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

急性心肌梗死证候分布及动态演变规律的临床初步研究 急性心肌梗死证候分布及动态演变规律的临床初步研究 英文摘要 英文摘要 － － PAGE 2－ － － PAGE 3－ 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 Clinical Study on Syndrome Distribution and Dynamic Evolution of Acute Myocardial Infarction Li Jianjie (Internal Medicine of Traditional Chinese Medieine) Directed by Wang Zhentao Abstract Objective: The syndromes of acute myocardial infarction were summarized through observing the tongue, pulse, symptoms, signs, etc of about 108 cases of patients two weeks prior to the onset. Through the statistical analysis, its syndromes and dynamic evolution law of the distribution were investigated so as to further understand the pathogenesis of AMI traditional Chinese medicine, and provide a basis for differentiation therapy using Chinese medicine for acute myocardial infarction. Methods: The author worked at a Chinese medicine hospital in Zhengzhou City and studied at Chinese Academy of Medical Sciences Fu Wai Hospital between 2008.4 and 2009.3. During the period, syndromes were summarized by the tongue, pulse, symptoms and signs, etc. observation about 108 cases of acute myocardial infarction patients two weeks prior to the onset. The observations were conducted every two days. Finally, the distribution and dynamic syndrome evolution were studied through statistical analysis. Results: Eight basic syndromes of the diagnostic criteria all have appeared in the first day. In all the basic syndrome qi deficiency, blood stasis, yin (blood) deficiency, phlegm turbidity appeared more in particular. In the first days, the proportion of the descending syndrome of the 108 cases of AMI patients was as follows: blood stasis (81.48%) qi deficiency (56.48%) phlegm turbidity (39.81%) yin (blood) deficiency (21.30 %). It changed to qi deficiency (73.53%) blood stasis (60.78%) yin (blood) deficiency (20.59%) phlegm turbidity (17.65%) in fourteenth day. qi-stagnation and cold coagulation disappeared in the eighth day. From the combination of syndrome in this study, both