稳定性冠心病中医证候分布的现况调查  

Cross-Sectional Investigation on the Distribution of TCM Syndrome with Stable Coronary Artery Disease

作　　者：高铸烨[1] 付长庚[2] 郗瑞席[1] 陈静[1] 李立志[1] 史大卓[1] 徐浩[3] 

机构地区：[1]中国中医科学院西苑医院心血管科,北京100091 [2]北京中医药大学,北京100029 [3]中日友好医院,北京100029

出　　处：《辽宁中医杂志》2011年第3期499-501,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(2006CB504803);国家中医药行业科研专项课题(200707001);国家科技支撑计划资助项目(2007BAI10B02)

摘　　要：目的:观察稳定性冠心病(SCAD)及其不同合并病的证候分布特点。方法:用现况研究方法调查经冠状动脉造影证实或既往有心肌梗死病史的稳定性冠心病患者,采用SPSS 13.0软件进行统计分析。结果:调研736例稳定性冠心病患者,男546例,女190例,年龄28～75岁,平均(61.87±8.74)岁。常见合并病是高脂血症(475例,64.54%)、高血压(454例,61.68%)、糖尿病(239例,32.47%)和脑卒中(94例,12.77%)。常见证候是血瘀(501例,68.07%)、痰浊(363例,49.32%)、气虚(344例,46.74%)。稳定性冠心病合并高脂血症多见气虚证(49.3%vs 42.1%,P=0.038),合并高血压病多见气滞证(10.4%vs 6.0%,P=0.027),合并脑卒中多见气滞证(17.0%vs 7.5%,P=0.004),陈旧性心肌梗死患者多见血瘀证(78.5%vs 63.8%,P<0.001)。结论:血瘀、痰浊、气虚是稳定性冠心病的主要证候,稳定性冠心病不同合并病有符合自身的证候特点。Objective：To survey the characteristic of traditional Chinese medicine （TCM） syndrome with stable coronary artery disease （SCAD） and combined disease. Methods：The patients with SCAD confirmed by coronary angiography or past history of myocardial infarction were investigated through epidemiolagical method. Using SPSS 13. 0 software for statistical analysis. Results： 736 CAD patients were enrol/ed,male 546 eases,female 190 cases,aged 28 -75 years（61.87 ± 8. 74）. The main combined diseases are hyperlipidemia（475 eases, 64.54% ）, hypertension （ 454cases, 61.68% ）, diabetes meUhus （ 239 eases, 32. 47% ） and stroke（94 eases,12.77% ）. The main distribution of TCM syndromes was blood stasis（501 cases,68.07% ） ,phlegm（363 cases, 49. 32% ）,qi deficiency（ 344 cases,46.74% ）. The distribution of qi deficiency syndrome with combined hyperlipidemia was higher than without hyperlipidemia （49. 3% vs 42.1%, P = 0. 038 ）. The distribution of qi stagnation syndrome with combined hypertension was higher than without hypertension （ 10. 4% vs 6.0%, P = 0. 027 ）. The distribution of qi stagnation syndrome with combined stroke was higher than without stroke （ 17.0% vs 7.5% ,P = 0. 004）. The distribution of blood stasis syndrome with old myocardial infarction （OMI） was higher than without OMI （78.5% vs 63. 8% ,P 〈0. 001 ）. Conclusion：The main distribution of TCM syndromes with SCAD was blood stasis, phlegm and qi deficiency. The characteristics of pathogenesis of SCAD were reflected in the different combined disease.

关 键 词：现况研究 稳定性冠心病 合并病 证候特点 

分 类 号：R541.4[医药卫生—心血管疾病]