1. 中国中医科学院中医临床基础医学研究所
2. 北京市垂杨柳医院
3. 中国人民大学
4. 中国人民解放军海军总医院
纸质出版:2014
移动端阅览
[1]姜红岩,王连心,谢雁鸣,杨薇,易丹辉,庄严,王永炎.基于医院信息系统的冠心病患者中医证候特征[J].中医杂志,2014,55(21):1867-1871.
JIANG Hongyan, WANG Lianxin, XIE Yanming, et al. Study on Syndrome Distribution of Coronary Heart Disease Based on Hospital Information System[J]. Journal of Traditional Chinese Medicine2014, 55(21): 1867-1871.
[1]姜红岩,王连心,谢雁鸣,杨薇,易丹辉,庄严,王永炎.基于医院信息系统的冠心病患者中医证候特征[J].中医杂志,2014,55(21):1867-1871. DOI: 10.13288/j.11-2166/r.2014.21.018.
JIANG Hongyan, WANG Lianxin, XIE Yanming, et al. Study on Syndrome Distribution of Coronary Heart Disease Based on Hospital Information System[J]. Journal of Traditional Chinese Medicine2014, 55(21): 1867-1871. DOI: 10.13288/j.11-2166/r.2014.21.018.
目的基于电子医疗数据分析冠心病患者的中医证候分布特征。方法提取2008年1月至2010年12月全国17家三级医院医院信息系统中冠心病住院患者信息
采用频数分析方法对患者的一般资料及中医证候信息进行描述性分析。结果共纳入冠心病患者84697例
有入院中医证候诊断者2217例
其证候分布前3位为气阴两虚(1360例
61.34%)、气虚血瘀(332例
14.98%)、痰瘀互结(208例
9.38%)
证候要素以血瘀出现频次最高(2 144次);有出院中医证候诊断者7 099例
其证候分布前3位为气阴两虚(2397例
33.77%)、气虚血瘀(2013例
28.36%)、痰瘀互结(1205例
16.97%)
证候要素以血瘀出现频次最高(5677次)。男性与女性患者前3位入院与出院证候均为气阴两虚、气虚血瘀、痰瘀互结
但入院证候中气阴两虚者女性(779例
64.92%)多于男性(493例
56.67%)
气虚血瘀者女性(193例
16.08%)多于男性(116例
13.33%);出院证候中气阴两虚者女性(1420例
36.82%)多于男性(857例
28.08%)
痰瘀互结者女性(521例
13.51%)少于男性(671例
21.99%)。25
4
4岁、45
5
9岁、60
7
4岁年龄段患者前3位入院证候均为气阴两虚、痰瘀互结、气虚血瘀
75
8
9岁、90岁及以上年龄段患者前3位证候均为气阴两虚、气虚血瘀、阳气虚衰;25
4
4岁、45
5
9岁、60
7
4岁、75
8
9岁年龄段患者前3位出院证候均为气阴两虚、痰瘀互结、气虚血瘀
90岁及以上患者前3位证候为气阴两虚、气虚血瘀、阳气虚衰。结论冠心病患者中医证候以气阴两虚、气虚血瘀多见
血瘀为其主要证候要素
女性、老年人群以虚证多见
男性、年少者则实证明显。
Objective To analyze the TCM syndrome distribution characteristics of coronary heart disease( CHD) based on electronic medical data. Methods The information of CHD patients was collected from hospital information system( HIS) in 17 tertiary hospitals from January 2008 to December 2010. Frequency analysis method was adopted to descriptively analyze the general data and TCM syndrome information of patients included. Results Totally 84 697 CHD patients were included
of which 2 217 had admitting TCM syndrome diagnosis with the top three syndromes of qi-yin deficiency( 1 360 cases
61. 34%)
qi deficiency with blood stasis( 332 cases
14. 98%) and obstruction of phlegm and stasis( 208 cases
9.38%). Blood stasis was the most frequent syndrome factor( 2 144times)
and 7 099 cases had discharge TCM syndrome diagnosis with the top three syndromes of qi-yin deficiency(2397 cases
33.77%)
qi deficiency with blood stasis( 2013 cases
28.36%) and obstruction of phlegm and stasis( 1205 cases
16.97%). Blood stasis was the most frequent syndrome factor( 5677 times). In both male and female patients
the top three admitting and discharge syndromes were also qi-yin deficiency
qi deficiency with blood stasis and obstruction of phlegm and stasis. However
there were more female( 779 cases
64. 92%) qi-yin deficiency patients than male( 493 cases
56. 67%) with admitting diagnosis. The number of female( 193 cases
16. 08%) patients with qi deficiency and blood stasis was larger than male( 116 cases
13. 33%). There were more female( 1 420 cases
36. 82%) qi-yin deficiency patients than male( 857 cases
26. 08%) with discharge diagnosis. In patients with obstruction of phlegm and stasis
female number( 521 cases
13. 51%) was less than male( 671 cases
21. 99%). In the age group 25 to 44
45 to 59 and 60 to 74
the top three admitting syndromes were all qi-yin deficiency
obstruction of phlegm and stasis and qi deficiency with blood stasis. In the patients aged from 75 to 89 and above 90
the top three main syndromes were all qi-yin deficiency
qi deficiency with blood stasis and yang-qi excessive deficiency. In the age group 25 to 44
45 to 59
60 to 74 and 75 to 89
the top three main discharge syndromes were qi-yin deficiency
obstruction of phlegm and stasis
and qi deficiency with blood stasis. In patients aged above90 years old
the top three main syndromes were qi-yin deficiency
qi deficiency with blood stasis and yang-qi excessive deficiency.Conclusion TCM syndromes of qi-yin deficiency and qi deficiency with blood stasis are most commonly seen in CHD patients. Blood stasis is the main syndrome factor. In female and old patients
deficiency syndrome is common
while excess syndrome is remarkable in male and young patients.
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