冠心病慢性心力竭中医证型与hs-crp、hcy、uma相关性研究.pdfVIP

发现，冠心病CHF不同中医证型与 hs-CRP 及 UMA 水平无明显相关性。 结论： 1 冠心病 CHF 中医证型随心功能级数的增加，呈现出气阴两亏—气虚血瘀—心 肾阳虚—痰饮阻肺—阳虚水泛的变化趋势。 2 冠心病 CHF 患者平均 hs-CRP 及 UMA 水平显著高于冠心病无 CHF 患者，冠心 病 CHF 患者 hs-CRP 及 UMA 水平与心功能分级呈正相关,二者是反映冠心病 CHF 心 功能的重要指标，而 Hcy 水平在冠心病CHF心功能分级方面无意义。 3 冠心病 CHF 不同中医证型患者 hs-CRP 及 UMA 水平均随气阴两亏型—气虚血 瘀型—心肾阳虚型—痰饮阻肺型—阳虚水泛型的变化而升高，说明 hs-CRP 及 UMA 水平对冠心病 CHF 中医辨证分型具有一定的参考价值，而 Hcy 水平对冠心病 CHF 中 医辨证分型无明显意义。 关键词 慢性心力衰竭；中医证型；超敏 C 反应蛋白；同型半胱氨酸；尿微量 白蛋白 Research on the correlation between chronic heart failure with coronary heart disease TCM syndrome types and the concentration of hs-CRP, Hcy and UMA Speciality: Clinical study on the treatment of heart system disease with Traditional Chinese Medicine Author: Wang Shiling Tutor: Prof.Zhang Yunhui Abstract Objective:To observe distributed characteristics and evolvement rule of chronic heart failure patients with coronary heart disease(CHFCAD) traditional Chinese medicine(TCM) syndrome types.To discusse the correlation among the concentration of hs-CRP, Hcy, UMA ,cardiac function (NYHA classification) and TCM syndrome types, so as to make objective and quantitative diagnosis about TCM syndrome types , to provide an objective basis about CHFCAD TCM syndrome types . Methods: 1 To collect 60 CHFCAD patients and 20 CAD patients in Penglai city hospital of TCM, who will be included in the test group and control group when they meet the diagnostic standard and except to exclude standard . 2 Patients enrolled in this study will be took the median cubital vein blood which will be used to determine the concentration of hs-CRP and Hcy after fasting more than 12 hours in the next morning. To test UMA after specimens from the 24-hour urine.Echoc