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冠状动脉搭桥围手术期中医辨证规律的探讨
引用本文:江巍,林宇,吴焕林,胡佳心,陈秋雄,林冬群,陈晓伟,阮新民,黄春林,邓铁涛.冠状动脉搭桥围手术期中医辨证规律的探讨[J].中国中西医结合杂志,2006,26(7):597-599.
作者姓名:江巍  林宇  吴焕林  胡佳心  陈秋雄  林冬群  陈晓伟  阮新民  黄春林  邓铁涛
作者单位:广东省中医院心脏中心,广州,510120
摘    要:目的探讨冠状动脉搭桥围手术期的中医辨证规律.方法参考《中药新药临床研究指导原则》,结合邓铁涛教授的经验,建立冠状动脉搭桥围手术期中医辨证标准,对161例拟行冠状动脉搭桥手术(CABG)的患者分别于手术前及术后2周进行辨证分型.结果CABG术前患者以气滞血瘀证最多见(46.0%),其次为痰浊闭塞证(24.8%)、阴血虚证(13.7%)及阳气虚证(15.5%).术后则以痰浊闭塞证最多见(35.9%),其次为阳气虚证(30.8%)、阴血虚证(21.2%)及气滞血瘀证(12.2%).结论CABG术前患者多属本虚标实,证型以气滞血瘀为多见;CABG术后患者属虚实兼见,证型以心气不足,心阳亏虚为主;痰浊为术后主要致病实邪.

关 键 词:冠状动脉搭桥  围手术期  中医辨证规律
收稿时间:2005-08-20
修稿时间:2005-10-25

Study on TCM Syndrome Differentiation Rules in Coronary Artery Bypass Grafting Patients during Peri-operation Period
Authors:JIANG Wei  LIN Yu  WU Huan -lin
Abstract:ObjectiveTo study the TCM syndrome differen tiation rules in coronary artery bypass grafting (CABG) patients during peri-operation period. Methods A ccording to the Guideline for Clinical Trail of Traditional Chinese New Drugs an d experience of Professor DENG Tie-tao, the standard of TCM syndrome differenti a tion for CABG patients was established, with which 161 CABG patients were classi fied before and two weeks after CABG operation. Results Before CABG, the qi st agnation and blood stasis syndrome type was the type most commonly seen (46.0%) , the next in turn was the phlegm stagnation type (24.8%), the yang-qi deficien cy type (15.5%), and the yin-blood deficiency type (13.7%). While after CABG, t he phlegm stagnation syndrome type was the most frequently occurred one (35.9%), t h en in turn was the yang-qi deficiency type (30.8%), the yin-blood deficiency typ e (21.2%) and the qi stagnation with blood stasis type (12.2%). Concl usionFor patients before CABG, the pathological characteristic is mostly the deficiency i n root with excess in superficiality, and the commonest syndrome is the qi stagn ation with blood stasis type. For patients after CABG, both deficiency and exces s is the pathological characteristic, the Xin-qi and Xin-yang deficiency syndr ome the commonest type, and with phlegm as the main pathologic factor.
Keywords:coronary artery bypass grafting  peri-operation period  TCM syndrome differentiation rule
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