411例冠心病不稳定性心绞痛患者中医证候要素分布特征探讨

发布时间：2018-05-01 08:23

本文选题：冠心病不稳定性心绞痛 + 中医证候要素　；参考：《中华中医药杂志》2017年11期

【摘要】：目的:通过临床流行病学调查了解冠心病不稳定性心绞痛患者的中医证候要素分布规律。方法:对411例住院患者经冠脉造影确诊为冠心病的冠心病不稳定性心绞痛患者进行病例调查,运用描述性统计分析法和χ2检验分析法对中医证候要素、常见症状、舌脉象与冠脉造影结果的相关性进行了分析。结果:冠心病不稳定性心绞痛患者中医证候要素血瘀占比例最大,占72.7%;其次为气虚和痰浊,分别占48.4%、22.9%。分析显示,冠状动脉不同病变支数间舌象、脉象,均以舌暗红或淡暗、苔白或薄白、脉沉、细、弦为主。结论:以血瘀为核心,以气虚和痰浊为重要致病要素为冠心病的病机所在,同时需要注意伴随症状的影响,辨证施治,且冠脉病变支数与舌象、脉象之间的相关性分析差异有统计学意义。
[Abstract]:Objective: to investigate the distribution of TCM syndromes in patients with unstable angina pectoris. Methods: 411 inpatients with unstable angina pectoris of coronary heart disease diagnosed by coronary angiography were investigated. Descriptive statistical analysis and 蠂 2 test were used to analyze the factors of TCM syndromes and common symptoms. The correlation between tongue pulse and coronary angiography was analyzed. Results: the proportion of blood stasis of TCM syndromes in patients with unstable angina pectoris of coronary heart disease was the largest (72.7%), followed by deficiency of qi and turbidity of phlegm (48.4%) and blood stasis (22.9%), respectively. The analysis showed that the tongue image and pulse image between different branches of coronary artery were mainly dark red or light tongue, white or thin fur, heavy, thin and chord. Conclusion: taking blood stasis as the core and qi deficiency and phlegm turbidity as the important pathogenic factors are the pathogenesis of coronary heart disease. At the same time, we should pay attention to the influence of accompanying symptoms, differentiation of symptoms and treatment, and the number of coronary artery lesion branches and tongue picture. There was significant difference in correlation analysis between pulse images.
【作者单位】：北京中医药大学;
【基金】：国家自然科学基金青年基金项目(No.81302914,No.81503382) 北京中医药大学中青年教师项目(面上项目)(No.2015-JYB-JSM036)~~
【分类号】：R259

【相似文献】