冠心病心绞痛气虚证证候特点及相关影响因素分析  

Characteristics of Qi Deficiency Pattern/Syndrome and the Correlative Factors Analysis on Coronary Heart Disease and Angina Pectoris

作　　者：周景想 韩洁 唐明 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,山东威海264200 [4]山东省中医院,山东济南250014 [5]张店区中医院,山东淄博255035 [6]淄博市中医院,山东淄博255300 [7]潍坊市中医院,山东潍坊261000

出　　处：《中华中医药学刊》2012年第10期2336-2338,共3页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨冠心病心绞痛血气虚证候特点及与相关因素的关联性。方法:制定临床信息采集表,对符合纳入标准的病人进行信息采集,建立证候数据库,然后对气虚的证候特点进行分析,并与相关因素关联性进行logistic回归分析。结果:冠心病心绞痛气虚证在所有证候要素中占75.0%;气虚合并血瘀1321例,占86.9%,气虚合并阴虚687例,占45.2%,气虚合并痰浊630例,占41.4%;高脂血症、糖尿病对气虚的影响强度最大。结论:气虚证是冠心病心绞痛最常见的证候要素,气虚血瘀是其根本的病机,高脂血症、糖尿病与气虚相关性最强。Objective ： To explore the characteristics of qi deficiency pattern/syndrome and the correlation of the factors on ceremony heart disease and angina pectoris. Methods ： The clinical information collection. The patients who met the in clusive standards were enrolled for the information collection. The symptom database was set up. The statistical analysis was done on the characteristics of qi deficiency pattern/syndrome. The two value logistic regression analysis was con ducted for the correlation between qi deficiency pattern/syndrome and the factors. Results ： Of the factors of qi deficiency pattern/syndrome for coronary heart disease and angina pectoris, accounting for 75.0%, of the factor for all patterns/syn dromes, 1321cases with qi deficiency pattern/syndrome combined with blood stasis, accounting for 86.9% of the factor for all patterns/syndromes. 687cases with qi deficiency pattern/syndrome combined with blood stasis accounting for 45.2% of the factor for all patterns/syndromes,630 cases with qi deficiency pattern/syndrome combined with blood stasis accounting for 41.4% of the factor for all patterns/syndromes. The high purien diet and DM （ diabetes mellitus） strongly impacted on qi deficiency. Conclusion：The qi deficiency pattern/syndrome is the factors of coronary heart disease and angina pecto ris. qi deficiency and blood stagnation is the fundamental pathogenesis. The high purine diet and DM （ diabetes melli tus） are strongly corrected with qi deficiency.

关 键 词：冠心病心绞痛 气虚证 证候特点 LOGISTIC回归分析 

分 类 号：R541.4[医药卫生—心血管疾病]