冠心病不稳定型心绞痛中医证候及其症状分布特征的研究  

Study on the Distribution Characteristics of TCM Syndromes and Their Symptoms in Patients with Coronary Heart Disease with Unstable Angina Pectoris

作　　者：邓冬[1] 赵慧辉[1] 陈静[1] 李雪丽[1] 王娟[1] 陈坤[1] 常宏[1] 郝利珍[1] 王伟[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《中国中医急症》2016年第7期1269-1271,1341,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金(NO.81302914)

摘　　要：目的探讨冠心病不稳定型心绞痛(冠心病UAP)的中医证候及其症状的分布特征。方法对411例冠心病UAP患者进行临床流行病学调查,用所得临床数据建立数据库,采用描述性统计(频数分布)和χ2检验等分析方法对临床所得数据库中的证候及症状分布进行统计分析。结果在411例患者中,主要证候是心血瘀阻证、气虚血瘀证、痰阻心脉证、阳气虚衰证;主要症状是胸痛、面部异常(面部萎黄、苍白、白、瘀暗、晦暗等)、胸闷、口唇紫绀。结论冠心病UAP的中医证候及其症状出现频次各有不同特征,与心关系最为密切,并且涉及五脏,对冠心病UAP患者的中医临床诊断具有极大指导意义。Objective： To investigating the characteristic distribution of TCM syndromes and their symptoms in patients with coronary heart disease with unstable angina pectoris. Methods： Clinical epidemiology of 411 cases with coronary heart disease （CHD） instability angina pectoris was investigated,and clinical data was used to establish a database and descriptive statistics（frequency distribution） and x2 test analysis method of clinical derived from the database of symptoms and syndrome distribution were used for statistical analysis. Results： In 411 cases with unstable angina pectoris,the main syndromes was blood stasis,Qi deficiency and blood stasis syndrome,syn- drome of phlegm blocking heart vessel,Yang asthenia syndrome ;main symptom was chest pain,abnormal facial （facial complexion,pale,yellow white,blood stasis dark,dull and so on）,chest tightness,lip cyanosis. Conclusion ： The frequency of TCM Syndromes and symptoms in coronary heart disease with unstable angina pectoris has various features, and heart is most closely and related to the five internal organs ,which has great guiding significance on unstable angina pectoris in clinical diagnosis of traditional Chinese medicine.

关 键 词：冠心病不稳定性心绞痛 证候 症状 特征分布 

分 类 号：R541.4[医药卫生—心血管疾病]