Correlation Analysis between Traditional Chinese Medicine Syndromes and Gastrointestinal Bleeding after Percutaneous Coronary Intervention.

Correlation Analysis between Traditional Chinese Medicine Syndromes and Gastrointestinal Bleeding after Percutaneous Coronary Intervention.
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DOI:
10.1155/2018/7356546
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发表时间:
2018
期刊:
Evidence-based complementary and alternative medicine : eCAM
影响因子:
--
通讯作者:
Wang J
Wang J
中科院分区:
其他
文献类型:
--
作者:
Zhang C;Huang C;Wang M;Kong X;Liu G;Wang J

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通过回顾性研究探讨经皮冠状动脉介入治疗(PCI)术后中医证候特点,为PCI术后中医辨证治疗提供证候研究理论依据。 纳入2012年12月至2014年12月在望京医院心血管介入中心接受PCI治疗且符合纳入标准的冠心病(CHD)患者。然后根据患者的临床资料和血管造影数据进行回顾性研究,探讨中医证候的分布模式。 该研究招募了 801 名患者。中医证型发病率从高到低依次为气虚血瘀证、心血瘀证、气阴两虚证、痰瘀互结证、气滞血瘀证、阳虚证、心肾阴虚寒凝证、血瘀证多于少。 命令。气虚血瘀证最多(发生298例,占37.20%);气阴两虚证163例(20.35%);心血瘀阻证126例(15.73%);痰瘀互结证95例(11.86%)。 气虚血瘀证与PCI术后出血密切相关,提示气虚血瘀证可能作为消化道出血的有力预测因子,也可能对现有的出血预测和评分系统(如CRUSADE)进行潜在的补充。
To explore the characters of traditional Chinese medicine (TCM) syndromes after percutaneous coronary intervention (PCI) and to provide syndrome study theoretical evidence for TCM differentiation treatment after PCI through retrospective study. Patients with coronary heart disease (CHD) who underwent PCI in Cardiovascular Intervention Center of Wangjing Hospital during Dec. 2012 to Dec. 2014 and met the inclusion criteria were enrolled. Retrospective study was then conducted based on patients' clinical document and angiography data to explore the distribution pattern of TCM syndromes. 801 patients were recruited in the study. TCM syndromes in descending order of their incidence were Qi deficiency and blood stasis syndrome, heart blood stasis syndrome, Qi and Yin deficiency syndrome, phlegm and blood stasis syndrome, Qi stagnation and blood stasis syndrome, Yang asthenia syndrome, heart and kidney yin deficiency syndrome to cold congeal, and blood stasis syndrome in a more to less order. Qi deficiency and blood stasis syndrome was in the most (occurring in 298 patients, 37.20%); Qi and Yin deficiency syndrome occurred in 163 patients (20.35%); heart blood stasis syndrome was shown in 126 patients (15.73%); phlegm and blood stasis syndrome was shown in 95 patients (11.86%). Qi deficiency and blood stasis syndrome was closely associated with post-PCI bleeding, implying that this syndrome might serve as a powerful predictor of GI bleeding as well as a potential supplement to the current predicting and scoring system of bleeding such as CRUSADE.
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