冠心病心力衰竭中医证候相关因素研究  

Research on TCM syndrome related fators of chronic heart failure caused by coronary artery disease

作　　者：陈婵[1] 王娟[2] 张鹏[3] 赵慧辉[2] 陈建新[2] 王伟[2] 

机构地区：[1]浙江省杭州市萧山区中医院,杭州311201 [2]北京中医药大学,北京100029 [3]湖北省武汉市中医医院,武汉430100

出　　处：《中华中医药杂志》2012年第11期2925-2928,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家中医药管理局行业专项项目(No.200807007)~~

摘　　要：目的:探讨性别、年龄、心功能分级、合并病与冠心病心力衰竭中医证候的相关特点。方法:运用临床流行病学横断面调查方式,采用Logistic回归方法对数据进行分析。结果:阴虚证、阳虚证与女性正相关(P<0.05),气滞证与51-60岁年龄正相关(P<0.05),阳虚证与71-80岁年龄正相关(P<0.05),水停证、阴虚证、热证与心功能Ⅲ级正相关(P<0.05),气虚证、水停证、痰浊证、阳虚证、气滞证与心功能Ⅳ级正相关(P<0.05),水停证、热证与合并脑血管意外正相关(P<0.05)。结论:临床用药时应当综合考虑性别、年龄、心功能分级及合并病因素。女性患者可酌情配伍滋阴药、温药;较年轻患者可酌情配伍健脾疏肝理气之品,年老高龄患者可酌加温阳之品;合并脑血管意外患者可以酌情运用清热、利水等治法。Objective： To investigate the relation law between gender,age,cardiac function,combined diseases and TCM syndrome of heart failure caused by coronary artery disease.Methods： Clinical cross-sectional epidemiological study was applied,and then activated by Logistic methods.Results： Yin deficiency and yang deficiency had a positive correlation with femail patients（P0.05）,qi stagnation had a positive correlation with the age of 51 to 60（P0.05）,yang deficiency had a positive correlation with the age of 71 to 80（P0.05）.Water retention,phlegm turbid,yin deficiency,yang deficiency,heat and cardiac function had negative correlations with grade Ⅱ（P0.05）;water retention,yin deficiency,heat and cardiac function had positive correlations with grade Ⅲ（P0.05）,water retention and heat had positive correlations with cerebral vascular accident（P0.05）.Conclusion： Gender,age,cardiac function and combined diseases should be considered before clinical treatment.Female patients can plus drugs of reinforcing body fluid and warming yang.The younger patients can plus drugs of invigorating spleen and soothing the liver.The elders can plus warming yang drugs.The patients who complicate with cerebrovascular accident can plus drugs of clearing heat and alleviating water retention.

关 键 词：冠心病心力衰竭 中医证候 相关因素 

分 类 号：R259[医药卫生—中西医结合]