摘要
目的:探讨健康体检心电图改变在中医辨证分型诊断冠心病心肌缺血中的预测价值。方法:收集本院2017年01月~2019年12月共120例健康体检患者的临床资料,所有患者均行心电图检查以及冠脉造影检查。根据是否患有冠心病分为冠心病组和非冠心病组。对所有患者进行中医辨证分型,分析心电图改变在中医辨证分型诊断冠心病心肌缺血中的预测情况。结果:120例健康体检患者中冠心病组60例,非冠心病组60例。在心电图改变显示,冠心病组中异常Q波、ST段抬高、ST段下移例数显著高于非冠心病组(χ^2=71.91,P=0.00),而非冠心病组中心电图正常、RBBB、LBBB、房颤、T波倒置例数显著低于冠心病组(χ^2=71.91,P=0.00)。在异常Q波改变中,阴虚、血瘀证患者具有较高比例、寒凝证患者比例较低;在ST段抬高改变中,气虚、血瘀证患者比例较高、寒凝证患者比例最低;在ST段下移改变中,气滞证患者比例最高、寒凝证患者比例最低;在T波低平改变中,气虚证患者比例最高、寒凝证患者比例最低;在T波倒置改变中,气虚、血瘀证患者具有较高比例、寒凝证患者比例最低;对于上述所有证型,在异常Q波改变中的阴虚证患者均高于其他证型患者,差异具有统计学意义(χ^2=177.49,P=0.00)。结论:健康体检患者心电图的不同改变中,中医辨证分型诊断冠心病的证型比例不同。
Objective:To explore the predictive value of ECG changes in healthy physical examination in the diagnosis of myocardial ischemia of coronary heart disease by TCM dialectical classification.Methods:The clinical data of 120 healthy physical examination patients in our hospital from January 2017 to December 2019 were collected.All patients underwent ECG and coronary angiography.According to whether they had coronary heart disease,they were divided into coronary heart disease group and non coronary heart disease group.All patients were classified according to TCM syndrome,and the ECG changes in the diagnosis of myocardial ischemia were analyzed.Results:There were 60 cases in the coronary heart disease group and 60 cases in the non coronary heart disease group.The ECG changes showed that the number of abnormal Q wave,ST segment elevation and ST segment down shift in the CHD group was significantly higher than that in the non CHD group(χ~2=71.91,P=0.00),while the number of normal ECG,RBBB,LBBB,atrial fibrillation and T wave inversion in the non CHD group was significantly lower than that in the CHD group(χ~2=71.91,P=0.00).In the abnormal Q wave changes,the patients with Yin deficiency and blood stasis had a higher proportion,and the patients with cold coagulation had a lower proportion.In the ST segment elevation changes,the patients with Qi deficiency and blood stasis had a higher proportion,and the patients with cold coagulation had a lowest proportion.In the ST segment down shift changes,the patients with Qi stagnation had the highest proportion,and the patients with cold coagulation had the lowest proportion.In the T wave low level changes,the patients with Qi deficiency had the highest proportion,and the patients with cold coagulation had the lowest proportion.The proportion of patients with Qi deficiency and blood stasis was the lowest.In the T wave inversion,the proportion of patients with cold coagulation was the lowest,for all the above syndrome types,the proportion of patients with Yin deficiency in the abnormal Q wave change was higher than that of other syndrome types,the difference was statistically significant(χ~2=177.49,P=0.00).Conclusion:In the different changes of ECG in the healthy physical examination patients,the proportion of syndrome types in the diagnosis of coronary heart disease is different.
作者
陈果
杨永红
刘恩强
何艺
徐江
庞飞
CHEN Guo;YANG Yonghong;LIU Enqiang(The Central Hospital of Qianjiang,Chongqing 409000,China)
出处
《四川中医》
2020年第10期83-85,共3页
Journal of Sichuan of Traditional Chinese Medicine
关键词
健康体检
冠心病
心电图
中医辨证分型
Physical examination
Coronary heart disease
Electrocardiogram
Dialectical classification of traditional Chinese medicine
