中老年冠心病心绞痛患者中医虚证的影响因素分析  

Analysis of Influencing Factors of Traditional Chinese Medicine Deficiency Syndrome in Middle-aged and Elderly Patients with Coronary Heart Disease Angina Pectoris

作　　者：薛鹏 朱亚娟 林玲 严羽 谢桂香[1] XUE Peng;ZHU Yajuan;LIN Ling;YAN Yu;XIE Guixiang(Department of Geriatrics,Taizhou Hospital of Traditional Chinese Medicine,Taizhou,Jiangsu Province,225300 China;Department of Gynecology,Taizhou People's Hospital,Taizhou,Jiangsu Province,225300 China)

机构地区：[1]泰州市中医院老年病科,江苏泰州225300 [2]泰州市人民医院妇科,江苏泰州225300

出　　处：《系统医学》2023年第18期69-72,共4页Systems Medicine

基　　金：江苏省卫生健康委员会老年健康科研课题(LK2021058);老年临床医学技术应用研究项目单位(建设单位)(LD2021040)。

摘　　要：目的探讨中老年冠状动脉粥样硬化性心脏病心绞痛患者中医虚证的影响因素。方法选取2021年1月—2022年12月泰州市中医院收治的160例冠心病心绞痛中老年患者为研究对象,经辨证后分为虚证组77例和实证组83例。收集患者的年龄、性别及CT冠状动脉血管成像信息及合并症作为自变量,每位患者均给出虚实辨证,其结果作为因变量。应用卡方检验筛选变量,应用多因素Logistic回归分析风险因素。结果两组患者年龄、狭窄程度、病变支数、糖尿病、高血压构成比情况比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析提示年龄(OR=5.185)、冠状动脉狭窄(OR=4.492)、病变支数(OR=1.874)、糖尿病(OR=3.030)、高血压(OR=3.575)是中老年冠心病心绞痛患者中医虚证的独立危险因素。结论年龄、冠脉狭窄程度、病变支数及糖尿病、高血压是中老年冠心病心绞痛中医虚证的影响因素。Objective To explore the influencing factors of Chinese medicine deficiency syndrome in middle-aged and elderly patients with angina pectoris of coronary atherosclerotic heart disease.Methods 160 middle-aged and elderly patients with angina pectoris of coronary heart disease admitted to Taizhou City Hospital of Traditional Chinese Medicine from January 2021 to December 2022 were selected as the study objects.After syndrome differentiation,they were divided into deficiency syndrame group(77 cases)and empirical group(83 cases).Patients'age,gender and CT coronary angiography information and comorbidities were collected as independent variables,and each patient was given a deficiency identification,the results of which were used as dependent variables.The chi-square test was applied to screen the variables and multifactor Logistic regression was applied to analyze the risk factors.Results Age,stenosis degree,number of lesion branches,diabetes mellitus,and hypertension were compared between the two groups of patients with virtual evidence groups and real evidence groups,and the difference was statistically significant(P<0.05).Multifactorial Logistic regression analysis suggested that age(OR=5.185),coronary artery stenosis(OR=4.492),number of lesion branches(OR=1.874),diabetes mellitus(OR=3.030),and hypertension(OR=3.575)were the independent risk factors for the deficiency syndrome of traditional Chinese medicine in middle-aged and old-aged patients with coronary angina pectoris.Conclusion Age,degree of coronary stenosis,number of lesion branches,and diabetes mellitus and hypertension are the influencing factors of TCM deficiency syndrome in middle-aged and elderly patients with coronary angina.

关 键 词：心绞痛 中医分型 虚证 LOGISTIC回归分析 

分 类 号：R256.22[医药卫生—中医内科学]