稳定型心绞痛与不稳定型心绞痛的证候特点及差异性研究  

Analysis on Syndrome Characteristics and Differences of Stable Angina and Unstable Angina

作　　者：周景想 宋业琳 迟伟峰 唐明 李洁 聂颖颖 王学工 谷刚 孟昭阳[4] 刘现峰 徐彦[6] 张利华[7] 

机构地区：[1]青岛市海慈医疗集团中医心内科,山东青岛266033 [2]日照市中医院,山东日照276800 [3]威海市中医院山东,山东威海264200 [4]山东省中医院,山东济南250011 [5]淄博市张店区中医院,山东淄博255000 [6]淄博市中医院,山东淄博255000 [7]潍坊市中医院,山东威海261041

出　　处：《中华中医药学刊》2012年第6期1410-1412,共3页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨稳定型心绞痛与不稳定型心绞痛证候特点及差异性。方法:首先对2029例冠心病心绞痛患者进行临床信息采集表的填写,然后分别从症状指标描述、证候特点及相关性分析3个方面探讨稳定型心绞痛与不稳定型心绞痛证候规律及差异性。结果:(1)血瘀、气虚是心绞痛证候最主要的证素,但不稳定型心绞痛组血瘀更为突出,气虚相对较少,经X2检验,P<0.01,具有非常显著性差异;(2)不稳定型心绞痛证候相关强度依次为阳虚>寒凝>痰浊偏热>血瘀>阴虚,而气虚与稳定型心绞痛的发病相关强度较高。结论:稳定型心绞痛多气虚等本虚表现,不稳定型心绞痛多血瘀、痰浊、气滞、寒凝、阳虚,多为实邪为患。Objective： To analyze the characteristics and differences of stable angina and unstable angina. Method ： 2029 cases were collected and the symptoms, syndrome characteristics and relativity of stable angina and unstable angina were analyzed. Results ： （ 1 ） Blood stasis and Qi deficiency were the main syndromes and blood stasis was more common in unstable angina. There was a significant difference （ P 〈 0.01 ）. （2）The order of syndrome of unstable angina was Yang deficiency 〉 cold accumulation 〉 phlegm turbid 〉 blood stasis 〉 Yin deficiency. Qi deficiency had the closed relation with stable angina. Conclusion ： The common syndrome of stable angina is Qi deficiency and syndromes of blood stasis, phlegm turbid, Qi stagnation, cold accumulation and Yang deficiency are common in unstable angina.

关 键 词：冠心病心绞痛 稳定型心绞痛 不稳定型心绞痛 证候特点 

分 类 号：R541.4[医药卫生—心血管疾病]