血浆同型半胱氨酸和冠状动脉粥样硬化严重程度与中医证型的关系.pdf

型型坐亘匿堕笪壁查!!业生!!旦篁丝鲞笪!!塑 血浆同型半胱氨酸和冠状动脉粥样硬化 严重程度与中医证型的关系 瑜2 严卉16胡晓最2陈君柱2朱建华2陈 内容提要 目的：探讨血浆同型半胱氨酸水平、冠状动脉粥样硬化严重程度与中医证型的关系。方法： 后分为心血瘀阻、痰浊壅塞和气阴两虚3型，分析同型半胱氨酸水平、冠状动脉粥样硬化严重程度与中医证 动脉病变支数的增加，血浆同型半耽氨酸水平逐渐增高。在非重度狭窄者、重度狭窄者中，o血瘀阻型血浆同 著性。结论：血浆同型半胱氨酸水平与冠状动脉粥样硬化病变支数、病变的严重性呈正相关。血瘀是导致冠 脉粥样硬化的病理基础，同型半胱氯酸值可为冠心病中医辨证分型提供一定的科学依据。 关键词同型半胱氨醮 冠状动脉粥样硬化中医辨证分型 ofTCM withPlasma and of Relatjonship SeverityCor蚰ary SyndromeType HoInocysteine YAN al Hui，Huxiao—sIleng，CHENJun—z11Ll，elzhq尬ngHos卢imz W“fPr”J!Ⅵe“jc抽P，f如”g￡^o“(3j0000) the ofTCM with objective：Torelati。nship seve“ty sfudy syndr。metype plasnla of athemsclerosisMethods：Plasmawasdeterminedtheautomaticfluorescenre im— coronarv Hcy by pola“zation m71 withandwithout heart 28 documented∞rona。y munoassaypatlents a“9109raphically TCM of54 withanerial healthypersons．Thesyndrometype patients byangiog珀 classi矗edintutkHeartbl∞dstasis and Re— phy)was type，phlegmstagnationtype Qi—Yindeficiencytype incidenceof was in withCHD【hanLhaIin suIts：T}1e hyperhumocysteinemiasignincantlyhig}lerpaLients of was in with thanthatin patients angi。graphicimage persons(P0．01)LevelplasmaHcy higher positive thosewith thelevelwas withthe1ncreaseofbranche