慢性心力衰竭中医证候回顾性调查研究  

Retrospective Investigation on the Chinese Medicine Syndromes of Chronic Heart Failure

作　　者：潘光明[1,2,3] 邹旭 姚耿圳[1,2,3] PAN Guangming;ZOU Xu;YAO Gengzhen

机构地区：[1]广东省中医院,广东广州510120 [2]广州中医药大学第二临床医学院,广东广州510006 [3]广东省中医药科学院,广东广州510006

出　　处：《新中医》2018年第8期43-45,共3页New Chinese Medicine

基　　金：广东省中医院中医药科学技术研究专项课题(YN2015MS10)

摘　　要：目的:观察慢性心力衰竭患者中医证候分布特点。方法:收集广东省中医院、北京中医药大学附属东方医院、河南中医学院第一附属医院、江苏省中医院收治的3 3 3例慢性心力衰竭患者的临床资料,分析患者的中医诊断、中医证型、合并症等的分布规律。结果:慢性心力衰竭患者各项合并症所占比例,高血压>冠心病>心律失常>糖尿病>心脏瓣膜病>高脂血症。慢性心力衰竭中医病性证素先后顺序为气虚>血瘀>痰浊>阴虚>阳虚>水饮>血虚>气滞。慢性心力衰竭病位心>脾=肺>肾>肝。中医证型最多为气虚痰瘀证,占19.82%,而后依次为气阴两虚痰瘀(占13.81%),气虚血瘀(占11.4 1%),气阴两虚血瘀(占10.21%),阳虚水泛兼瘀血阻络(8.11%),其他证候较为分散。证候虚实中,单纯性虚证占6.9 1%,单纯实证占6.3 1%,本虚标实证占86.7 9%。结论:慢性心力衰竭病性本虚以气虚、阴虚、阳虚为主,标实以瘀血、痰浊、水饮为主,本病病位主要涉及心、脾、肾,中医证型以气虚痰瘀、气阴两虚痰瘀、气虚血瘀、气阴两虚血瘀证为主。Objective：To observe the distribution of Chinese medicine syndromes in patients with chronic heart failure. Methods：Collected the clinical data from 333 cases of patients with chronic heart failure admitted into Guangdong Provincial Hospital of Traditional Chinese Medicine, Dongfang Hospital of Beijing University of Chinese Medicine, the First Affiliated Hospital of Henan College of Chinese Medicine and Jiangsu Provincial Hospital of Traditional Chinese Medicine. Analyzed the distribution of Chinese medicine diagnosis,Chinese medicine syndromes and complications of patients. Results：The proportion of the complications in patients with chronic heart failure was as follows： hypertension 〉coronary heart disease〉 arrhythmia 〉diabetes〉 valvular heart disease 〉hyperlipidemia. The sequence of Chinese medicine syndromes of chronic heart failure was as follows：qi deficiency 〉blood stasis〉 yin deficiency〉 cold phlegm 〉yang deficiency 〉fluid retention 〉phlegm heat〉 blood deficiency 〉qi stagnation. The sequence of the location of disease was as follows：the heart〉 the spleen = the lung 〉the kidney 〉the liver. Among the Chinese medicine syndromes,the syndrome of qi deficiency and phlegm stasis accounted for the majority（19.82%）,followed by the syndrome of qi-yin deficiency with phlegm stasis（13.81%）,the syndrome of qi deficiency and blood stasis（11.41%）, the syndrome of qi-yin deficiency with blood stasis（10.21%） and the syndrome of water overflowing due to yang deficiency as well as the syndrome of static blood blocking collaterals（8.11%）,and there were few of other Chinese medicine syndromes. In terms of the deficiency-excess differentiation,simple deficiency syndrome accounted for 6.91%, simple excess syndrome 6.31% and the syndrome of deficiency in origin and excess in superficiality86.79%. Conclusion： Among those Chinese medicine syndromes of chronic heart failure, they mainly involve qi deficiency, yin deficiency and yang deficiency in terms of deficiency

关 键 词：慢性心力衰竭 中医证候 回顾性调查 

分 类 号：R541.6[医药卫生—心血管疾病]