高血压中医临床辨证与心律失常的关系  

Relationship between arrhythmia and syndrom-typing on the basis of differential diagnosis in hypertension

作　　者：龚新全 崔敏[1] 许祥林[2] 杨兴艳[2] 

机构地区：[1]贵州省遵义市中医院内科,563000 [2]遵义医学院附属医院心血管内科,贵州省563000

出　　处：《现代中西医结合杂志》2000年第7期570-571,共2页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：本文对 ２１７例高血压病人进行中医辨证分型，其中阴虚阳亢９１例，阴阳两虚 １２６例，兼有内风者 ８７例，痰阻者 ６８例，瘀血者 ４５例。通过动态心电图检查发现阴阳两虚者及兼有瘀血者的病理性心律失常发生率高，其原因可能是阴阳两虚者多为本病的中晚期，心脏已经开始出现器质性改变，而兼有瘀血者则可能与心肌缺血有关，提示临床上应对此予以警惕，防止心源性摔死的发生。cases of hypertension(91 cases of insubstial feminine and flourishing masculine, 126 cases of deficiency of both feminine and masculine, 87 cases with internal wind, 68 cases with phlegm, 45 cases with stagnant blood) were observed by Ambulatory electrocardiogram. The result demonstrated: the invidence rate of pathological arrhythmia in the group of deficiency of both feminine and masculine is higher than of insubstial feminine and flourishing masculine. The incidence rate of pathological arrhythmia in the group with stagnant blood is highest in 3 syndrom-typings. The mechanism was probably associoted with arganic heart change in deficiency of both feminine and masculine or with myocardial ischemia in stagnant blood. So it is essential to pay attention to both of them and prevent from lethal arrhythmia.

关 键 词：高血压 心律失常 辨证分型 

分 类 号：R259.441[医药卫生—中西医结合]