冠心病患者介入术前后中医证候演变规律分析  

TCM Syndrome of Patients with Coronary Heart Disease before and after Percutaneous Coronary Intervention

作　　者：荣杰[1] 许颖智[1] 张军平[2] 

机构地区：[1]天津中医药大学研究生院 [2]天津中医药大学第一附属医院

出　　处：《中医杂志》2012年第23期2027-2030,共4页Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(30901890)

摘　　要：目的通过分析近30年相关文献,探讨冠心病介入术前后中医证候分布及演变。方法检索中国知网近30年冠心病介入术前后证候研究的相关文献,提取文献信息,采用证候要素归纳冠心病患者介入术前后的证候特点。结果共纳入文献22篇,涉及病例4211例。冠心病患者介入术前中医证候分布主要以血瘀证(33.33%)、气虚证(20.98%)、痰浊证(18.74%)为主;介入术后中医证候分布亦主要以血瘀证(28.48%)、气虚证(22.98%)、痰浊证(20.64%)为主。介入术前血瘀、气滞、寒凝、热蕴等实证明显多于介入术后(P<0.01),而介入术后的气虚、阴虚、阳虚等虚证明显多于介入术前(P<0.01)。结论冠心病患者介入术前后均以血瘀、痰浊和气虚证为主,但总体介入术后较介入术前有从实转虚趋势。Objective To analyze the distribution and development of Chinese medicine syndrome in patients with coronary heart disease （ CHD ） before and after percutaneous coronary intervention （ PCI ） in recent 30years.Methods According to the searching strategy , the literature on Chinese medicine syndrome before and after PCI were searched in a database , China National Knowledge Infrastructure （ CNKI ） in recent 30years.The literature information was extracted and the syndrome characteristics of CHD patients before and after PCI were analyzed according to the syndrome factors.Results Totally 22articles were included and 4211cases were involved.Blood stasis syndrome , qi deficiency syndrome and phlegm turbidity syndrome were main syndromes of CHD both before and after PCI.Excess syndromes such as blood stasis , qi stagnation , cold congealing and heat brewing descended significantly after PCI （ P〈0.01 ） .Deficiency syndromes such as qi deficiency , yang deficiency and yin deficiency ascended significantly after PCI （ P〈0.01 ） .Conclusion Blood stasis syndrome , phlegm turbidity syndrome and qi deficiency syndrome are main syndromes of CHD both before and after PCI , but changing to deficiency syndrome from excess syndrome after PCI in general.

关 键 词：冠心病 介入术 中医证候 证候要素 

分 类 号：R259[医药卫生—中西医结合]