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目的:观察急性冠脉综合征(ACS)患者介入治疗围术期血瘀证的变化情况,为急性冠脉综合征血瘀证的研究提供临床依据。方法:采用前瞻性研究,收集急性冠脉综合征患者围术期中医证候资料,并对血瘀证进行评分,采用描述性分析等。结果:介入治疗术后血瘀证评分较术前降低,有51.5%血瘀证评分为重度的患者在术后转为轻度(P<0.05)。当介入治疗后血瘀证合并其他证型时,血瘀分级为重度所占比例最大的是痰浊证,其次为阳虚证。结论:经过介入治疗后大部分急性冠脉综合征患者血瘀证严重程度较治疗前减轻。当血瘀证合并其他证型时,血瘀证严重程度较单纯血瘀证为重。
Objective: To observe the changes of perioperative blood stasis in patients with acute coronary syndrome (ACS) and provide the clinical evidence for the study of blood stasis syndrome in acute coronary syndrome. Methods: A prospective study was conducted to collect data on perioperative TCM syndromes in patients with acute coronary syndromes and score blood stasis syndrome using descriptive analysis. Results: The score of blood stasis syndrome after interventional therapy was lower than that before the operation, and 51.5% patients with severe blood stasis syndrome were mild after operation (P <0.05). When interventional treatment of blood stasis syndrome combined with other syndromes, blood stasis grading is the largest proportion of the largest phlegm syndrome, followed by Yang deficiency syndrome. Conclusion: The severity of blood stasis syndrome in most patients with acute coronary syndrome is less severe than that before treatment after interventional therapy. When the blood stasis syndrome combined with other syndromes, the severity of blood stasis syndrome than blood stasis alone.