[A study on relationship between balance of serum lipoprotein and the phlegm damp-blood stasis syndrome differentiation of coronary heart diseases].
75 patients were divided into A,B and C group. The LDL-C was 2.97 +/- 0.67, 4.05 +/- 0.38 and 5.25 +/- 0.98 mmol/L respectively (P > 0.01); but comparing group A or B with the normal group (D), it had no significant difference (P > 0.05). An abnormal coronary arteriography (CAG) was found in the group A in 62.1% and the group B in 57.6% (P > 0.05), while the group C in 84.6% (P < 0.01). There was unusual serum lipoprotein electrophoretogram (SLPG) in group A 75.9%, group B 84.8% and group C 100%, but it had no change in group D (P < 0.001). Five types of Syndrome Differentiation about the Phlegm damp and blood stasis (PDBS) could be found in the group A,B and C. The incidence (51.5%-55.2%) and abnormality of the SLPG (66.7%-92.5%) and CAG (68.8%-100%) of PDBS type were the highest among them. 82.7% CHD patient's clinical comprehensive diagnosis was in accordance with the SLPG and that of the CAG were 64.0%. As to the abnormal SLPG, the sensitivity and rate of coincidence of CAG was 91.7% and 69.3% (P < 0.05-0.01) respectively. The Syndrome Differentiation of PDBS was valuable in differentiating CHD. The SLPG is a good criterion for the study of CHD in TCM.
Zhang
M
M
Zhu-Jiang Hospital, First Medical College of PLA, Guangzhou.
Liang
D H
DH
Li
X M
XM
D000328:Adult; D000368:Aged; D017023:Coronary Angiography; D003327:Coronary Disease / Q000097:blood / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008075:Lipoproteins, HDL / Q000097:blood*; D008077:Lipoproteins, LDL / Q000097:blood*; D008297:Male; D008516:Medicine, Chinese Traditional; D008875:Middle Aged
D008075:Lipoproteins, HDL; D008077:Lipoproteins, LDL