106例冠状动脉慢血流患者中医证素的横断面研究  

A Cross Sectional Study on TCM Syndromes Elements in 106 Patients with Slow Coronary Flow

作　　者：李达 刘聪聪 闫建玲 高晓欢 王宾 赵国良 LI Da;LIU Cong-cong;YAN Jian-ling;GAO Xiao-huan;WANG Bin;ZHAO Guo-liang(Shanxi Hospital of Integrated Traditional and Western Medicine,Taiyuan Shanxi 030001,China;Shanxi University of Chinese Medicine,Taiyuan Shanxi 030619,China;Shanxi Provincial Cancer Hospital,Taiyuan Shanxi 030013,China)

机构地区：[1]山西省中西医结合医院,山西太原030001 [2]山西中医药大学,山西太原030619 [3]山西省肿瘤医院,山西太原030013

出　　处：《中医药导报》2020年第15期108-111,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：山西省科技攻关项目(20140313008-12);山西中医药大学科技创新能力培育计划(2019PY-060)。

摘　　要：目的:探讨冠状动脉慢血流(CSF)患者中医证素的分布规律。方法:制定CSF中医证素调查表,对2018年1月至2019年12月就诊于山西省中西医结合医院的106例CSF患者进行横断面调查,记录患者一般情况、主要症状、中医四诊信息、病位及病性证素等信息,建立CSF中医证素信息数据库,统计分析CSF患者中医证素分布规律。结果:106例CSF患者中男75例,女31例,年龄(56.51±9.28)岁,BMI(26.13±4.48)kg/m2,有吸烟史63例,饮酒史39例,合并高血压病67例、高脂血症32例,慢血流血管累及前降支97例;主要临床症状表现为胸闷、胸痛(痛无定处)。CSF患者舌象主要为紫暗舌、胖大舌,舌苔为白腻苔,脉象主要为沉涩脉;中医证素中病位在心106例、脾37例、肾36例,中医实性证素主要为血瘀、痰浊(饮)、气滞、热蕴,虚性证素主要为气虚、阴虚、阳虚。结论:CSF患者常见于形体偏胖的中老年男性,主要累及前降支,中医证素以气虚及血瘀为主,兼以痰浊(饮)、气滞、阴虚,病位在心,涉及脾、肾。Objective:To explore the distribution of TCM syndrome elements in patients with coronary slow flow(CSF).Methods:The questionnaire of TCM syndrome elements of CSF was established.106 patients with CSF who were treated in Shanxi Hospital of Integrated Traditional and Western Medicine from January 2018 to December 2019 were investigated retrospectively.The information of patients’general situation,main symptoms,four diagnosis information of TCM,disease location and disease syndrome elements were recorded.The TCM syndrome element information database of CSF was established to analyze the distribution of TCM syndrome elements of CSF patients.Results:Among 106 patients with CSF,75 were male,and 31 were female.The average age of the 106 patients was(56.51±9.28)years,BMI was(26.13±4.48)kg/m2,63 with smoking,39 with drinking,67 with hypertension,32 with hyperlipidemia,and 97 with slow blood vessels involving anterior descending branches.The main clinical symptoms were chest distress and chest pain.The tongue of CSF patients was mainly dark purple tongue,fat big tongue,tongue coating was white greasy,and pulse was mainly astringent pulse.There were 106 cases of heart disease,37 cases of spleen and 36 cases of kidney disease,and the main TCM syndrome elements were blood stasis,phlegm turbidity,Qi stagnation and heat accumulation,while the main syndrome elements of deficiency were Qi deficiency,Yin deficiency and Yang deficiency.Conclusion:CSF patients are commonly found in middle-aged and elderly men with obese bodies,which mainly involve the anterior descending branch.TCM syndromes are mainly Qi deficiency and blood stasis,with phlegm(drinking),Qi stagnation,and Yin deficiency.The disease location is in the heart,involving the spleen,kidney.

关 键 词：冠状动脉慢血流 中医证素 横断面研究 

分 类 号：R241.9[医药卫生—中医诊断学]