不同年龄阶段冠心病患者的中医证候要素分布特征分析  

Analysis on the Distribution Characteristics of Traditional Chinese Medicine Syndrome Factors in Patients with Coronary Heart Disease at Different Ages

作　　者：高慧 王庆盛 夏雨墨 冯晓 王忆勤[1] 许朝霞[1] Gao Hui;Wang Qingsheng;Xia Yumo;Feng Xiao;Wang Yiqin;Xu Zhaoxia(School of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;School of Acupuncture-Moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学中医学院,上海201203 [2]上海中医药大学针灸推拿学院,上海201203

出　　处：《世界科学技术-中医药现代化》2023年第9期3071-3078,共8页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家自然科学基金委员会面上项目(82074333):基于舌诊多源信息及临床危险因素的动态变化探讨早发冠心病中医证候演变规律,负责人:许朝霞;上海市科学技术委员会一般项目(21DZ2271000):上海市健康辨识与评估重点实验室建设经费,负责人:王忆勤。

摘　　要：目的通过采集冠心病患者的中医四诊信息,观察其不同年龄阶段的中医证候要素特征,以期为不同年龄阶段冠心病患者的中医诊疗提供客观化依据。方法运用课题组研制的《冠心病中医四诊信息采集量表》收集冠心病患者的中医四诊信息,依据辨证标准对其进行证候要素提取以观察不同年龄阶段的证素分布规律。结果冠心病病位在心,常兼见肝、肾、胃、肺等脏腑,病性证候要素以气虚较多见,其次为痰浊、阴虚、血瘀、气滞。病位证候要素中,青年组以心兼肝最多见,中年组和老年组均多见心兼肾。病性证候要素中,青年组虚证以气虚多见,实证以痰浊、气滞多见,以气虚兼痰浊同现频次最高;中年组虚证以气虚多见,实证以痰浊、血瘀多见,以气虚兼痰浊血瘀同现频次最高;老年组虚证以气虚、阴虚多见,实证以痰浊、血瘀多见,以气阴两虚兼痰浊、血瘀同现频次最高。结论不同年龄组冠心病患者证候要素组合有各自的特征,青、中、老年组均可见于虚实夹杂,而青年组以气虚兼痰浊最多见,中年组以气虚兼痰浊血瘀最多见,老年组气阴两虚兼痰浊血瘀最多见,随着年龄的增长,其证候要素组合复杂度越高。Objective To collect information from the traditional Chinese medicine(TCM)four diagnostic information of patients with coronary heart disease(CHD)and to observe the characteristics of their Chinese medicine syndrome factor at different ages,to provide an objective basis for the Chinese medicine treatment of patients with CHD at different ages.Methods The TCM Four Diagnostic Information Collection Scale for CHD developed by the group was used to collect the four diagnostic information of patients with coronary heart disease,and the syndrome elements were extracted according to the syndrome differentiation standard to observe the distribution of syndrome elements at different ages.Results CHD is located in the heart and accompanied by liver,kidney,stomach,lung and other organs.Qi deficiency is the most common syndrome factor,followed by phlegm turbidity,yin deficiency,blood stasis and qi stagnation.Among the syndrome elements of disease location,the heart and liver were the most common in the young group,and the heart and kidney were more common in the middle-aged group and the elderly group.Among the syndrome elements of disease nature,qi deficiency was more common in the young group,phlegm turbidity and qi stagnation were more common in the empirical group,and qi deficiency and phlegm turbidity were the most frequent.In the middle-aged group,qi deficiency was more common in deficiency syndrome,phlegm turbidity and blood stasis were more common in excess syndrome,and the frequency of qi deficiency and phlegm turbidity and blood stasis was the highest.In the elderly group,qi deficiency and yin deficiency were more common in deficiency syndrome,phlegm turbidity and blood stasis were more common in excess syndrome,and qi and yin deficiency combined with phlegm turbidity and blood stasis had the highest frequency.Conclusion The combination of syndrome elements in patients with CHD in different age groups has its own characteristics.The young,middle and elderly groups are all visible in the mixture of deficiency and e

关 键 词：冠心病 不同年龄阶段 证候要素 问诊 组合规律 

分 类 号：R285.6[医药卫生—中药学]