太湖地区动脉粥样硬化病人中医证素分布.doc

太湖地区动脉粥样硬化病人中医证素分布摘要：目的 根据动脉粥样硬化（atherosclerosis，AS）病人的四诊信息，观察太湖地区AS病人中医证候要素（证素）的分布规律。方法 依据AS纳入病例标准，随机选取AS住院病人119例，作为实验组，由专职主任中医师进行中医“证素”评估。结果 119例AS病人中，单证素者79例，多证素兼夹者40例。单证素组中痰浊 30例（38.0％），阴虚 16例（20.3％），气虚 14例（17.7％），血瘀4例（5.1％），肝火14例（17.7%），阳虚 1例（1.3%）。单证素与多证素兼夹AS病人的累计证素组中，痰浊 60例（34.7％），阴虚 47例（27.2％），气虚 28例（16.2％），血瘀23例（13.3％），肝火14例（8.1％），阳虚1例（0.6％）。单证素组79例中，女性47例，痰浊证素为21例（44.7％），肝火证素12例（25.5％）；男性32例，痰浊证素9例（28.1％），阴虚证素10例（31.3％）。结论 太湖地区AS病人常见的中医“证素”有痰浊、阴虚、气虚、肝火、血瘀，其分布规律呈现虚实分布的特点，实性证素和虚性证素大体上均衡分布，体现了AS虚实夹杂的病理属性。痰浊可能是该地区AS病人最主要的病理因素；血瘀证素则多以兼夹证素的形式出现；而虚性证素中以气虚证素、阴虚证素最多见，阳虚证素出现极少；肝火证素也占了一定比例，提示火热之邪也可以是导致AS的病理因素。AS证素在性别分布上,男性病人以痰浊证素、阴虚证素出现几率较高，女性病人以肝火证素、痰浊证素出现的几率较高,提示对于AS研究应根据不同性别特点进一步深入研究。 关键词：太湖地区；动脉粥样硬化；中医证素 中图分类号：R543.5 R256.2 文献标识码：B 文章编号2012 Distribution of Syndrome Elements of Traditional Chinese Medicine in Patients with Atherosclerosis in Tai Lake Area Su Wei,Gao Feng,Gong Shaoyu,et alDepartment of Cardiology,Wuxi Affiliated Hospital,Nanjing University of Traditional Chinese Medicine (Wuxi 214001) Abstract:Objective To observe the distribution of syndrome elements of traditional Chinese medicine (TCM) in the patients with atherosclerosis (AS) in Tai lake area based four diagnostic information.Methods One hundred and nineteen patients (pts) hospitalized and matched with diagnostic criteria of AS were enrolled into experimental group.Their syndrome elements of TCM was assessed by fulltime director of Chinese medicine practitioner.Results There were 79 pts with the single syndrome elements and 40 pts with multisyndrome elements in 119 patients with AS.In the group of single syndrome elements,there were 30 pts with phlegm syndrome elements,16 pts with yin deficiency syndrome elements,14 pts with qi deficiency syndrome elements,4 pts with bloodstasis syndrome elements,14 pts with liverfire syndrome elements and 1 case with yang deficiency syndrome elements.There were 60 pts with phlegm syndrome elements,47 pts with yin deficiency sy