PCI与CABG术后中医证候特征的专家调查

Experts investigation of PCI and CABGpostoperative syndrome characteristics of Chinese medicine

关键词:  PCI  CABG  中医证候  专家调查

Key words:  PCI  CABG  TCMsyndrome characteristics  expert survey

摘要:

[目的] 研究经皮冠状动脉介入术(PCI)及冠状动脉旁路移植术(CABG)术后中医证候分布特征.[方法] 本研究采用专家调查(Delphi)法,针对PCI与CABG术后的中医证候要素特征进行专家咨询.[结果] PCI与CABG术后中医证候要素均以血瘀多见,证候类型均以气虚血瘀多见,但后者较前者相对多见虚性证素,尤其是血虚与阳虚;证候类型对比,后者较多见心阳不振、气阳两虚、阴阳两虚.[结论] 专家一致认为CABG术后患者较PCI术后患者气虚更甚、阳虚多见.

Abstract:

[Objective] To study the traditional Chinese medicine (TCM)syndrome characteristics after PCI and CABG operation. [Methods] This research applied Delphi method to do the experts survey about the PCI and CABG postoperative elements of syndrome characteristics in Chinese medicine.[Results] The syndrome element mainly manifested as blood stasis and the syndrome itself manifested as qi stagnation and blood stasis.Patients after CABG were more likely to be deficiency syndrome elements especially the deficiency of blood and yang.As to the syndromes comparison,patients after CABG were more likely to be deficiency of heart yang syndrome-qi and yang deficiency syndrome and deficiency of yin and yang.[Conclusion] Experts reached the agreement that patients after CABG were more likely to be the yi and yang deficiency compared with who accepted PCI operation.