冠状动脉粥样硬化性心脏病临床分型中医证素分布特征的初步调查  

Preliminary investigation for traditional Chinese medicine syndrome elements distribution of different coronary artery disease types

作　　者：毕颖斐[1] 毛静远[2] 陆一竹[1] 王贤良[2] 

机构地区：[1]天津中医药大学研究生院,300193 [2]天津中医药大学第一附属医院心血管科

出　　处：《环球中医药》2011年第6期434-437,共4页Global Traditional Chinese Medicine

基　　金：国家冠心病中医临床研究基地建设项目

摘　　要：目的探讨冠状动脉粥样硬化性心脏病(冠心病)临床分型(心绞痛、心肌梗死、心力衰竭、心律失常)的中医证候要素分布特征,以期初步掌握该病中医证候的流行病学规律。方法通过前期的大量文献工作,制定"冠心病中医证候流行病学调查表",运用此表对102例明确诊断为冠心病的患者进行中医证候流行病学预调查。结果冠心病病位在心,主要病及肝肾;中医证素总体分布以血瘀证为多见,其次为气虚、痰浊、阴虚、阳虚、热蕴、气滞、湿阻、血虚、水停、寒凝;冠心病心绞痛的证素分布与总体分布基本一致,急性心肌梗死以痰瘀互结证多见,心力衰竭多见阳虚水停证,心律失常则多见气滞、火热证。结论冠心病多为虚实夹杂、本虚标实的复合证型,证素组合以气(阴)虚血瘀、痰瘀互结证多见;各种临床类型的证素分布存在一定差异性,结果有待于大样本的流行病学调查研究进一步证实。Objective To study traditional Chinese medicine（TCM） syndrome elements distribution of different Coronary Artery Disease（CAD） types,and master the TCM syndrome epidemiology regularity of the disease preliminarily.Methods On the basis of a great quantity literature work,make the table for TCM syndrome epidemiology investigation of CAD preliminarily,and carry out a TCM syndrome epidemiology pre-investigation for 102 CAD patients.Results The pathological location of CAD is xin（心）,and the disease has close relation with gan（肝） and shen（肾）.Blood stasis is the most common TCM syndrome element,followed by qi deficiency,phlegm retention,yin deficiency,yang deficiency,fire-heat,qi stagnation,dampness accumulation,xue deficiency,water retention and cold accumulation;The syndrome elements distribution of angina pectoris is consistent with the overall distribution.Blood stasis and phlegm retention are more common in acute myocardial infarction（AMI）,heart failure（HF） more yang deficiency and water retention certificate,arrhythmias more qi stagnation and fire-heat.Conculsion CAD belong to the syndrome of ben deficiency and biao excess mostly.The most common syndrome element combination is qi（yin） deficiency and blood stasis,or blood stasis and phlegm retention.There are some differences among various clinical types,and the results need to be further confirmed by larger sample epidemiological research.

关 键 词：冠状动脉粥样硬化性心脏病 中医证素 分布特征 

分 类 号：R541.4[医药卫生—心血管疾病]