中西医结合心脑血管病杂志
中西醫結閤心腦血管病雜誌
중서의결합심뇌혈관병잡지
Chinese Journal of Integrative Medicine on Cardio/Cerebrovascular Disease
2015年
13期
1473-1476
,共4页
陈战西%翟雪芹%高玉%王晓峰
陳戰西%翟雪芹%高玉%王曉峰
진전서%적설근%고옥%왕효봉
冠心病%维吾尔族%汉族%女性%中医证型%冠脉病变
冠心病%維吾爾族%漢族%女性%中醫證型%冠脈病變
관심병%유오이족%한족%녀성%중의증형%관맥병변
coronary heart disease%Uygur nationality%Han nationality%female%Traditional Chinese Medicine syndrome%coronary le-sions
目的：探讨维吾尔族及汉族女性冠心病中医证型与冠脉病变程度的相关性。方法选择2012年3月—2013年11月在新疆医科大学附属中医医院心血管相关科室住院的女性患者，经冠状动脉造影确诊为冠心病，严格按照纳入及排除标准共收集221例，按民族分为两组(维吾尔族91例、汉族130例)。入选后记录患者的冠脉造影结果，中医证型判定由医院心内科主治及以上医师进行。结果①维吾尔族女性冠心病中医证型分布依次为：秽浊痰阻证、气滞血瘀证、气虚血瘀证、气阴两虚证、其他证型；汉族女性冠心病中医证型分布依次为气滞血瘀证、气虚血瘀证、秽浊痰阻、气阴两虚、其他证型，两组比较差异无统计学意义(P>0.05)；②维吾尔族与汉族女性冠心病患者秽浊痰阻、气虚血瘀以多支病变为主，气阴两虚以双支病变为主，气滞血瘀以单支病变为主，两组组内比较差异有统计学意义(P<0.05)；维吾尔族与汉族女性冠心病患者气滞血瘀证以 A型病变为主，秽浊痰阻证、气虚血瘀证及气阴两虚证以 B型和 C型病变为主，两组组内比较差异有统计学意(P<0.05)。结论维吾尔族和汉族女性冠心病的主要中医证型是秽浊痰阻、气虚血瘀、气滞血瘀。女性冠心病中医证型与冠脉病变程度之间存在一定相关性。
目的：探討維吾爾族及漢族女性冠心病中醫證型與冠脈病變程度的相關性。方法選擇2012年3月—2013年11月在新疆醫科大學附屬中醫醫院心血管相關科室住院的女性患者，經冠狀動脈造影確診為冠心病，嚴格按照納入及排除標準共收集221例，按民族分為兩組(維吾爾族91例、漢族130例)。入選後記錄患者的冠脈造影結果，中醫證型判定由醫院心內科主治及以上醫師進行。結果①維吾爾族女性冠心病中醫證型分佈依次為：穢濁痰阻證、氣滯血瘀證、氣虛血瘀證、氣陰兩虛證、其他證型；漢族女性冠心病中醫證型分佈依次為氣滯血瘀證、氣虛血瘀證、穢濁痰阻、氣陰兩虛、其他證型，兩組比較差異無統計學意義(P>0.05)；②維吾爾族與漢族女性冠心病患者穢濁痰阻、氣虛血瘀以多支病變為主，氣陰兩虛以雙支病變為主，氣滯血瘀以單支病變為主，兩組組內比較差異有統計學意義(P<0.05)；維吾爾族與漢族女性冠心病患者氣滯血瘀證以 A型病變為主，穢濁痰阻證、氣虛血瘀證及氣陰兩虛證以 B型和 C型病變為主，兩組組內比較差異有統計學意(P<0.05)。結論維吾爾族和漢族女性冠心病的主要中醫證型是穢濁痰阻、氣虛血瘀、氣滯血瘀。女性冠心病中醫證型與冠脈病變程度之間存在一定相關性。
목적：탐토유오이족급한족녀성관심병중의증형여관맥병변정도적상관성。방법선택2012년3월—2013년11월재신강의과대학부속중의의원심혈관상관과실주원적녀성환자，경관상동맥조영학진위관심병，엄격안조납입급배제표준공수집221례，안민족분위량조(유오이족91례、한족130례)。입선후기록환자적관맥조영결과，중의증형판정유의원심내과주치급이상의사진행。결과①유오이족녀성관심병중의증형분포의차위：예탁담조증、기체혈어증、기허혈어증、기음량허증、기타증형；한족녀성관심병중의증형분포의차위기체혈어증、기허혈어증、예탁담조、기음량허、기타증형，량조비교차이무통계학의의(P>0.05)；②유오이족여한족녀성관심병환자예탁담조、기허혈어이다지병변위주，기음량허이쌍지병변위주，기체혈어이단지병변위주，량조조내비교차이유통계학의의(P<0.05)；유오이족여한족녀성관심병환자기체혈어증이 A형병변위주，예탁담조증、기허혈어증급기음량허증이 B형화 C형병변위주，량조조내비교차이유통계학의(P<0.05)。결론유오이족화한족녀성관심병적주요중의증형시예탁담조、기허혈어、기체혈어。녀성관심병중의증형여관맥병변정도지간존재일정상관성。
Objective To investigate the relationship of Traditional Chinese Medicine(TCM)syndromes and the severity of coronary le-sions in female patients with coronary heart disease(CHD)between Uygur nationality and Han nationality.Methods Two hundreds and twenty one female patients with CHD diagnosed by coronary artery angiography were selected from March 2012 to November 2013 at the Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University,and divided into Uygur nationality group (n=91)and Han nationality group(n=130).The coronary artery angiography were observed.TCM syndrome were judged.Results TCM syndromes of female patients with CHD in Uygur nationality were turbid phlegm syndrome,qi stagnation and blood stasis syn-drome,qi deficiency and blood stasis syndrome,qi yin deficiency syndrome and other syndrome in turn.TCM syndromes of female pa-tients with CHD in Han nationality were qi stagnation and blood stasis syndrome,qi deficiency and blood stasis syndrome,turbid phlegm syndrome,qi yin deficiency syndrome and other syndrome in turn.There was no statistical significance in TCM syndromes between two groups(P>0.05).The main vessel lesions were multivessel lesions in patients with turbid phlegm syndrome,qi defi-ciency and blood stasis syndrome,double vessel lesions in patients with qi yin deficiency syndrome,single vessel lesions in pa-tients with qi stagnation and blood stasis syndrome.There was significant difference in main vessel lesions between two groups(P<0.05).The main coronary lesions were A lesions in patients with qi stagnation and blood stasis syndrome,B and C lesions in patients with turbid phlegm syndrome,qi deficiency and blood stasis syndrome,qi yin deficiency syndrome.There was significant differ-ence in main coronary lesions between two groups(P<0.05).Conclusion The main TCM syndromes of female patients with CHD in Uygur nationality and Han nationality were turbid phlegm syndrome,qi deficiency and blood stasis syndrome,qi stagnation and blood stasis syndrome.TCM syndromes is correlated with the severity of coronary lesions in female patients with CHD.
