CAJ | 학술논문

目的：观察不同中医证型冠心病患者冠状动脉CTA影像表现。方法：将100例患者分为心血瘀阻、痰阻心脉、寒滞心脉、气滞心脉、心气亏虚、心阴亏虚和心阳亏虚等7个证型。分析冠状动脉CTA影像特点。结果：心外膜脂肪体积（EAV）心血瘀阻证与其他证型比较差异有统计学意义(P＜0.05)；钙化积分（CACS）除气滞心脉证与心气亏虚证之间无统计学差异(P＞0.05)，其他各组间两两比较差异均有统计学意义(P＜0.05)。结论：冠心病患者中医证型与冠状动脉CTA影像表现具有一定相关性。
목적：관찰불동중의증형관심병환자관상동맥CTA영상표현。방법：장100례환자분위심혈어조、담조심맥、한체심맥、기체심맥、심기우허、심음우허화심양우허등7개증형。분석관상동맥CTA영상특점。결과：심외막지방체적（EAV）심혈어조증여기타증형비교차이유통계학의의(P＜0.05)；개화적분（CACS）제기체심맥증여심기우허증지간무통계학차이(P＞0.05)，기타각조간량량비교차이균유통계학의의(P＜0.05)。결론：관심병환자중의증형여관상동맥CTA영상표현구유일정상관성。
Objective: To observe CTA images of coronary artery in patients with coronary heart disease (CHD) of different TCM syndromes. Methods:Totally 100 CHD patients were classified into 7 syndromes-stagna-tion of heart-blood stasis, blockage of heart vessels by phlegm, cold accumulation and qi stagnation in heart vessels as well as heart-qi, heart-yin and heart-yang deficiency. The characteristics of the CTA images were analyzed. Re-sults:The differences of epicardial adipose volumn (EAV) in comparing stagnation of heart-blood stasis and other syndromes had statistical meaning (P<0.05);the differences of CACS in comparing each two groups had statistical meaning (P<0.05) except for the comparison between stagnation of heart-blood stasis and heart-qi deficiency with no statistical meaning (P>0.05). Conclusion:There exists certain relations between CHD syndromes and CTA im-ages of coronary artery.