目的:探讨冠心病中医证候分布特征,并分析其与血脂水平、EF及冠状动脉造影结果的相关性。方法:对95例接受冠状动脉造影检查的冠心病患者进行中医证型判别,同时检测血脂水平、EF,分析证型与血脂水平、EF及冠脉造影结果的相关性。结果:中医证型为痰浊内阻证、心血瘀阻证、心气虚弱证等。单支病变多见气滞血瘀证,多支病变多见痰浊内阻型、心血瘀阻证;气滞证冠脉狭窄程度较轻,而阴寒凝滞证冠脉狭窄程度最重。痰浊、瘀血证TG、TC、LDL-C水平高于其他证型(P<0.05),HDL-C痰浊证低于其他证型(P<0.05)。中医各证型EF无特异性差别。结论:随着冠状动脉病变部位及程度改变,冠心病中医证候分布呈现一定规律,血脂水平与中医证型有一定的相关性。 Objective: To investigate the distribution characteristics of TCM syndromes of coronary heart disease (CHD) and analyze its correlation with serum lipids, EF and coronary angiography. Methods: 95 cases of coronary heart disease patients undergoing coronary angiography were divided into TCM syndromes, blood lipid level, EF, and the correlation between syndrome type and blood lipid level, EF and coronary angiography. Results: TCM syndromes as phlegm obstruction card, blood stasis card, weak card, etc. Single-vessel disease more common qi and blood stasis syndrome, multi-vessel disease more common phlegm obstruction type, blood stasis card; qi stagnation coronary stenosis less severe, while the Yin stasis card coronary stenosis most severe. Phlegm, blood stasis syndrome TG, TC, LDL-C levels were higher than other syndromes (P <0.05), HDL-C phlegm syndrome less than other syndromes (P <0.05). TCM syndromes EF no specific difference. CONCLUSION: With the change of coronary artery lesion location and degree, the distribution of TCM syndrome of coronary heart disease shows certain rules. There is a certain correlation between the lipid level and TCM syndrome type.