脑心动脉粥样硬化易患因素分析及脑心通胶囊的干预研究

发布时间：2018-03-31 01:04

本文选题：脑心动脉粥样硬化　切入点：易患因素　出处：《辽宁中医杂志》2017年02期

【摘要】：目的:探讨脑心动脉粥样硬化的中医证型间易患因素的关系和血脂与本病的关系及脑心通胶囊的干预研究,为中医诊断和辨证施治提供客观依据,以更好地服务于临床。方法:400例患者以EXCEL表格的形式录入患者信息,采用问卷调查的方式,对患者的姓名、性别、年龄、身高、体重等一般资料进行记录,对心系证候证候、全身证候、饮食口味相关证候、舌、脉象等信息进行采集;对其中气虚血瘀证患者加服脑心通胶囊治疗,疗程4周,观察症状积分及血脂变化。结果:以计数资料进行统计。结果有效病例392例,脑心动脉粥样硬化的中医证型分布情况,痰瘀互结型、肝肾阴虚型、气虚血瘀型、脾虚湿盛型(按频次统计由多到少排列)。各证型平均年龄组间没有显著差异(P0.05)。痰瘀互结组与气虚血瘀组组间比较有显著差异(P0.05);其余各组间比较均无显著差异(P0.05)。各证型血脂组间两两比较,无显著差异(P0.05)。用步长脑心通胶囊干预4周后,气虚血瘀型脑心动脉粥样硬化患者症状明显改善,差异有统计学意义(P0.05);血脂水平明显降低,比较有统计学意义(P0.05)。结论:中医药如能干预脑心动脉粥样硬化效果会十分理想,但需要建立统一的辨证论治标准体系,规范中医治疗。
[Abstract]:Objective: to explore the relationship between the risk factors of TCM syndrome type of cerebral heart atherosclerosis and the relationship between blood lipids and this disease and the intervention of Naoxintong capsule, so as to provide an objective basis for the diagnosis and treatment of TCM syndrome differentiation. Methods four hundred cases of patients were recorded in the form of EXCEL, and the general data of name, sex, age, height, weight were recorded by questionnaire, and the syndromes and syndromes of heart system were recorded. The whole body syndrome, diet taste related syndromes, tongue, pulse and other information were collected. The patients with Qi deficiency and blood stasis syndrome were treated with Naoxintong capsule for 4 weeks. Results: according to the count data, 392 effective cases, the distribution of TCM syndromes, phlegm and blood stasis, liver and kidney yin deficiency, qi deficiency and blood stasis, were observed. There was no significant difference among the average age groups of each syndrome type. There was a significant difference between phlegm and blood stasis group and Qi deficiency and blood stasis group (P 0.05), but there was no significant difference between the other groups (P 0.05). Comparison between two groups of syndromic blood lipids, After 4 weeks of intervention with Buchang Naoxintong capsule, the symptoms of patients with cerebral heart artery atherosclerosis with Qi deficiency and blood stasis were obviously improved, the difference was statistically significant (P 0.05), and the level of blood lipid was obviously decreased. Conclusion: the effect of Chinese medicine on cerebral and cardiac atherosclerosis is very ideal, but it is necessary to establish a unified standard system of syndrome differentiation and treatment and standardize the treatment of traditional Chinese medicine.
【作者单位】：邢台医学高等专科学校;
【分类号】：R259

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