老年慢性心力衰竭患者心功能指標与中医辨证的关系.docVIP

老年慢性心力衰竭患者心功能指标与中医辨证的关系 【摘要】目的：分析老年慢性心力衰竭（CHF）患者心功能指标与中医辨证之间的关系。方法：120例老年CHF患者辨证分型为心肺气虚组（35例）、气阴两虚组（30例）、气虚血瘀组（29例）、阳虚水泛（26例），对四组患者进行NYHA心功能分级、LVEF、CO、CI、NT-proBNP值进行检测，并进行生活质量评估，对比不同证型患者的检测结果。结果：四组患者的NT-proBNP、LVEF、CO、CI水平，NYHA心功能分级及生存质量评分均存在显著性差异（P0.05）。心肺气虚组与气阴两虚组的NT-proBNP、CO、CI、LVEF值和生存质量评分均显著高于阳虚水泛和气虚血瘀组（P0.05）。结论： CHF的中医证型与各项心功能指标有着密切联系，心功能指标监测对 CHF的中医辨证分型有一定的参考价值。 【关键词】中医辨证；老年慢性心力衰竭；心功能指标 Relationship between cardiac function and TCM syndrome differentiation of elderly chronic heart failure patients [Abstract] Objective: To analyze the relationship between cardiac function and TCM syndrome differentiation of elderly chronic heart failure(CHF) patients.Methods: 120 cases of elderly patients with CHF were differentiation typed cardiopulmonary Qi deficiency syndrome group (35 cases), Yin Deficiency group (30 cases), QDBS group (29 cases) and Yang deficiency water pan group (26 cases). Detected the NYHA, LVEF, CO, CI and NT-proBNP levels, and assess the quality of life of four groups, and compared the test results.Results: Four groups of patients of NT-proBNP, LVEF, CO, CI level, NYHA functional class and quality of life scores were significantly different (P 0.05). NT-proBNP, CO, CI, LVEF values and quality of life scores of Qi deficiency syndrome group and Yin Deficiency group were significantly higher than Yang deficiency water pan and QDBS group (P 0.05). Conclusion: TCM syndrome differentiation of elderly CHF are closely linked with heart function parameters, detection of heart function parameters has a certain reference value to TCM syndrome differentiation of CHF [Key words] TCM Syndrome Differentiation; elderly patients with chronic heart failure; cardiac function 慢性心力衰竭（CHF）是由各种功能性疾病或心脏结构导致心功能不全的一组复杂的进展性临床综合征，其是多种心血管疾病的终末阶段，多伴有神经内分泌系统过度激活、心肌重构和血流动力紊乱[1]。近年来，随着我国人口老龄化进程的加剧，CHF的临床发病率也呈现出了明显的上升趋势。CHF在祖国医学中属水肿、喘证 、心悸、胸痹范畴，中医辨证将其分为心肺气虚、气阴两虚、气虚血瘀、阳虚水泛四型。为了解CHF辩证分型与患者心功能指标的相关性，为CHF的中医辨证提供客观的参考依据，本研究对120例老年CHF患者的心功能指标进行了检测、对比，现报道如下。 1 一般资料与方法 1.1 一般资料 1.1.1