319例冠心病患者证候分布规律分析.pdfVIP

# 498 # 2007 6 27 6 CJIT WM, June 2007, Vol. 27, No. 6 319 1 1 1 1 2, 1 1 吴焕林 阮新民 杨小波 罗文杰 陈可冀 邓铁涛 通过流行病学调查了解胸痹心 患者的证候分布规律 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 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 胸痹 心 患者证候中气虚占比例最大, 占8711% , 其次为血瘀和痰浊, 分别为7919% 和7817% 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 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 冠心病; 中医证候; 临床流行病学 Analysis on TCM Syndrome Distribution Laws in 319 Patients with Coronary Heart Disease WU Huan-lin, RUAN Xin-min, YANG Xiao- o, et al Dep artment of Cardiology, Guangdong Provincial H osp ital of TCM , Guangz hou (51 1 5) Abstract Obj ective To study TCM syndrome distri ution law s in patients with coronary heart diseases ( CHD) y epidemiological investigation. Methods A clinical survey w as carriedout in 319 inpatients with CHD, whose diagnosis w as confirmed y coronary arteriography, in the authors. hospital from January 2004 to Decem er 20041 The TCM syndrome distri ution laws were analyzed, and the relationship of coronary arteriographic picture w ith TCM syn- drome elements, common symptoms, pulse and tongue figures, as well as the correlation etween syndrome typing and lood-lipid levels were analyzed, too. Results Qi deficiency was the most popular syndrome in patients w ith CHD ( 8711%) , lood stasis syndrome and phlegm retention syndrome took the second place, accounting for 7919% and 7817% respectively. No significant difference w as show n in comparison of tongue and pulse figures w ith the affected ranches of coronary artery, the dark-pale tongue w ith w hite greasy fur and taut-slippery pulse eing the dominance in patients. The lood-lipid levels in patients w ith various TCM syndrome types were similar, show ing insignificant differen