老年冠心病中医证型与血脂水平的相关性研究

发布时间：2018-01-12 04:13

本文关键词：老年冠心病中医证型与血脂水平的相关性研究　出处：《中西医结合心脑血管病杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探究老年冠心病病人不同中医证型与血脂水平间的关系。方法随机选取我院心血管内科拟诊为冠心病的老年病人167例,根据冠状动脉造影结果分为冠心病组(100例)及非冠心病组(67例),根据中医辨证分型分为痰阻心脉、心血瘀阻、阴寒凝滞、气虚血瘀四型,比较冠心病病人不同中医证型与血脂水平的关系。结果冠心病组总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)均高于非冠心病组,差异有统计学意义(P0.05);痰阻心脉证TC、LDL-C、载脂蛋白B均显著高于其他各证型,差异有统计学意义(P0.001);痰阻心脉证和心血瘀阻证TC显著高于其他证型,差异有统计学意义(P0.05)。结论老年冠心病中医证型以痰阻心脉证和心血瘀阻证常见,痰浊与血脂异常存在一定的相关性且痰阻心脉证中血脂最显著。
[Abstract]:Objective to explore the relationship between different TCM syndromes and serum lipid levels in elderly patients with coronary heart disease. Methods the cardiovascular department of our hospital diagnosed 167 cases of elderly patients with coronary heart disease, according to the results of coronary angiography were divided into coronary heart disease group (100 cases) and non CHD group (67 cases), according to TCM syndrome of phlegm blocking heart vessel, blood stasis, stagnation of Yin cold, Qi deficiency and blood stasis type four, the relationship between different TCM syndromes and serum lipid levels in patients with coronary heart disease compared. Results the total cholesterol in coronary heart disease group (TC), three (TG), triglyceride and low density lipoprotein cholesterol (LDL-C) were higher than those in non CHD group, the difference was statistically significant (P0.05); syndrome of phlegm blocking heart vessel TC, LDL-C, apolipoprotein B were significantly higher than other syndromes, the difference was statistically significant (P0.001); phlegm blocking heart vessel syndrome and blood stasis in TC was significantly higher than other syndromes, the difference was statistically significant (P0.05). Conclusion the elderly patients with coronary heart disease TCM syndrome type is common with phlegm obstructing heart pulse syndrome and heart blood stasis syndrome, and there is a certain correlation between phlegm and dyslipidemia and the most significant blood lipid in phlegm obstruction syndrome.

【作者单位】：上海中医药大学附属普陀医院/上海普陀区中心医院;
【基金】：国家中医药管理局重点专科老年科建设项目(No.A-145) 上海市医学重点专科建设计划项目-心血管内科(No.ZK2015A17)
【分类号】：R259
【正文快照】： 冠心病(coronary heart disease,CHD),也称缺血性心脏病,具有高发病率、高致残率、高致死率、高复发率及多并发症特点,对人类生命安全造成严重威胁,冠心病是影响高龄人群健康的主要原因之一,其患病率随增龄而增加,我国高龄老年冠心病病人亦日益增多[1-2]。冠心病归属于中医学

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