冠心病心衰患者心功能分级与中医四诊及证候要素分布.pdfVIP

• 870 • ( ) 中华中医药杂志 原中国医药学报 2011年4 月第26卷第 4 期 CJTCMP , April 2011, Vol . 26, No.4 ·临床报道· 冠心病心衰患者心功能分级与中医四诊及证候要素分布的研究 陈婵，张鹏，陈建新，赵慧辉，王娟，孟永梅，王伟 （北京中医药大学，北京 100029） 摘要： 目的：探讨心功能不同分级下，冠心病心衰患者的中医四诊及证候要素的分布特点。方法：临床流 行病学方法采集200例冠心病心衰患者的人口学资料和中医四诊信息，应用一般统计学方法和熵聚堆法对数据进 行分析。结果：冠心病心衰心功能Ⅱ级至Ⅳ级的转变中，水停类、痰浊类、血瘀类、阳虚类症状呈递增趋势，且 变化显著；心功能Ⅱ级以气虚和气虚阴虚为主，兼夹血瘀或水停，证候要素组成较为单一；心功能Ⅲ级时常见气 虚、阴虚的基础上兼夹痰浊、血瘀、水停；心功能Ⅳ级多见阳虚兼夹痰、水和瘀，证候要素构成最为复杂。结 论：冠心病心衰不同的心功能阶段的证候要素具有一定的演变规律，临床诊治时应有所侧重。 关键词：冠心病心衰；熵聚堆法；心功能分级；证候要素 Study on NYHA cardiac function classifi cation and distribution characteristics of TCM four diagnostic and TCM Syndrome elements in patients with heart failure of coronary heart disease CHEN Chan, ZHANG Peng, CHEN Jian-xin, ZHAO Hui-hui, WANG Juan, MENG Yong-mei, WANG Wei (Beijing University of Chinese Medicine, Beijing 100029, China ) Abstract: Objective: To study the distribution characteristics of TCM four diagnostic and syndrome of in patients with heart failure of coronary heart disease in different NYHA cardiac function stage. Methods: The data of 200 patients were obtained by clinical epidemic study, then descriptive statistics and entropy clustering method were adopted for data analyzing. Results: The water retention, turbid phlegm, blood stasis and yang defi ciency symptoms showed a increasing tendency and varied signifi cantly from NYHA class to class in ischemic heart failure patients. Qi defi ciency or qi defi ciency plus yin defi ciency were in Ⅱ Ⅳ common, complicated blood stasis or water retention, TCM