冠心病介入治疗围术期中医证候特征与分布规律的研究.pdfVIP

20 10 6 8 6 639 / 1) 任 毅, 吴 瑜, 张敏州, 陈可冀, 尤士杰, 张 健, 欧爱华 : 探索冠心病介入治疗围术期中医证候特征及分布规律, 了解介入治疗对中医证型的影响 选 经冠状动脉 造影确诊的冠心病患者405 例, 分析介入治疗围术期中医证候及分布规律, 四诊指标变化情况, 证型相兼虚实的变化规律 冠脉介入治疗后气虚证增加, 血瘀证寒凝证减少; 介入治疗后胸痛胸闷脉涩等均显著改善, 神疲乏力纳食减少脉细等显著性增 加; 术前实证所占比例最大, 术后本虚标实证所占比例最大 介入术对冠心病辨证分型的影响为介入治疗后气虚证增加, 血 瘀证寒凝证减少, 提示应充分关注介入治疗后补气活血标本兼治的重要性和必要性 : 冠心病; 中医证候; 冠脉介入治疗; 围术期 : R541. 4 R256. 2 : B : 1672- 1349 ( 2010) 06- 0639- 0 3 Study on Chinese Medicine Syndromes Characteristics and Distribution Rule Around Percutaneous Coronary Intervention Perioperative Period Ren Yi, Wu Yu, Zhang Min hou, et a l G uang do ng Ho spita o f T raditiona Chinese M edicine( G uang zhou 510120) Abstract:Objective T o ex p o re the char acter istics and dist ribution ru e o f Chinese medicine sy ndr omes at perioperativ e per iod of per cutaneou s co ro nar y inter vent ion ( PCI) , and inf uence of sy ndro me on acco unt o f P CI . Methods F our hundreds and f ive patients ( pts) w ith cor onary hear t disease( CH D) w ere se ected for the study of coro nary ang io gr aphy , char acter istics and distributio n ru e of Chinese medicine syndromes . T he r u e o f Chinese medicine sy ndro mes comp ex es, def iciency and ex cess syndr ome at PCI per ioperative per iod w er e ana yzed. Results Q i def iciency sy ndro me w as increased, b o od stasis syndr ome and co d coag u atio n sy ndro me w er e de cr eased after PCI. Chest pain , chest distress, hesitant pu se w ere decr eased sig nif icant y . Spir it essness, w eakness, anor exia, and thready pu se w ere increased sig nif icant y after PCI. Excess syndrome had a big g est pro po rtio n before PCI. Def iciency in r oot and excess in su perf icia ity had a big