胸痹患者的证型与CK-MB、MYO和cTNI的关系分析

摘要

目的 探讨急诊胸痹患者的证型与心肌酶谱的关系,提高急诊胸痹患者的危险度辨识水平.方法 对佛山中医院急诊科2011年3月至9月来诊的67例胸痹患者进行辨证,根据不同证型分为气滞血瘀组、痰浊闭塞组、阴血虚证组和阳气虚证组,并对四组患者进行床旁快速心梗检测,记录CK-MB、MYO和cTNI等数据,并对数据进行统计分析.结果 各证型发病时辰无差异:阳气虚证的MYO为(274.40±297.19) ng/mL,与其他证型比较差异有统计学意义.结论 床旁快速心梗检测可增加胸痹患者中医辨证分型诊断的科学性,阳气虚证的MYO值及其阳性率较高,临床上应与重视.%Objective:To research the relationship about the syndrome pattern and CK-MB,MYO and CTNI in chest stuffiness patients and improve the level of identification about the criticaliry of chest stuffiness patients. Methods:67 chest stuffiness patients were divided randomly into 4 groups according to the syndrome differentiation such as the qi stagnation blood stasis group,the stagnation of phlegm-dampness group,the deficiency of yin blood group and the deficiency of yang qi. Some indices including CK-MB.MYO and CTNI were detected in these patients. Results:There were no statistical differences in 4 syndrome patterns about the attack time. Compared with other groups, the MYO of the deficiency of yang qi group was (274.40±297.19) ng/mL was the highest. Conclusion:Bedside-fast-test of AMI can improve the level of diagnose identification about syndrome differentiation in chest stuffiness patients.That the value and positive rate of MYO in group of deficiency of yang qi is higher should be clinical consideration.