1. 辽宁中医药大学附属医院
2. 沈阳军区总医院
3. 沈阳市健康教育中心
4. 中国人民大学统计学院
纸质出版:2016
移动端阅览
[1]张明雪,李京,李涵,易丹辉,蔺顺锋.冠心病合并高血压的中医证候演变规律研究[J].中医杂志,2016,57(11):953-956.
ZHANG Mingxue, LI Jing, LI Han, et al. Evolvement Rule of Chinese Medicine Syndrome of Coronary Heart Disease Complicated with Hypertension[J]. Journal of Traditional Chinese Medicine2016, 57(11): 953-956.
[1]张明雪,李京,李涵,易丹辉,蔺顺锋.冠心病合并高血压的中医证候演变规律研究[J].中医杂志,2016,57(11):953-956. DOI: 10.13288/j.11-2166/r.2016.11.015.
ZHANG Mingxue, LI Jing, LI Han, et al. Evolvement Rule of Chinese Medicine Syndrome of Coronary Heart Disease Complicated with Hypertension[J]. Journal of Traditional Chinese Medicine2016, 57(11): 953-956. DOI: 10.13288/j.11-2166/r.2016.11.015.
目的探讨冠心病合并高血压发展过程的证候演变规律。方法运用三轮德尔菲法
构思并设计了冠心病常见合并病证候要素、证候特征及证候演变规律的证候学临床专家调查问卷。进行全国多中心、大样本的临床专家调查
将系统输出的数据文件构建冠心病常见合并病三维结构化关联数据库
运用聚类分析、转移概率矩阵等统计方法对数据库进行数据挖掘与处理
从而分析出冠心病合并高血压0、1、2、3期四个阶段的证候构成比及其证候演变规律。结果共收集1504份合格问卷
冠心病合并高血压的主要证候如下:0期:肝郁气滞证(57.11%)、肝阳上亢证(42.89%);1期:肝肾阴虚证(55.72%)、气火失调证(44.28%);2期:痰热扰心证(65.23%)、络虚阳升证(34.77%);3期:土虚木亢证(59.11%)、肝阳化风证(40.89%)。证候演变规律为:0期至1期发展为肝肾阴虚证(52.59%)、气火失调证(47.40%);1期至2期演变为痰热扰心证(65.26%)、络虚阳升证(34.74%);2期至3期演变为土虚木亢证(63.82%)、肝阳化风证(36.18%)。结论冠心病合并高血压各阶段的证候演变均体现了疾病由轻至重、由简至繁的变化过程。
Objective To study the syndrome evolvement rule of development process of coronary heart disease complicated with hypertension. Methods The researchers used three-round Delphi method to design the questionnaire of clinical expert of symptomatology including factors
characteristic and evolvement rule of syndrome of coronary heart disease with common complication. The researchers used data files output by system to build the threedimensional structured relational database of coronary heart disease with common complication. The researchers also used statistical methods such as cluster analysis and probability matrix to make data mining and processing
so as to analyze constituent ratio of syndromes of coronary heart disease with hypertension at the four stages i. e. 0
1
2
3stage and the evolvement rule of syndrome. Results Totally 1504 qualified questionnaires were collected. The common Chinese medicine syndrome of coronary heart disease with hypertension stage 0: liver depression and Qi stagnation syndrome( 57. 11%)
liver-Yang hyperactivity syndrome( 42. 89%); Stage 1: Yin deficiency of liver and kidney syndrome( 55. 72%)
disorders between Qi and fire syndrome( 44. 28%); Stage 2: phlegm-heat disturbing heart syndrome( 65. 23%)
collaterals deficiency and Yang rising syndrome( 34. 77%); Stage 3: spleen deficiency and liver hyperactivity syndrome( 59. 11%)
liver-Yang transferring to wind syndrome( 40. 89%). The researchers used matrix of transition probability to work out the evolvement rule of syndrome about coronary heart disease with hypertension: from stage 0 to 1
the syndrome more easily developed to Yin deficiency of liver( 52. 59%) and kidney syndrome and disorders between Qi and fire syndrome( 47. 40%); from stage 1 to 2
the syndrome more easily developed to phlegm-heat disturbing heart syndrome( 65. 26%) and collaterals deficiency and Yang rising syndrome( 34. 74%); from stage 2 to 3
the syndrome more easily developed to spleen deficiency and liver hyperactivity syndrome( 63. 82%) and liver-Yang transferring to wind syndrome( 36. 18%). Conclusion Syndromes at each stage of coronary heart disease complicated with hypertension may be turned into all syndromes at the next stage. It embodied that the changing process of disease is from mild to serious and from easy to complicated.
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