冠心病中医证型与红细胞分布宽度及血小板平均体积相关性的临床观察

发布时间：2019-02-11 11:00

【摘要】：目的探讨研究冠心病各中医证型与血常规中两常规化验指标红细胞分布宽度(RDW)和血小板平均体积(MPV)之间的相关性。方法将326例经冠脉造影检查后确诊为冠心病的患者按中医辨证分为气滞、寒凝、血瘀、痰浊、气虚、阴虚、阳虚(阳脱)7个证型,检测其血常规中RDW和MPV水平,并进行比较。结果气滞及兼证、非气滞证两组比较,血瘀及兼证、非血瘀证两组比较,痰浊兼证、非痰浊证两组比较,气虚及兼证、非气虚证两组比较,阴虚及兼证、非阴虚证两组比较,阳虚及兼证、非阳虚证两组比较,RDW、MPV差异均有统计学意义(P0.05),寒凝及兼证、非寒凝证两组比较,RDW、MPV差异无统计学意义(P0.05);RDW、MPV值由气滞证、寒凝证、血瘀证、痰浊证、气虚证、阴虚证到阳虚证逐渐增大。结论 RDW、MPV与冠心病各中医证型有相关性,可一定程度上揭示冠心病在各中医证型间传变规律,为冠心病中医证型分型及其标准化研究提供客观依据。
[Abstract]:Objective to study the correlation between TCM syndromes of coronary heart disease (CHD) and erythrocyte distribution width (RDW) and mean platelet volume (MPV). Methods 326 cases of coronary heart disease diagnosed by coronary angiography were divided into seven syndrome types according to TCM syndrome differentiation: Qi stagnation, cold coagulation, blood stasis, phlegm turbidity, qi deficiency, yin deficiency and yang deficiency (Yang Tou). The levels of RDW and MPV in blood routine were detected and compared. Results Qi stagnation and syndromes, non-qi stagnation syndrome, blood stasis and syndromes, non-blood stasis syndrome, phlegm turbid syndrome, non-phlegm turbid syndrome, qi deficiency and syndromes, non-qi deficiency syndrome, yin deficiency and syndromes, and non-yin deficiency syndrome were compared. Yang deficiency and syndromes, non-yang deficiency of the two groups, RDW,MPV differences were statistically significant (P0.05), cold coagulation and syndromes, non-cold coagulation syndrome two groups, RDW,MPV difference was not statistically significant (P0.05); The RDW,MPV value increased gradually from qi stagnation syndrome, cold coagulation syndrome, blood stasis syndrome, phlegm turbid syndrome, qi deficiency syndrome, yin deficiency syndrome to yang deficiency syndrome. Conclusion there is a correlation between RDW,MPV and each TCM syndrome type of coronary heart disease, which can reveal the law of coronary heart disease transmission in different TCM syndromes to a certain extent, and provide an objective basis for the study of TCM syndrome type classification and standardization of coronary heart disease.
【作者单位】：天津医科大学研究生院;天津市第三中心医院;
【分类号】：R259

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