660例新疆冠心病患者中医体质特点分析  

660 Examples TCM Physique Characteristic Analysis in Xinjiang of Patients with Coronary Artery Disease

作　　者：李慧[1] 安冬青[2] 谢晓柳[1] 曾琳[1] 

机构地区：[1]新疆医科大学,硕士研究生新疆乌鲁木齐830054 [2]新疆医科大学中医学院,新疆乌鲁木齐830054

出　　处：《辽宁中医杂志》2012年第1期14-17,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(30760295)

摘　　要：目的:探讨新疆冠心病患者中医体质的特点,从而为冠心病的临床防治提供理论依据。方法:2009年10月—2010年10月运用横断面调查的方法,在新疆阿克苏等5个地区10家医院收集生长于新疆或在在新疆居住20年以上且经西医确诊第一诊断为冠心病和(或)中医辨病为胸痹的住院患者660例,采用标准化的9种中医体质量表对冠心病患者实施中医体质辨识,分析冠心病患者中医体质的特征。结果:1)不同性别、年龄冠心病患者的体质分布特点不同,男女体质比较有统计学意义(P<0.05);2)660例冠心病患者中平和质60例占总病例数9.09%,偏颇体质600例占总病例数的90.91%。偏颇体质中占据前3位的依次是气虚质281例占22.34%、痰湿质217例占17.25%、血瘀质202例占16.06%;单一体质类型223例占总病例数33.79%,其中平和质60例占9.09%,兼夹体质437例占66.21%,按照虚实体质分类,虚性体质148例占24.71%,实性体质104例占17.36%,虚实夹杂体质347例占57.93%。结论:本研究发现新疆冠心病患者中医体质类型以气虚质、痰湿质、血瘀质在各型体质类型中所占比例较高,是冠心病患者主要体质类型,且兼夹体质、虚实夹杂体质现象普遍存在;不同性别、年龄冠心病患者体质特点不同。Objective：To explore the TCM physigue characteristic of patients with coronary artery disease in Xinjiang so as to provide theoretical basis for clinical. Methods：October 2009--October 2010, using cross - sectional survey in Akesu and five regional 10 hospitals in Xinjiang to collect 660 patuents who live 20 years in Xinjiang and were first diagnosed with coronary heart disease in western medicine and （or）for TCM disease differentiation, the use of standardized 9 kinds of traditional Chinese medicine for patients with coronary artery disease physical scale TCM physique identification, analysis of implementation of physical characteristics of TCM patients with coronary artery disease. Results ： 1 ） Different gender, age of patients with coronary artery disease and the distribution of constitution had different characteristics, with a statistically significant constitution （P 〈 0.05 ）. 2 ）660 cases with coronary artery disease for peace qualitative 50 cases （9.09%）, the total number of biased physique was 90.91%. Biased physique occupies the first three aortas are 22.34% debility qualitative（281 cases） ,phlegmy wet quality 17.25% （217 cases）, blood stasis 16.06% （202 cases）. A single type of constitution 223 cases （33.79%）, 9.09% （60 cases） accounted for peace, and 66.21% （ 437 patients） constitution of clips, according to the constitution, 148 patients had deficiency constitution （24.71% ）, excess constitution 17.36% （ 104 cases）, （57.93 % ） 347 patients had mixod physique. Conclusion：This study found that TCM type of constitution in Xinjiang in patients with coronary artery disease include phlegmy wet difficiency and blood stasis, in each type of constitution had higher proportion of patients with coronary heart disease, is the type of constitution, and concur- rently clip physique, false or true physical phenomenon exists generally inclusions. Different gender, age of coronary artery disease, physical characteristics are different.

关 键 词：冠心病 中医体质 新疆 

分 类 号：R541.4[医药卫生—心血管疾病]