924例冠心病介入术后患者中医证候分布调查  

Research of the distribution of TCM syndromes in 924 Cases after Percutaneous Coronary Intervention

作　　者：孙春霞[1,2] 胡晓贞[2] 陈丽娟[3] 王俊丽[4] 任芳[5] 颜乾麟[3] 

机构地区：[1]同济大学中医研究所,上海200092 [2]同济大学附属同济医院分院,上海200092 [3]同济大学附属上海市第十人民医院,上海200072 [4]同济大学电子与信息工程学院,上海200092 [5]同济大学附属东方医院,上海200120

出　　处：《中国中医急症》2017年第2期189-191,207,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家重点基础研究计划(973计划)项目中医专项:气血学说继承与创新的研究(2006CB504810);中央高校基本科研业务费专项资金(同济大学):基于大数据的颜氏内科中医药图谱研究;国家中医药管理局课题:颜德馨全国名老中医药专家传承工作室;国家中医药管理局课题:颜乾麟全国名老中医药专家传承工作室;国家中医药管理局"十二五"中医药重点学科:中医心病学;海派中医流派传承研究基地:颜氏内科基地(ZYSNXD-CC-HPGC-JD-007);上海市卫生局中医药科研基金:颜氏气血学说理论探讨与总结及临证经验(2012L013A)

摘　　要：目的观察冠心病介入术后患者中医证候分布情况。方法对924例冠心病介入术后患者临床数据及中医证候学数据进行前瞻性及回顾性调查。结果经皮冠状动脉内介入治疗术(PCI)术后患者中医证候调查分析可见,实证中以心血瘀滞证最多,虚证中以阳虚证最多。标实证中与PCI手术患者病变血管数目相关性最强的是心血瘀滞,本虚证中与PCI手术患者病变血管数目相关性最强的是阳虚。结论阳虚血瘀为冠心病介入术后的基本病机。Objective： To observe the distribution of TCM syndromes in patients after percutaneous coronary intervention. Methods： Totally 924 cases of PCI patients were investigated in prospective and retrospective methods of clinical data and TCM syndromes. Results： The investigation of TCM syndromes after PCI showed that stasis of heart blood was the most in sthenia-syndrome and yang- deficiency was the most in inasthenia-syndrome, stasis of heart blood had most relevance to the number of pathological blood vessels in sthenia-syndrome and yang- de-ficiency had most relevance to the number of pathological blood vessels in inasthenia-syndrome. Conclusion：Yang-deficiency and blood stasis was the basic pathogenesis of percutaneous coronary intervention.

关 键 词：冠心病介入术后 中医证候 阳虚血瘀 基本病机 颜德馨 

分 类 号：R541.4[医药卫生—心血管疾病]