稳定性冠心病患者舌象与检查指标相关性

发布时间：2018-01-30 19:13

本文关键词： Gensini积分稳定性冠心病舌象血管内皮功能　出处：《中华中医药杂志》2017年12期 　论文类型：期刊论文

【摘要】：目的:探讨稳定性冠心病患者的舌象与Gensini积分及肱动脉最大扩张幅度与基础经的百分比(即FMD值)的相关性。方法:选取150例稳定性冠心病患者,收集舌象、Gensini积分和FMD并分析其相关性。结果:(1)Gensini积分:紫舌组红舌组淡白舌组淡红舌组,厚腻苔组少苔组薄苔组;(2)FMD值:淡红舌组红舌组淡白舌组紫舌组,薄苔组少苔组厚腻苔组;(3)Gensini积分与紫舌、厚腻苔呈正相关,与淡红舌、淡白舌薄苔呈负相关;FMD值与紫舌、厚腻苔呈负相关,与淡红舌呈低度正相关。结论:稳定性冠心病患者舌象多见红舌或淡白舌、薄白苔或少苔;紫舌或厚腻苔患者的冠脉病变和内皮功能损伤更重。
[Abstract]:Objective: to investigate the tongue picture and Gensini score and the percentage of brachial artery maximum dilatation and basic meridian in patients with stable coronary heart disease (FMD). Methods: 150 patients with stable coronary heart disease were selected. Gensini score and FMD were collected and analyzed. Results the Gensini integral was: purple tongue group red tongue group light white tongue group light red tongue group, thick greasy fur group little fur group thin fur group; FMD value: red tongue group, light white tongue group, purple tongue group, thin fur group, thick and greasy coating group; The Gensini score was positively correlated with purple tongue, thick and greasy fur, and negatively correlated with light red tongue and thin white tongue coating. FMD value was negatively correlated with purple tongue, thick and greasy fur, and low degree with light red tongue. Conclusion: in patients with stable coronary heart disease, the tongue appearance is mostly red or light white, thin white or less. Coronary artery lesions and endothelial dysfunction are more severe in patients with purple tongue or thick greasy fur.
【作者单位】：北京中医药大学;中日友好医院中西医结合心内科;
【基金】：国家自然科学基金面上项目(No.81573777)~~
【分类号】：R259
【正文快照】： 冠状动脉粥样硬化性心脏病指冠状动脉的粥样硬化病变引起的心肌缺血、缺氧所导致的一系列特征性的临床症状的心脏病,与冠状动脉痉挛引起的心肌缺血、缺氧的症状类似,在临床上统称为冠状动脉性心脏病(coronary heart disease,CHD),简称冠心病[1]。《中国心血管病报告2014》[2]

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