冠心病病人中医体质类型特点研究  

Research on Characteristics of TCM Constitution in Patients with Coronary Heart Disease

作　　者：单艳梅 周华[1] 戎靖枫[1] 苑春元[1] 黄牧华[1] 王佩[1] 尹琴[1] 徐基杰[1] 

机构地区：[1]上海中医药大学附属曙光医院,上海201203

出　　处：《中西医结合心脑血管病杂志》2016年第6期561-564,共4页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：国家自然基金(No.81303104);上海市科委科研计划项目(No.12401901901)

摘　　要：目的探讨冠心病病人与中医体质的关系,为冠心病的中医防治提供依据。方法对321例冠心病病人采用中医体质问卷进行中医体质调查,并按照王琦分型法分析诊断体质,比较病人冠心病发病率以及与年龄、体重指数、家族遗传病史的关系。结果入选病例共计321例,其中男198例（61.7%）,女123例（38.3%）,年龄28岁~85岁,冠心病中医体质类型分布以痰湿质（23.4%）最为多见,其次为气虚质（19.0%）、阳虚质（14.3%）、瘀血质（14.3%）和湿热质（10.6%）。病人体质同时受到年龄、体重指数（BMI）、家族遗传病史、不同病情程度等因素影响。结论 9种体质类型中痰湿质、气虚质、阳虚质的冠心病发生率最高,提示痰湿质、气虚质、阳虚质更易发生冠心病。Objective To explore the relationships between the patient with coronary heart disease（CHD）and traditional Chinese medicine（TCM）constitution type,and provide the basis for the TCM treatment of CHD.Methods Referring to the constitution of TCM criterion of Wang Qi,three hundred and twenty-one patients with CHD were tested by the questionnaire.Comparison the incidence of CHD,and explore the relationship with age,body mass index（BMI）,family history of genetic.Methods Total of 321 cases was enrolled,of which198 males（61.7%）,women in123 cases（38.3%）,of age 28to85 years.The phlegm dampness constitution（23.4%）was the most common,followed by qi deficiency constitution（19.0%）and yang deficiency constitution（14.3%）,blood stasis type（14.3%）and wet-heat type（10.6%）.The age,BMI,family medical history,severity were factors of constitution.ConclusionThe incidence of CHD was higher in patient with constitution of phlegm dampness constitution,qi deficiency constitution and yang deficiency constitution.

关 键 词：冠心病 中医体质 预防和治疗 体重指数 胸痹 

分 类 号：R259[医药卫生—中西医结合]