胸痹心痛中医证型与心电图改变相关性研究
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R256.22

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Study on Correlation Between Chinese Medicine Syndrome Types of Chest Impedi⁃ ment and Heart Pain and Changes of Electrocardiogram
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    摘要:

    目的:探究胸痹心痛患者中医证型和心电图改变之间的相关性。方法:将190 例胸痹心痛患者作为研究对象,按照冠脉造影检查结果将其分为患有冠心病的研究组(95 例) 与未患有冠心病的对照组(95 例),对2 组患者进行中医辨证分型与心电图检查,分析中医证型和心电图改变之间的联系。结果:研究组的异常Q 波、ST 段抬高、ST 段下移及T 波低平、T 波倒置、房颤、左束支传导阻滞、右束支传导阻滞占比均高于对照组,差异有统计学意义(P<0.05)。对不同中医证型患者的各项心电图表现比较,差异有统计学意义(P<0.05)。结论:不同中医证型的胸痹心痛患者心电图变化规律有所不同,临床可以借助中医证型和心电图改变之间的相关性进行病情评估。

    Abstract:

    Abstract: Objective: To discuss the correlation between Chinese medicine syndrome types of chest impediment and heart pain and changes in electrocardiogram. Methods:A total of 80 cases of patients with chest impediment and heart pain were selected as the study objects. According to the results of coronary angiography, 40 cases of patients with coronary heart disease were included in the study group,and the other 40 patients without coronary heart disease were enrolled in the control group. Both groups were given Chinese medicine syndrome type differentiation and electrocardiographic examination. The relation between Chinese medicine syndrome types and changes in electrocardiogram was analyzed. Results: In the study group,the ratios of abnormal Q wave,ST segment elevation,ST segment depression and T wave low level,T wave inversion,atrial fibrillation,left bundle branch block and right bundle branch block were all higher than those in the control group, the difference being significant(P<0.05). By comparing the ECG manifestations of patients with different TCM syndromes,there was significant difference(P<0.05). Conclusion:Variation laws of electrocardiogram vary among patients with different Chinese medicine syndrome types. The correlation between Chinese medicine syndrome types and changes in electrocardiogram can help evaluate severity in clinic.

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吕文明,舒孝萧.胸痹心痛中医证型与心电图改变相关性研究[J].新中医,2020,52(15):66-68

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  • 在线发布日期: 2020-08-08
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