1. 天津中医药大学第一附属医院
2. 中国中医科学院
纸质出版:2017
移动端阅览
[1]毕颖斐,王贤良,赵志强,侯雅竹,王帅,赵国元,毛静远,张伯礼.冠心病现代中医证候特征的临床流行病学调查[J].中医杂志,2017,58(23):2013-2019.
BI Yingfei, WANG Xianliang, ZHAO Zhiqiang, et al. Clinical Epidemiological Investigation on Current Syndrome Characteristics of Coronary Heart Disease in Chinese Medicine[J]. Journal of Traditional Chinese Medicine2017, 58(23): 2013-2019.
[1]毕颖斐,王贤良,赵志强,侯雅竹,王帅,赵国元,毛静远,张伯礼.冠心病现代中医证候特征的临床流行病学调查[J].中医杂志,2017,58(23):2013-2019. DOI: 10.13288/j.11-2166/r.2017.23.009.
BI Yingfei, WANG Xianliang, ZHAO Zhiqiang, et al. Clinical Epidemiological Investigation on Current Syndrome Characteristics of Coronary Heart Disease in Chinese Medicine[J]. Journal of Traditional Chinese Medicine2017, 58(23): 2013-2019. DOI: 10.13288/j.11-2166/r.2017.23.009.
目的探讨目前我国冠心病患者中医证候学特征。方法运用临床流行病学调查方法
对来自全国21个省、市、自治区40家三级中医或中西医结合医院的8129例冠心病患者中医证候特征进行临床横断面调查建立冠心病中医诊疗信息数据库
运用频数分析及关联规则等方法进行数据处理。结果冠心病中医证候多属本虚标实、虚实夹杂的复合证型
本虚以气虚(67.17%)为主
标实以血瘀(77.89%)、痰浊(43.97%)为主
同时可兼见阴虚(28.97%)、气滞(19.60%)、阳虚(17.39%)等证候要素;其中气虚、血瘀、痰浊之间关联度最强;证候类型以气虚血瘀(15.06%)、气虚痰瘀(10.95%)、气阴两虚血瘀(9.28%)、痰瘀互结(8.75%)最为多见;男性与女性的证候要素常见度排序基本一致
男性较女性更多见血瘀(78.81%/76.19%)、痰浊(46.79%/39.00%)、热蕴(9.70%/8.27%)
女性则较男性多见气虚(74.74%/67.01%)、阴虚(32.21%/27.08%)、阳虚(18.45%/16.73%)、血虚(12.15%/8.01%);不同年龄段冠心病患者证候要素常见度分析
随着年龄增长(
<
45岁、45
6
0岁、61
7
5岁、
>
75岁)
气虚(54.75%/60.38%/69.52%/73.88%)、血虚(5.57%/8.63%/9.40%/11.86%)、阴虚(23.93%/29.27%/28.69%/30.08%)、阳虚(12.13%/15.01%/17.33%/21.93%)以及水饮证(6.23%/7.21%/9.53%/13.24%)比例呈明显增长趋势。结论目前我国冠心病患者中医病机为"本虚标实"
证候以气虚为本、血瘀或兼痰浊为标多见。
Objective To explore the Chinese medicine syndrome characteristics in patients with coronary heart disease in China. Methods Using clinical epidemiological survey method
the Chinese medicine syndrome characteristics in 8129 cases of coronary heart disease patients from 40 tertiary Chinese medicine hospitals or integrated Chinese and western medicine hospitals in 21 provinces
municipalities and autonomous regions in China were investigated by clinical cross-sectional survey. Results Chinese medicine syndromes of coronary heart disease mostly were the compound syndromes of deficiency in root cause and excess in manifestation and intermingled deficiency and excess. Deficiency of Qi( 67. 17%) was the main factor of deficiency in root cause. Blood stasis( 77. 89%) and phlegm-turbidity( 43. 97%) were the main factors of excess in manifestation. At the same time
the syndrome elements of Yin deficiency( 28. 97%)
Qi stagnation( 19. 60%) and Yang deficiency( 17. 39%) might also appear.Among them
Qi deficiency
blood stasis and phlegm-turbidity had the highest correlation degree. The most common syndromes were blood stasis due to Qi deficiency( 15. 06%)
phlegm and static blood due to Qi deficiency( 10. 95%)
blood stasis due to deficiency of both Qi and Yin( 9. 28%)
as well as intermingled phlegm and blood stasis( 8. 75%). The popularity of syndrome elements between male and female was basically the same. Blood stasis( 78. 81%/76. 19%)
phlegm-turbidity( 46. 79%/39. 00%) and heat amassment( 9. 70%/8. 27%) were more common in males than those in females. The females were more likely to suffer from Qi deficiency( 74. 74%/67. 01%)
Yin deficiency( 32. 21%/27. 08%)
Yang deficiency( 18. 45%/16. 73%) and blood deficiency( 12. 15%/8. 01%) than males. According to syndrome element popularity analysis in patients with coronary heart disease at different ages
the proportions of Qi deficiency( 54. 75%/60. 38%/69. 52%/73. 88%)
blood deficiency( 5. 57%/8. 63%/9. 40%/11. 86%)
Yin deficiency( 23. 93%/29. 27%/28. 69%/30. 08%)
Yang deficiency( 12. 13%/15. 01%/17. 33%/21. 93%) and fluid retention syndrome( 6. 23%/7. 21%/9. 53%/13. 24%) showed a significant growth trend with age( less than 45 years
45 to 60 years
61 to 75 years and older than 75 years).Conclusion At present
the Chinese medicine pathogenesis in patients with coronary heart disease might be " deficiency in root cause and excess in manifestation". The common syndromes are Qi deficiency( as root cause) and blood stasis and phlegm-turbidity( as manifestation).
0
浏览量
1456
下载量
22
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010102007558号