急性冠脉综合征行冠脉内支架术前后中医辨证规律与客观指标研究.pdf

syndrome, phlegm Example card number significantly reduced; Yin deficiency, Qi stasis syndrome number of cases was no significant change.3.Multivessel coronary artery Lesions were related with Qi deficiency, blood stasis and hot, and blood stasis.4.Qi deficiency of LVEF was significantly higher than other card-type; blood stasis and hot Syndromes WBC, CRP significantly increased; blood stasis Syndromes significantly elevated with D-dimmer. Conclusion: 1. Qi deficiency, blood stasis and hot were the main syndrome type of ACS.2.ICS could significantly reduced point, so that part of the deficiency, markedly reduced the number of empirical cases, but Qi deficiency markedly increased the number of cases.3. Multivessel coronary artery lesions were related with Qi deficiency, blood stasis and hot, and blood stasis.4. LVEF associated with Qi Deficiency Syndrome; CRP, WBC associated with blood stasis and hot; DD associated with blood stasis. Key words ACS; intracoronary stenting; the syndrome of traditional Chinese medicine; D-dimmer; C-reactive protein; white blood cell; left ventricular ejection fraction 目 录 引 言 1 临床研究 2 一、 临床资料 3 （一）病例选择 3 （二）病例来源 5 二、研究方法 5 （一）一般情况观察 5 （二）中医单项症状记分并中医辨证 5 （三）客观指标检查项目 7 三、统计学方法 8 四、研究结果 8 （一）一般资料 8 （二）冠脉内支架术前后中医辨证分布情况变化 9 （三）中医辨证与病变血管支数的关系 12 （四）单项证候积分变化情况 12 （五）中医辨证与客观指标的比较 13 讨 论 14 一、急性冠脉综合征的中医病因病机特点 14 （一）热毒损心是急性冠脉综合征的特有证候 14 （二）正气亏虚是急性冠脉综合征本虚证中的主要病机 15 二、急性冠脉综合征性别与年龄分布的特点 16 三、急性冠脉综合征中医证候分布探讨 16 四、急性冠脉综合征介入前后中医辨证及其规律的探讨 17 （一）中医辨证与冠脉介入术（或冠脉造影）的相关研究 17 （二）冠脉介入术后的中医辨证探讨 18 五、急性冠脉综合征中医辨证与相关客观指标的探讨 20 （一）中医辨证与白细胞计数 20 （二）中医辨证与C 反应蛋白 20 （三）中医辨证与心功能 21 （四）中医辨证与D-二聚体 21 六、本研究的意义、创新点与不足 22 (一)本研究的意义与创新点 2