冠状动脉介入术后证候要素与应证组合分析  

Syndrome elements in traditional Chinese medicine and the distribution of target sites after percutaneous coronary intervention

作　　者：刘丹 王阶[1] LIU Dan;WANG Jie(Guanganmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053;Shaanxi University of Chinese Medicine,Xianyang Shaanxi 712046)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]陕西中医药大学,陕西咸阳712046

出　　处：《世界中西医结合杂志》2019年第5期614-616,647,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：中央级公益性科研院所基本科研业务费专项(Z210-013);国家中医药管理局国家中医临床研究基地业务建设科研专项(JDZX2015248);国家自然科学基金面上项目(81673847)

摘　　要：目的探讨冠状动脉介入术后证型、证候要素及靶位分布规律。方法检索中国知网数据库(CNKI)2007年至2017年12月的全部期刊,从符合研究标准的37篇文献的3389例中提取证候要素,对其进行归纳合并,总结证候要素及靶位。结果3389例文献病例中共有证候要素8个,主要为血瘀2921例(42.57%),气虚2566例(37.40%),痰浊587例(8.56%);靶位共有8个,心3177例(47.10%),脾974例(14.44%),络872例(12.93%),肾697例(10.33%);主要证型为气虚血瘀证1762例(51.99%)。结论气虚、血瘀、痰浊是冠脉介入术后最主要的证候要素,其病位主要涉及心,其次为脾、络、肾;其核心病机是本虚标实,虚实夹杂。Objective To explore the rules of TCM syndrome types,elements and target site distribution after percutaneous coronary intervention.Methods The journals of CNKI were retrieved from January 2007 to December 2017.3389 eligible cases were collected from 37 articles according to inclusion criteria.These data were collected and analyzed.The elements of pattern in TCM and target sites were concluded.Results A total of 8 syndrome elements of TCM were extracted from 3389 articles,including mainly blood stagnation(2921,42.57%),qi deficiency(2566,37.40%)and turbid phlegm(589,8.56%).8 target sites were involved,including heart(3177,47.10%),spleen(974,14.44%),collateral(872,12.93%)and kidney(697,10.33%).The main symptom type of TCM was qi deficiency and blood stagnation(1762,14.44%).Conclusion Qi deficiency,blood stagnation and turbid phlegm are the most important syndrome elements of TCM after percutaneous coronary intervention,especially located in heart,as well as spleen,collateral and kidney followed by.The core pathogenesis is the deficiency in the primary and the excess in the secondary,as well as the mixture of deficiency and excess.

关 键 词：冠状动脉介入术 证候要素 证型 

分 类 号：R541[医药卫生—心血管疾病]