不同证型胸痹患者的全因死亡GRACE预测积分的分析.pdfVIP

不同证型胸痹患者的全因死亡 GRACE 预测积分分析 刘绍辉，何明丰，张英俭，梁章荣，卢俊光，陈景利，梁伟伟，雷俊娜 广东省佛山市中医院急诊科 广东佛山 528000 摘要 目的 探讨急诊胸痹患者的全因死亡 GRACE 预测积分情况，提高急诊胸痹患者的危险度 辨识水平。方法 对我院急诊科从 2011.3-2011.9 来诊的 67 例胸痹患者进行辨证，根据不同 证型分为气滞血瘀组、痰浊闭塞组、阴血虚证组和阳气虚证组四大组，登记四组患者的全因 死亡 GRACE 预测积分中的相关项目，并对数据进行统计分析。结果 气滞血瘀组全因死亡 GRACE预测积分为129.17±42.32分，痰浊闭塞组为124.41±32.24分，阴血虚证组为130.43 ±43.17 分和阳气虚证组为 180.00±26.83 分，差异有统计学意义（P0.01）；阳气虚证组 的高危组构成比较有统计学意义（P0.01）；阳气虚证组的心电图改变的差异有统计学意义 （P0.01）。结论 全因死亡 GRACE 预测积分可增加胸痹患者中医辨证分型诊断的科学性； 阳气虚证的胸痹患者的 GRACE 积分较高，预示着其死亡率也较高，值得重视。 关键词：胸痹 辨证分型 全因死亡 GRACE 预测积分 Analyse of GRACE Risk Score about Chest Stuffiness Patients of Different Syndromes in Emergency LIU Shao-hui ，HE Ming-feng ，ZHANG Ying-jian ，et al. Department of emergency of Foshan Hospital of Traditional Chinese Medicine, Guangzhou Provincial 528000 ，China [Abstract] Objective ：Researching the GRACE risk score about chest stuffiness patients of different syndromes in emergency and improving the level of identification about the criticality of chest stuffiness patients. Methods: 67 chest stuffiness patients from 2011.3 to 9 in emergency were divided to four groups according to syndrome differentiation. That is group of qi stagnation blood stasis, stagnation of phlegm-dampness, deficiency of YIN-blood and deficiency of YANG QI. Counting and researching the data of the case of patients about GRACE risk score. Results: GRACE risk score of group of qi stagnation blood stasis is 129.17±42.32, stagnation of 124.41±32.24, 130.43±43.17 and phlegm-dampness is deficiency of YIN-blood is deficiency of YANG QI is 180.00±26.83,(P0.01). The difference of proportion of the high risk group in deficiency of YANG QI is significant(P0.01).The change of ECG in deficiency of YANG QI is significant(P0.01). Conclusions: GRACE risk s