危重病非心源性心肌损伤中医辨证要素与发生急性左心衰的相关性研究  

Correlation Between TCM Syndrome Elements of Critical Illness Noncardiac Myocardial Injury and Acute Left Ventricular Failure

作　　者：杨志旭[1] 范铁兵[1] 李洁[1] 戎光[1] 肖宁[1] 陈姝[1] 易亮[1] 

机构地区：[1]中国中医科学院西苑医院,北京100091

出　　处：《辽宁中医药大学学报》2013年第4期14-15,共2页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：中国中医科学院西苑医院苗圃课题(XYKY-MP1077-37)

摘　　要：目的:探讨危重病非心源性心肌损伤的中医辨证要素与发生急性左心衰的相关性。方法:对56例危重病非心源性心肌损伤患者中医辨证要素与急性左心衰的发生进行回顾性研究。结果:危重病非心源性心肌损伤病性证素为阳虚者急性左心衰发生率最高(71.88%),阴虚者急性左心衰发生率最低(18.18%);病位证素为心者急性左心衰发生率最高(57.14%),肾者急性左心衰发生率最低(36.36%)。结论:危重病非心源性心肌损伤病性证素与发生急性左心衰的相关性,由强至弱呈阳虚>气虚>热盛>血虚>痰饮>阴虚的趋势;病位证素与发生急性左心衰的相关性,由强至弱呈心>肺>脾>肾的趋势。Objective： To investigate the relationship between TCM syndrome elements of critical illness non-cardiac myocardial injury and acute left ventricular failure. Methods ： A retrospective study of the relationship between TCM syndrome elements of critical illness non-cardiac myocardial injury and acute left ventricular failure of 56 cases was made. Results ： The incidence of acute left ventricular failure was the highest （ 71.88% ）for critical illness non-cardiac myocardial injury with Yang deficiency, the incidence of those with Yin deficiency was the lowest （ 18.18% ）; the location in heart had the highest incidence of acute left ventricutar failure （ 57.14% ）, and in kidney had the lowest incidence （ 36.36% ）. Conclusion ： The correlation between syndrome elements of critical illness non-cardiac myocardial injury and acute left ventricular failure from the strong to the weak was as follows： Yang deficiency〉qi deficiency〉excessive heat〉blood deficiency〉phlegm retention〉Yin deficiency; the correlation between location and acute left ventricular failure from the strong to the weak was as follows ： heart〉 lung〉 spleen〉 kidney.

关 键 词：危重病 非心源性心肌损伤 辨证要素 急性左心衰 相关性 

分 类 号：R541.6[医药卫生—心血管疾病]