冠心病危险因素与中医证型相关性研究

发布时间：2018-09-14 08:38

【摘要】：目的:探究冠心病危险因素与中医证型之间的关系。方法:选取新疆医科大学附属中医医院心内可自2014年10月至2016年3月分经完善冠脉CTA或冠脉造影明确诊断为冠心病或有血运重建病史的患者,详细记录冠心病传统与非传统危险因素信息,第一步分析证型分布情况,第二步对比分析冠心病危险因素与中医证型之间的关系。结果:1、CHD患者中医证型分布的比例从高到低依次为秽浊痰阻证(32.0%)、气虚血瘀证(28.0%)、气阴两虚证(22.5%)、气滞血瘀证(10.6%)、寒凝心脉证(4.5%)、阳气虚衰证(2.4%)。2、冠心病患者的中医证型在不同性别组、有无血运重建病史组的分布不同;3、冠心病的部分传统危险因素(肥胖、吸烟、高血压、糖尿病、血脂代谢紊乱)以及冠心病的非传统危险因素(TG、TC、LDL-C、UA、hs-C、Hcy、Fib、cIMT)均与中医证型关系密切。结论:冠心病危险因素与中医证型存在一定的相关性。
[Abstract]:Objective: to explore the relationship between risk factors of coronary heart disease (CHD) and TCM syndromes. Methods: from October 2014 to March 2016, patients with coronary artery disease (CAD) or coronary artery angiography (CAG) were selected from the affiliated TCM Hospital of Xinjiang Medical University, who were diagnosed as coronary heart disease or had a history of revascularization from October 2014 to March 2016. The information of traditional and non-traditional risk factors of coronary heart disease was recorded in detail. The first step was to analyze the distribution of syndromes and the second step was to compare the relationship between coronary heart disease risk factors and TCM syndromes. Results the distribution of TCM syndromes in the patients with CHD from high to low were as follows: phlegm obstruction syndrome (32.0%), qi deficiency and blood stasis syndrome (28.0%), deficiency of qi and yin syndrome (22.5%), stagnation of qi and blood stasis syndrome (10.6%), cold coagulation of heart vein syndrome (4.5%), Yang Qi deficiency and failure syndrome (2.4%) .2.The TCM syndrome types of coronary heart disease patients were different sex groups. Some traditional risk factors (obesity, smoking, hypertension, diabetes, dyslipidemia) and non-traditional risk factors (TG,TC,LDL-C,UA,hs-C,Hcy,Fib,cIMT) of coronary heart disease (CHD) were closely related to TCM syndromes. Conclusion: the risk factors of coronary heart disease have certain correlation with TCM syndrome type.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

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