老年永久性房颤患者中医辨证分型与客观指标关联性研究  

Study on correlativity between TCM syndrome differentiation and objective indexes of patients with senile permanent atrial fibrillation

作　　者：王芳芳[1] 王忠成[1] 顾驾云[1] 刘培[1] 

机构地区：[1]江苏省南通市第三人民医院

出　　处：《山西中医》2017年第8期57-59,62,共4页Shanxi Journal of Traditional Chinese Medicine

基　　金：江苏省中医药管理局资助项目(编号:LZ13167);江苏省南通市科技局资助项目(编号:HS2013047)

摘　　要：目的:探讨老年永久性房颤患者中医辨证分型与凝血、心超、血脂等客观指标之间的关联性,为老年房颤辨证分型客观化提供依据。方法:将我院住院的145例老年永久性房颤患者,按中医辨证分为心阳虚衰证、气阴两虚证、心肾阳虚证、心脉瘀阻证、痰浊阻滞证五种证型。观察不同证型患者的血脂、凝血功能、心脏超声波检测指标,分析各证型与客观化指标之间的联系及证候特点。结果:145例老年房颤患者的中医证型分布按比例大小依次为心阳虚衰证、气阴两虚证、心脉瘀阻证、痰浊阻滞证,心肾阳虚证。心阳虚衰证的左心房内径、左室舒张期内径、左室收缩期内径增大,与其它4组证型比较,差异有统计学意义(P<0.05)。心阳虚衰证组的EF值、FS值较其他各组减低,与气阴两虚组及痰浊阻滞组比较差异有统计学意义(P<0.05),心脉瘀阻证的DDT有升高,与其它各证型组比较,差异有统计学意义(P<0.05)。痰浊阻滞证的TG、CH、LDL有升高,与其他各证型组比较,差异有统计学意义(P<0.05)。结论:老年永久性房颤患者中医辨证分型以本虚为主,心阳虚衰证较常见,心阳虚衰证多伴有左房内径增大,左室射血分数减低,心功能低下等表现,痰浊阻滞证多伴有血脂代谢方面的异常,心脉瘀阻证患者体内多呈高凝状态,老年永久性房颤患者中医辨证分型与客观化指标之间有一定的关联性。Objective： To approach the correlativity between TCM syndrome differentiation and blood coagulation,echocardiography,blood lipid etc. objective indexes of patients with senile permanent atrial fibrillation,in order to provide the basis for objectification of TCM syndrome differentiation of senile atrial fibrillation. Methods：According to TCM syndrome differentiation,145 cases of patients with senile permanent atrial fibrillation,who hospitalized in our hospital,were divided into following five syndrome types： heart-yang deficiency syndrome,qi-yin deficiency syndrome,heart and kidney yang deficiency syndrome,heart vessel stasis syndrome,turbid phlegm stasis syndrome. The blood lipid,blood coagulation function and echocardiography etc. indexes of patients with different syndrome types were observed. The characteristics of correlativity between each syndrome type and objectification indexes were analyzed. Results： According to proportion,the distribution of TCM syndromes of 145 patients with senile permanent atrial fibrillation was in turn heart-yang deficiency syndrome,qi-yin deficiency syndrome,heart vessel stasis syndrome,turbid phlegm stasis syndrome,heart and kidney yang deficiency syndrome.Left atrial diameter,left ventricular diastolic diameter and left ventricular systolic diameter of heart-yang deficiency syndrome were increased; compared with 4 other syndromes groups,the difference was statistically significant（ P〈0. 05）. EF and FS values of heart-yang deficiency syndrome group were lower than those of other each group; compared with qi-yin deficiency syndrome group and turbid phlegm stasis syndrome group,the difference was statistically significant（ P〈0. 05）.DDT of heart vessel stasis syndrome group were increased; compared with other each syndrome group,the difference was statistically significant（ P〈0. 05）.TG、CH、LDL of turbid phlegm stasis syndrome group were increased; compared with other each syndrome group,the difference was statistically significant（ P〈0. 05）. Con

关 键 词：老年人 永久性房颤 中医辨证分型 

分 类 号：R541.75[医药卫生—心血管疾病]