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吴焕林,阮新民,杨小波,罗文杰,陈可冀,邓铁涛.319例冠心病患者证候分布规律分析[J].中国中西医结合杂志,2007,(6):498-500
319例冠心病患者证候分布规律分析
Analysis on TCM Syndrome Distribution Laws in 319 Patients with Coronary Heart Disease
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DOI:
中文关键词:  冠心病  中医证候  临床流行病学
英文关键词:coronary heart disease  TCM syndrome  clinical epidemiology
基金项目:国家重点基础研究发展计划973计划“中医五脏相关理论继承与创新研究”子课题“心脾相关理论诊治心血管疾病临床应用研究”项目(No.2005CB523502)
作者单位
吴焕林 广东省中医院二沙岛分院心脏中心 
阮新民 广东省中医院二沙岛分院心脏中心 
杨小波 广东省中医院二沙岛分院心脏中心 
罗文杰 广东省中医院二沙岛分院心脏中心 
陈可冀 中国中医科学院西苑医院 
邓铁涛 广东省中医院二沙岛分院心脏中心 
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中文摘要:
      目的通过流行病学调查了解胸痹心痛患者的证候分布规律。方法对2004年1—12月间在我院住院的319例经冠脉造影确诊为冠心病的胸痹心痛患者进行病例调查,分析了证候分布规律,对证型、证候要素、常见症状、舌脉象与冠脉造影结果间的关系、中医证型与血脂之间关系进行了分析。结果胸痹心痛患者证候中气虚占比例最大,占87.1%,其次为血瘀和痰浊,分别为79.9%和78.7%。分析显示冠脉不同病变支数间舌象、脉象,均以舌淡暗、苔白腻、脉弦滑为主。不同的证候组间血脂水平差异无显著性。结论以气虚为核心,以痰浊和血瘀为重要病理产物的病机为冠心病的病机所在。
英文摘要:
      Objective To study TCM syndrome distribution laws in patients with coronary heart diseases (CHD) by epidemiological investigation. MethodsA clinical survey was carried out in 319 inpatients with CHD, whose diagnosis was confirmed by coronary arteriography, in the authors’ hospital from January 2004 to December 2004. The TCM syndrome distribution laws were analyzed, and the relationship of coronary arteriographic picture with TCM syndrome elements, common symptoms, pulse and tongue figures, as well as the correlation between syndrome typing and blood-lipid levels were analyzed, too. Results Qi deficiency was the most popular syndrome in patients with CHD (87.1%), blood stasis syndrome and phlegm retention syndrome took the second place, accounting for 79.9% and 78.7% respectively. No significant difference was shown in comparison of tongue and pulse figures with the affected branches of coronary artery, the dark-pale tongue with white greasy fur and taut-slippery pulse being the dominance in patients. The blood-lipid levels in patients with various TCM syndrome types were similar, showing insignificant difference. ConclusionThe TCM pathogenesis of CHD takes qi deficiency as the core, blood stasis and phlegm retention as the important pathologic products.
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