冠心病稳定性心绞痛与微血管性心绞痛中医证候要素调查  

Expert Investigation of Traditional Chinese Medical Syndrome Elements of Microvascular Angina Pectoris and Stable Angina Pectoris Induced by Coronary Artery Disease

作　　者：毕颖斐[1,2] 毛静远[1,2] 

机构地区：[1]天津中医药大学第一附属医院心血管科,天津300193 [2]国家冠心病中医临床研究基地,天津300193

出　　处：《广州中医药大学学报》2012年第5期498-501,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家冠心病中医临床研究基地建设项目(编号:2012A01)

摘　　要：【目的】对冠心病稳定性心绞痛与微血管性心绞痛的中医证候要素进行专家调查。【方法】运用专家调查(Delphi)法在全国范围内对冠心病稳定性心绞痛与微血管性心绞痛的中医证候要素及证候类型进行专家咨询和调查。【结果】冠心病稳定性心绞痛与微血管性心绞痛的中医证候要素及证候类型分布基本一致,但也存在一定差异,微血管性心绞痛较稳定性心绞痛多见气滞、血虚等证素及气滞心胸证。【结论】本调查结果可为冠心病稳定性心绞痛与微血管性心绞痛的中医临床辨证提供一定的参考。Objective To investigate the traditional Chinese medical syndrome elements of microvascular angina pectoris and stable angina peetoris induced by coronary artery disease. Methods Delphi method was adopted for the investigation of traditional Chinese medical syndrome elements and syndrome patterns of microvascular angina pectoris and stable angina pectoris induced by coronary artery disease by experts overall the country. Results Syndrome elements and syndrome patterns were similar in patients with microvascular angina pectoris and stable angina pectoris induced by coronary artery disease. However, some differences existed in the two kinds of angina pectoris, microvascular angina pectoris patients were characterized with syndrome elements of Qi stagnation and blood deficiency, and with syndrome pattern of Qi stagnation in heart and chest. Conclusion The results of the investigation will supply certain evidence for syndrome differentiation of microvascular angina pectoris and stable angina pectoris induced by coronary artery disease.

关 键 词：冠心病稳定性心绞痛 微血管性心绞痛 证候要素 证候类型 DELPHI法 

分 类 号：R256.22[医药卫生—中医内科学]