绝经后骨质疏松症不同中医证型与冠心病的相关性研究.

Objective To investigate the relationship between traditional Chinese medicine(TCM) syndromes and coronary heart disease(CHD) in postmenopausal osteoporosis. Methods A total of 214 patients who were diagnosed postmenopausal osteoporosis from June 2017 to June 2018 were enrolled in this study. Clinical characteristic of patients were recorded. All patients were examined by Dual-energy X-ray absorptiometry(DXA)and CT coronary angiography(CTCA), and the correlation analysis were made with different TCM syndrome types. Results The lowest bone mineral density(BMD) of the lumbar spine(L1-L4) was in the qi stagnation and blood stasis type, and the difference was statistically significant compared with the kidney Yang deficiency, liver and kidney Yin deficiency, and spleen and kidney Yang deficiency types(P<0.05). The incidence of coronary heart disease was increased in the qi stagnation and blood stasis type, and the difference was statistically significant compared with the kidney Yang deficiency, liver and kidney Yin deficiency, spleen and kidney Yang deficiency types(P<0.05), with higher rate of multivessel disease. Conclusion The incidence of postmenopausal women osteoporosis was higher in the qi stagnation and blood stasis type, correlated with the occurrence and severity of coronary heart disease, thus the collaborative treatment of osteoporosis and coronary heart disease in the qi stagnation syndrome group is of great significance. [ABSTRACT FROM AUTHOR]