慢性心力衰竭中医证型分布规律系统综述  

Systematic Review of TCM Syndrome Type Distributive Regulation on Chronic Heart Failure

作　　者：何新兵[1] 龙杰[1] 李成林[1] 潘朝锌[1] 温志浩[1] 

机构地区：[1]广西中医药大学第一附属医院心血管内科,南宁530023

出　　处：《实用中医内科杂志》2017年第2期5-8,共4页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[主要目的]分析慢性心力衰竭中医证型分布规律。[资料来源]在广西中医药大学第一附属医院心血管内科选择选取2013年6月至2014年7月住院及门诊患者,填写问卷表。证型由2名副主任中医师以上临床医生根据调查表辨证。[选择文献量及依据]1研究类型:问卷调查。2研究对象:年龄42~?87岁;心功能Ⅱ~?Ⅳ级(NYHA功能分级);知情同意,签署知情同意书。排除急性心肌梗死、不稳定性心绞痛、急性肺水肿、未能控制的3级以上高血压;合并其他严重疾病如肿瘤、肝肾功能不全等;其他全身性疾病,如自身免疫性疾病所导致的心力衰竭及结构性心脏病所致心力衰竭。[数据提炼规则及应用方法]采用SPSS11.5统计软件,按中医证型等分组,统计各因素与中医证型分布的关系,计量资料采用均值±标准差(x±s)表示,计数资料采用χ~2检验。[数据综合得出结果与结论]性别构成各证型无明显差异(P>0.05)。平均年龄:各证型无明显差异(P>0.05),心阳亏虚血瘀水停、肾精亏损阴阳两虚明显高于心肺气虚心血瘀阻、气阴两虚血瘀水停(P<0.01)。证型分布频次排列:气阴两虚心血瘀阻>心肺气虚心血瘀阻>心阳亏虚血瘀水停>肾精亏损阴阳两虚>证型不明。病程:各证型组间无明显差异(P>0.05),心阳亏虚血瘀水停、肾精亏损阴阳两虚病程明显长于心肺气虚挟瘀、气阴两虚挟瘀(P<0.01),心肺气虚心血瘀阻、气阴两虚血瘀水停、阴阳两虚肾精亏损,病程逐渐延长。NT-Pro BNP:各证型无明显差异(P>0.05),肾精亏损阴阳两虚>心阳亏虚血瘀水停。心功能等级:心肺气虚心血瘀阻、气阴两虚心血瘀阻多见Ⅱ、Ⅲ级,心阳亏虚血瘀水停、肾精亏损阴阳两虚多见Ⅲ、Ⅳ级。[未来展望]扩大样本量,深入研究,为各发病因素与慢性心力衰竭中医证型的关系提供科学依据。[Objectives] Analyze distributive regulation of TCM syndrome type on chronic heart failure.[Materials source] Choosing The First Affiliated Hospital of Guangxi University of Chinese Medicine in 2013 June to 2014 July in department of Cardiovasology, Issuing questionnaire. [Quantities and criteria] 1Type：clinical observation. 2The object of study： Aged 42 to 87 years old; NYHA Ⅱ~Ⅳ; informed consent, written informed consent. Out of AMI; UAP; acute pulmonary edema; Cancer and Liver, Kidney disease. [Data extracting rule and Methods of application]Using SPSS11.5 statistical software, grouped according to TCM syndrome type, statistical relationship between various factors and the distribution of TCM syndromes type. [The Results and Conclusions] There was no significant difference in gender constitution of various syndrome（P〉0.05）.There was no significant difference（P〉0.05） in the average age of various syndrome, the average age of exhaustion of kidney-essence and asthenia of both yin and yang and heart yang deficiency syndrome and blood stasis with water retention was significantly higher than that of deficiency of both Qi and Yin and cardiac blood stasis and deficiency of Qi of heart and lung and cardiac blood stasis. The course of disease： there was no significant difference（P〉0.05） in course of disease of various syndrome, the history of exhaustion of kidney-essence and asthenia of both Yin and Yang and heart Yang deficiency syndrome and blood stasis with water retention was significantly longer than that of deficiency of both Qi and Yin and cardiac blood stasis and deficiency of Qi of heart and lung and cardiac blood stasis. The TCM syndrome type distribution： deficiency of both Qi and Yin and cardiac blood stasis〉deficiency of Qi of heart and lung and cardiac blood stasis〉heart Yang deficiency syndrome and blood stasis with water retention〉exhaustion of kidney-essence and asthenia of both Yin and Yang〉syndrome unknown. NT-ProBNP： There was no significant difference in NT-P

关 键 词：慢性心力衰竭 中医证型 相关因素 性别 平均年龄 心功能(NYHA)分级 N-末端脑钠肽前体 分布规律 问卷调查 心肺气虚 心血瘀阻 气阴两虚 心阳亏虚 心脾阳虚 血瘀水停 肾精亏损 阴阳两虚 系统综述 

分 类 号：R271.942.1[医药卫生—中西医结合]