心力衰竭中医证候的专家调查分析  

Analysis of Experts' Questionnaire for TCM Pattern of Heart Failure

作　　者：崔小磊[1] 毛静远[2] 王贤良[2] 王恒和[2] 李国政[1] 刘洪伟[1] 张富亮[1] 蔡辉[1] 

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第一附属医院,天津300193

出　　处：《上海中医药大学学报》2009年第2期31-33,共3页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：国家"十一.五"科技支撑计划基金资助项目(2006BAI08B02-01)

摘　　要：目的:探讨心力衰竭的常见中医证候类型及其分布规律。方法:在查阅文献及前期研究的基础上,制定心力衰竭的专家咨询调查表,分别向国内9个省(市)13家大型中医医院的31位专家进行调查。结果:按重要程度排序,排在前面的依次为气虚血瘀水停、阳虚血瘀水停、气虚血瘀、心气亏虚等证型;从证型分布情况看,以本虚标实证为多,本虚为气虚、阳虚、阴虚,标实为血瘀、水停。结论:心衰的基本证型可概括为气(阳)虚兼血瘀和(或)水停、气(阴)虚兼血瘀和(或)水停。Objective： To study the common traditional Chinese medicine （TCM） patterns of heart failure and their distribution laws. Methods： Based on literature review and preliminary studies, the authors establish expert questionnaire and consult with 31 cardiovascular experts from 13 large TCM hospitals in 9 provinces. Results： In the order of important degree, the patterns of qi deficiency and blood stasis with water stagnation, yang deficiency and blood stasis with water stagnation, qi deficiency and blood stasis and heart qi deficiency rank high ; in the distribution, most patterns belong to the type of root deficiency and branch excess. The root deficiency consists of qi deficiency, yang deficiency and yin deficiency ; while the branch excess con- sists of blood stasis and water stagnation. Conclusion： The basic patterns of heart failure can be summarized as two main types, qi （yang） deficiency with blood stasis and/or water stagnation and qi （yin） deficiency with blood stasis and/or water stagnation, which will facilitate the pattern identification in elineial practice.

关 键 词：心力衰竭 中医证候 专家咨询表 

分 类 号：R259.416[医药卫生—中西医结合] R541.61[医药卫生—中医内科学]