CAJ | 학술논문

目的：观察不同证候的冠心病患者动态心电图散点图特征，探索冠心病虚实证候与心率变异性混沌特征的相关性。方法：选取符合冠心病诊断的100例患者，观察其动态心电图中Lorenz散点图的形态、长轴、短轴、SD1／SD2（宽／长）、面积、矢量长度及矢量角度指数，将以上参数与患者的证候进行对比分析。结果：动态心电图Lorenz散点图图形对比显示，实证组呈现棒球拍和类棒球拍状的图形多于虚证组和虚实夹杂证组，而虚证组、虚实夹杂证组呈现扩张状及细棒状多于实证组（P＞0．05）。虚、实、虚实夹杂三组在图形量化指标上对比显示，虚证组动态心电图Lorenz散点图图形长轴、短轴、SD1／SD2及图形面积都大于实证组（P＜0．05），虚证组Lorenz散点图矢量长度指数和矢量角度指数大于实证组（P＞0．05）。结论：冠心病虚实证候之间的冠心病Lorenz散点图长轴、短轴、SD1／SD2及图形面积等指标有显著差异，提示冠心病实证患者心率变异性较虚证患者显著下降。
목적：관찰불동증후적관심병환자동태심전도산점도특정，탐색관심병허실증후여심솔변이성혼돈특정적상관성。방법：선취부합관심병진단적100례환자，관찰기동태심전도중Lorenz산점도적형태、장축、단축、SD1／SD2（관／장）、면적、시량장도급시량각도지수，장이상삼수여환자적증후진행대비분석。결과：동태심전도Lorenz산점도도형대비현시，실증조정현봉구박화류봉구박상적도형다우허증조화허실협잡증조，이허증조、허실협잡증조정현확장상급세봉상다우실증조（P＞0．05）。허、실、허실협잡삼조재도형양화지표상대비현시，허증조동태심전도Lorenz산점도도형장축、단축、SD1／SD2급도형면적도대우실증조（P＜0．05），허증조Lorenz산점도시량장도지수화시량각도지수대우실증조（P＞0．05）。결론：관심병허실증후지간적관심병Lorenz산점도장축、단축、SD1／SD2급도형면적등지표유현저차이，제시관심병실증환자심솔변이성교허증환자현저하강。
Objective Observing the Holter Scatter Diagram character which the TCM syndrome of CHD has,discover the Chaos character of TCM syndrome.Methods We grouped one hundred CHD cases who were diagnosed as CHD into the excessive syndrome and the deficient syndrome,taken HRV tests and done HRV nonlinear analysis simultaneously.Results The two groups were com-pared the Scatter Diagram long axis,Short axis,SD1/SD2,area,the difference was statistically significant (P<0. 05).Other Scat-ter Diagram parameter compared,the difference was not statistically significant (P>0. 05 ).Conclusion Use this method we can dis-criminate the syndromes of TCM who has CHD.HRV theory of nonlinear characteristics can provide basis to prevention and treatment of coronary heart disease.