急性心肌梗死证候分布及动态演变规律的临床初步分析-clinical preliminary analysis of syndrome distribution and dynamic evolution of acute myocardial infarction.docx

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急性心肌梗死证候分布及动态演变规律的临床初步分析-clinical preliminary analysis of syndrome distribution and dynamic evolution of acute myocardial infarction.docx

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急性心肌梗死证候分布及动态演变规律的临床初步分析-clinical preliminary analysis of syndrome distribution and dynamic evolution of acute myocardial infarction

梗死患者进行辨证治疗提供参考。关键词:急性心肌梗死；证候；中医ClinicalStudyonSyndromeDistributionandDynamicEvolutionofAcuteMyocardialInfarctionLiJianjie(InternalMedicineofTraditionalChineseMedieine)DirectedbyWangZhentaoAbstractObjective:Thesyndromesofacutemyocardialinfarctionweresummarizedthroughobservingthetongue,pulse,symptoms,signs,etcofabout108casesofpatientstwoweekspriortotheonset.Throughthestatisticalanalysis,itssyndromesanddynamicevolutionlawofthedistributionwereinvestigatedsoastofurtherunderstandthepathogenesisofAMItraditionalChinesemedicine,andprovideabasisfordifferentiationtherapyusingChinesemedicineforacutemyocardialinfarction.Methods:TheauthorworkedataChinesemedicinehospitalinZhengzhouCityandstudiedatChineseAcademyofMedicalSciencesFuWaiHospitalbetween2008.4and2009.3.Duringtheperiod,syndromesweresummarizedbythetongue,pulse,symptomsandsigns,etc.observationabout108casesofacutemyocardialinfarctionpatientstwoweekspriortotheonset.Theobservationswereconductedeverytwodays.Finally,thedistributionanddynamicsyndromeevolutionwerestudiedthroughstatisticalanalysis.Results:Eightbasicsyndromesofthediagnosticcriteriaallhaveappearedinthefirstday.Inallthebasicsyndromeqideficiency,bloodstasis,yin(blood)deficiency,phlegmturbidityappearedmoreinparticular.Inthefirstdays,theproportionofthedescendingsyndromeofthe108casesofAMIpatientswasasfollows:bloodstasis(81.48%)qideficiency(56.48%)phlegmturbidity(39.81%)yin(blood)deficiency(21.30%).Itchangedtoqideficiency(73.53%)bloodstasis(60.78%)yin(blood)deficiency(20.59%)phlegmturbidity(17.65%)infourteenthday.qi-stagnationandcoldcoagulationdisappearedintheeighthday.Fromthecombinationofsyndromeinthisstudy,both1singlesyndromeand4syndromescouldappearinAMIpatientswithinthetwoweeksbeforethesyndrome.Thepercentageofsyndromedescendinginthefirstdayasfollowing:2syndromes(49.07%)3syndromes(25.93%)4syndromes(7.41%)1syndrome(17.59%).Inthefourteenthdayitchangedto2syndromes(83.33%)1syndrome(15.69%)3syndromes(0.98%)and4syndromesdisappearedintheeighthday.Fromtheviewofsyndromescombinati