冠心病本虚标实证与冠脉狭窄支数、程度及ACC/AHA病变分型的关系

为探讨冠心病本虚标实证与冠脉狭窄支数，程度和ACC／AHA病变分型的关系。选择复旦大学附属中山医院支架植入成功的冠心病患者44例，观察病人冠脉狭窄支数，狭窄程度和ACC／AHA病变分型积分值在各证型间的变化。结果：从气虚，气阴两虚到阳虚，阴阳两虚者冠脉狭窄支数依 次增多，阳虚者（含阴阳两虚）与气虚者（含气阴两虚）比较有显著差异（P＜0．01），痰阻血瘀与寒凝血瘀者冠脉狭窄程度相近，而气滞血 瘀者则明显减轻（P＜0．001），从气滞血瘀证，痰浊血瘀证到寒凝血瘀证，冠脉病变ACC／AHA分型渐趋复杂，气滞血瘀证多见，A，B1型病变，后二者则以B2，C型为多，提示冠心病证型与冠脉情况密切相关。

Relation Between the Number and Severity of Narrowed Coronary Artery and ACC/AHA Type in Coronary Heart Disease

To investigate the relation between the number and severity of narrowed artery and ACC/AHA type in the coronary heart disease,the scores of the different types of the 44 patients after successful heart implantation in Zhongshan hospital were observed.Results:the number of the narrowed coronary artery increased in the order of qi-deficiency syndrome,qi-yin deficiency syndrome,yin-yang deficiency syndrome;the number differed between the yang-deficiency and qi-deficiency syndromes,P<0.01;the severity of phlegm-blood accumulation syndrome is similar to that of cold-congealing and blood stasis syndrome;while the severity was milder in the syndrome of qi and blood stagnation,P<0.001;from the syndromes of qi and blood stagnation,phlegm-blood stagnation,to cold congealing and blood stasis,the type classification of ACC/AHA became more complicated:qi and blood stagnation in A and B 2 types,and the latter mostly in B 2 and C types It is indicated that Chinese syndrome is related to the condition of coronary arteries.