冠心病CT影像学表现与中医证候诊断标准相关性研究OA

Objective To investigate the correlation between coronary computed tomography(CT)imaging findings and traditional Chinese medicine(TCM)syndrome diagnostic criteria in patients with coronary atherosclerotic heart disease(CHD).Methods A total of 120 patients with CHD who were hospitalized in the Department of Cardiology,Henan Provincial Hospital of Traditional Chinese Medicine,and underwent coronary CT angiography(CTA)between March 2024 and February 2025 were enrolled as study subjects.Imaging examination was performed using a United Imaging UCT 968 multi-slice spiral CT scanner.TCM syndrome differentiation was conducted according to the"Standards for TCM Syndrome Differentiation of Coronary Heart Disease".The correlations of TCM syndrome types with gender,plaque type(calcified and non-calcified plaques),number of affected vessels,and the degree of coronary artery stenosis were analyzed.Results(1)Distribution of TCM syndrome types:Among the 120 patients,heart-kidney yang deficiency syndrome accounted for the highest proportion(41 cases,34.17%),followed in descending order by heart-blood stasis syndrome(23 cases,19.17%),phlegm interweaved with stasis syndrome(21 cases,17.50%),qi-yin deficiency syndrome(19 cases,15.83%),and qi stagnation and blood stasis syndrome(16 cases,13.33%).(2)Relationship of TCM syndrome types with gender,plaque type,number of affected vessels,and coronary artery stenosis severity:Statistically significant differences were observed in gender distribution,plaque type,number of affected vessels,and the degree of coronary artery stenosis among different TCM syndrome types(P＜0.05 or P＜0.01).Specifically,qi-yin deficiency syndrome showed a higher proportion in female patients,while phlegm interweaved with stasis syndrome had a higher proportion in patients with calcified plaques.Regarding the distribution of affected vessels,heart-kidney yang deficiency syndrome and qi-yin deficiency syndrome were predominantly characterized by single-vessel disease,whereas heart-blood stasis syndrome was more frequently associated with double-and triple-vessel disease.In terms of coronary artery stenosis severity,patients with heart-kidney yang deficiency syndrome predominantly presented with mild stenosis,while those with phlegm interweaved with stasis syndrome more commonly exhibited severe stenosis.Conclusion A significant correlation exists between TCM syndrome types and CT imaging features,offering a novel perspective for the integrated traditional Chinese and western medicine diagnosis and treatment of CHD.The relationship of TCM syndrome types with plaque type,number of affected vessels,and stenosis severity provides a theoretical basis for formulating personalized treatment strategies,thereby contributing to enhanced the effectiveness of early screening and intervention for CHD.