠脈造影結(jié)果與冠心病中醫(yī)證型存在一定相關(guān)性。關(guān)鍵詞冠脈介入術(shù)；冠脈病變：中醫(yī)證型TheclinicalcorrelationstudyonthecoronaryangiographyresultsofcoronaryinterventionsurgerypatientsandTCMsyndrometypesSpeciality:InternalMedicineofTCMAuthor:LiXuejieTutor:P

3、rofessorWangYingAbstractObjective：TostudytheclinicalcorrelationofthecoronaryangiographyresultsofcoronaryinterventionsurgerypatientsandTCMsyndrometypes.Methods：Inthisstudy,atoltalof95coronaryinterventionsurgeryinpatientswererecruitedanddividedintotwogroupsbeforethePCIoperat

4、ion.theshigroupincludingthephlegmblockingXin-channeandthethebloodstasisofheart.thexugroupincludingqi-deficiencyofheartandyin-deficiencyofheartandkidney.Observethelesionsite、thenumberofvascularlesions、thedegreeofatherosclerosisinthecoronaryarteryfromthecoronaryangiography,a

5、ndcalculatecoronarylesionsintegral.Results:Thethelesionsite、thenumberofvascularlesions、thedegreeofatherosclerosisinthecoronaryarteryofshigrouparesignificanthigherthanthatofxugroup.P<0.05.Thecoronarylesionsintegraloftheshigroupissignificanthigherthanthatofxugroup,P<0.05.Bet

6、weenthephlegmblockingXin-channeandthebloodstasisofheart.therewerenosignificantstatistificaldifferencesincoronarylesionsintegral,p>0.05.andtherewerealsonosignificantstatistificaldifferencesincoronarylesionsintegralbetweentheqi-deficiencyofheartandyin-deficiencyofheartandkid

7、ney,p>0.05.Conclusion:Thedegreeofatherosclerosisinthecoronaryarteryofshigroupishigherthanthatofxugroupand.TheclinicalcorrelationofthecoronaryangiographyresultsofcoronaryinterventionsurgerypatientsispositivelyrelatedtotheTCMsyndrometypesKeywordsPCI;coronarylesion;TCMsyndrom

8、etypes目錄弓丨W1資料與方法2一、研究對象2(一)診斷標(biāo)準(zhǔn)2(二）病例選擇標(biāo)準(zhǔn)2(三）臨床資料：3二、研究方法5(一）臨床資料采集5(二）冠