Objective: To investigate the Distribution of TCM Syndromes of patients with Non-alcoholic fatty liver Disease (NAFLD) in coronary heart disease. Methods: 415 patients with coronary heart disease were enrolled into this study. All patients had ultrasound screening for fatty liver. All patients were investigated by epidemiolog-ical method. Statistical analysis was implemented by SPSS13.0. Results: Among 415 recruited patients,223 (53.7% )had fatty liver by ultrasonography. Diabetes mellitus was risk factor in NAFLD patients with coronary heart disease. The distribution of TCM syndromes of coronary heart disease with NAFLD was as follows: blood stasis (140 cases, 62.8%), phlegm (92 cases,41.3%) ,Qi deficiency (83 cases,37.2%) ,Qi stagnation (54 cases, 24.2%),Yang deficiency(52 cases,23.3%),Yin deficiency(37 eases, 16.6%) Xold coagulation(18 cases,8.1%). The syndrome of Qi stagnation was more often found in coronary heart disease with NAFLD than without NAFLD. Qi deficiency blood stasis were more often found in combination syndromes (12 cases, 12.6%). Conclusion: The basis distribution of TCM syndromes of coronary heart disease with NAFLD is as follows;blood stasis, phlegm and Qi deficiency. The syndrome of Qi stagnation is the important pathogenesis.%目的 观察冠心病患者伴发非酒精性脂肪性肝病(NAFLD)的中医证候分布与组合规律.方法 对415例冠心病患者入院期间进行空腹肝胆超声检查,采集患者信息,采用SPSS13.0软件对数据进行分析.结果 NAFLD患者发生率为53.73％.NAFLD组糖尿病合并症比例高于非NAFLD组.冠心病合并NAFLD证候分布依次为血瘀(140例,62.78％)、痰浊(92例,41.25％)、气虚(83例,37.21％)、气滞(54例,24.21％)、阳虚(52例,23.31％)、阴虚(37例,16.59％)、寒凝(18例,8.07％).冠心病合并NAFLD较不合并NAFLD者多见气滞证.组合证型中以气虚血瘀证最多,占12.55％ (28/223).结论 冠心病合并NAFLD的基本证候是血瘀、痰浊、气虚,气滞是其重要证候.
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