不稳定性心绞痛中医证型与HCY、hs-CRP的关系.pdfVIP

刘 敏张培影江苏省徐州市中医院徐州221003 摘要 目的：探讨不稳定性心绞痛中医证型与同型半胱氨酸(HCY)、超敏C反应蛋白(hs-CRP) 的关系。方法：不稳定性心绞痛患者102例，测定血清HCY、hs—CRP，行冠脉造影检查，并与同期的 非心绞痛患者98例对照。结果：不稳定性心绞痛组HCY及hs—CRP水平明显升高，与对照组比较， 异(P0．01)，三支病变组双支病变组单支病变组，心血瘀阻型痰浊内阻型寒凝心脉型 心气虚弱型心肾阴虚型心肾阳虚型。结论：不稳定性心绞痛中医证型间血清HCY、hs—CRP水 平存在明显差异(P0．05)，HCY、hs．CRP可能作为冠心病心绞痛中医辨证分型的客观指标之一。 hs．CRP 关键词 不稳定性心绞痛HCY 中医证型 BetweenTCM ofUnstable and LIU a1．Xuzhou Relationship Syndrometypes AnginaHCY，Its-CRPMin，et TraditionalChineseMedicine Hospital。Xt=hou(221003)，China Abstract the betweenTCM ofunstable and Objective：Toinvestigaterelationship syndrometypes anginahomocysteine Creactive totalof102 with their (HCY)，hypersensitive patientsunstable蛐gi帖had protein(hs-cRP)．Methods：A 8ertlIn HCYandks·CRPdeterminedandunderwent 98 servedascontrol coronaryangiography．Anothersubjects group． levelsofHCYandhs—CRPinthe were increased tothecontrol Results：The ansin且groupsignificantlycompared group(P weredifferentvaried lesionsandTCM levelin 0．01)．They among coronary syndrometypes(P0．01)，thehighest triple- double—vesselandthen ofblood of andturbid vessel，next singh-vesselcoronarylesions，andtype stagnation，typephlegm ofofChestStuffinessand of ofheartYin ofheart Pains，typeQiweskne8s，type type Yang stagnation，type deficiency，and in levelofHCYandhs—ClIPvaries differentTCM of and deficiencyorder．Condusion：The among syndrometypesansina Canbeuseda8 marke