冠心病中医证型与冠状动脉狭窄程度的相关性研究

摘要

Objective Mining correlation law between TCM syndrome of coronary heart disease and coronary artery stenosis degree. Methods Search literature according to the literature inclusion criteria and exclusion criteria in an electronic database literature,analyze the literature data and Mining correlation law between TCM syndrome of coronary heart disease and coronary artery stenosis degree. Results Top three coronary heart disease of TCM syndrome types are phlegm syndrome, blood stasis, deifciency based on 19 references and 3536 cases of patients. Moderate and severe coronary stenosis is given priority to with phlegm syndrome, blood stasis, having statistical signiifcance when compared with other syndromes(P<0.05). Conclusion Top three syndrome types of TCM of moderate and severe coronary stenosis contains procession of phlegm syndrome, blood stasis, qi deifciency syndrome. Moderate and severe coronary stenosis can be used as the diagnostic criteria of TCM phlegm syndrome, blood stasis.%目的：挖掘冠心病中医证型与冠状动脉狭窄程度相关性规律。方法采用横断面调查研究，对现代文献电子数据库进行搜索、根据纳入标准、排除标准进行文献纳入，对文献进行数据分析，探讨冠心病中医证型与冠状动脉狭窄程度相关性规律。结果共纳入文献19篇，患者例数3536例，冠心病证型前三位分别为痰证（37.14%）、血瘀证（36.27%）、气虚证（21.96%）；纳入冠状动脉狭窄程度研究文献8篇，患者例数为1430例，中度、重度冠状动脉狭窄以痰证、血瘀证为主，痰证、血瘀证与非痰非瘀证比较差异有统计学意义（P＜0.05）。结论气虚证、痰证、血瘀证为冠心病中、重度狭窄患者的三大证型，冠状动脉狭窄程度与痰证、血瘀证存在相关性，可以作为冠心病中医痰证、血瘀证的诊断的参考指标之一。