慢性心力衰竭常见证候和证候要素的现代文献研究  

The analysis of syndrome and the elements of syndrome of chronic cardiac failure in modern magazines

作　　者：张鹏[1,2] 赵慧辉[1] 陈婵[1] 王娟[1] 常丽萍[3] 刘敬标[4] 毕力夫[1] 王伟[1] 

机构地区：[1]北京中医药大学,北京100029 [2]武汉市中医医院,武汉430014 [3]长春中医药大学附属医院,长春130021 [4]新疆医科大学附属中医院,乌鲁木齐830000

出　　处：《中华中医药杂志》2011年第10期2378-2381,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中医药行业专项项目(No.200807007)~~

摘　　要：目的:通过文献研究,充分收集和分析文献中辨证信息及证候频次,探索慢性心力衰竭(CHF)常见证候和证候要素可能的分布规律,为今后的证候规范研究提供依据。方法:对符合要求的慢性心力衰竭文献中涉及的证候和证候要素进行规范,借助Note Express 2及EpiData 3.1软件,运用SPSS 16.0进行频数、构成比的统计分析。结果:本研究144篇文献,经规范后的CHF证候名为71种,与CHF相关的证候要素有22种。从病例频次和构成比两个方面研究发现,证型出现的频次统计与病例数构成比统计在前7位基本保持一致,分别是心肾阳虚证,气虚血瘀证,气阴两虚证,心阳虚证,心气虚证,阳虚水泛证及阳虚血瘀、水饮内停证。病性类证候要素在前6位基本保持一致,分别是阳虚、气虚、血瘀、水停、阴虚、痰。病位类证候要素在前3位基本保持一致,分别是心、肾、肺。结论:通过对CHF中医证型的相关文献进行统计分析,初步反映了CHF最常见的证候及证候要素分布规律。可为进一步确定CHF的中医辨证分型标准提供参考和依据。Objective： By full collecting and analysising of information about syndrome of differentiation frequency to explore the distribution of elements of chronic heart failure common syndromes and syndromes for future specifications of the syndrome available basis.Methods： The literature meet the requirements involved in chronic heart failure syndrome and syndrome elements to regulate,with NoteExpress2 and EpiData3.1 software,using SPSS16.0 to frequency and proportion of the statistical analysis.Results： 144 CHF documents,after pecificating there are 71 kinds of syndrome,and have 22 kinds of elements of syndrome.From two Respect of frequency and proportion of the literature and found that the frequency appears syndrome statistics and the proportion of cases constitutes the first seven ratio statistics stay the same,namely,heart Kidney yang deficiency syndrome,qi deficiency and blood stasis syndrome,qi and yin deficiency syndrome,heart yang deficiency syndrome,heart qi deficiency syndrome,yang deficiency and water retention syndrome,yang deficiency and blood stasis syndrome,water retention syndrome.Diseases of the class of the first six syndrome factors remained the same,namely,yang deficiency,qi deficiency,blood stasis,water retention,yin deficiency,phlegm.Disease-bit class of the first three syndrome factors remained the same,namely,heart,kidney and lung.Conclusion： TCM by CHF statistical analysis of the relevant literature,can initially reflected the most common syndrome of CHF syndrome factor and distribution,and can provide reference and basis for further identified standards of TCM syndrome.

关 键 词：慢性心力衰竭 证候 证候要素 文献研究 频数 构成比 

分 类 号：R259[医药卫生—中西医结合]