冠心病现代中医证候特征的临床流行病学调查

发布时间：2018-05-11 01:07

本文选题：冠心病 + 证候特征　；参考：《中医杂志》2017年23期

【摘要】：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、45~60岁、61~75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。
[Abstract]:Objective to explore the characteristics of TCM syndromes in patients with coronary heart disease (CHD) in China. Methods 21 provinces and cities in China were investigated by clinical epidemiology. The characteristics of TCM syndromes of 8129 patients with coronary heart disease in 40 third-level Chinese medicine or integrated Chinese and western medicine hospitals were investigated. The database of TCM diagnosis and treatment information was established, and the data were processed by frequency analysis and association rules. Results the TCM syndromes of coronary heart disease mostly belong to the complex syndromes of deficiency and deficiency, which are mainly composed of Qi deficiency and deficiency of Qi 67.17), blood stasis of 77.89 points, phlegm turbidity of 43.97). At the same time, it can also be seen that the syndromes of Yin deficiency, Qi stagnation, Qi stagnation and Yang deficiency are syndromes, such as Qi deficiency, blood stasis, phlegm turbidity and so on, among which Qi deficiency, blood stasis, etc, are the main syndromes, including Qi deficiency, blood stasis, phlegm and blood stasis, and so on. The most common syndromes were Qi deficiency and blood stasis, Qi deficiency and phlegm stasis were 10.95, Qi and Yin deficiency and blood stasis were 9.28, phlegm and blood stasis were related to each other, and the common degree of syndromes between men and women was basically the same. Men are more likely than women to see blood stasis 78.81% / 76.1910, phlegm turbidity 46.79 / 39.00, heat accumulation 9.70 / 8.27m, women more than men 74.74% 67.01%, Yin deficiency 32.21% 27.08, Yang deficiency 18.45% / 16.73%, blood deficiency 12.15% 8.01; syndromes in patients with coronary heart disease at different ages. As we grew older, we became 45 years old, 45 years old, 60 years old and 75 years old, Qi deficiency, 54.75%, 60.38%, 69.52%, 63.88%, blood deficiency, 5.57% 5.57%, 8.63%, 9.40%, 11.86%, 23.9333%, 29.27% 28.69%, 30.0880%, Yang deficiency 12.13% 15.01r-15.01r-17.33% 21.93333and water drinking syndrome, 6.23% 7.21% -9.539.53% 13.2424). Conclusion at present, the TCM pathogenesis of coronary heart disease in our country is "the deficiency of essence and the standard of substance", the syndrome is based on deficiency of qi, and blood stasis or phlegm turbid is the standard.
【作者单位】：天津中医药大学第一附属医院;中国中医科学院;
【基金】：国家中医临床研究基地业务建设科研专项(JDZX2012136) 教育部“创新团队发展计划”(IRT-16R54) 天津市科技计划项目(15ZXLCSY00020)
【分类号】：R259

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