冠心病所致心力衰竭的中医辨证分型与血尿酸、EF值关联性分析-中西医结合临床专业论文.docxVIP

PAGE 2 PAGE 2 2 2 中 文 摘 要 目的：探讨血尿酸、EF值与冠心病所致心力衰竭的中医证型的临床相关性。 方法：通过分析所搜集的72例冠心病所致心力衰竭的患者的中医的症候，血 尿酸水平，心脏彩色多普勒的EF值,来分别探讨： 冠心病所致心力衰竭的中医证 型与血尿酸、EF值关系；血尿酸与心功能EF值关系。 结果1）冠心病所致心力衰竭中医证型与心衰病程分布之间有相关性 (P0.05)。2）血尿酸水平随着心气阴虚—阳虚血瘀—阳虚水泛证型的变化而升 高,EF值随着其的证型的演变而降低， 各中医证型间差异有统计学意义(P0.05)。 3）随着心气阴虚、阳虚血瘀和阳虚水泛的改变心功能级别有逐渐升高的趋势 （P0.05）,阳虚血瘀和阳虚水泛之间差异无统计学意义（P0.05）。4）随着心功 能II级、III级和IV级的改变，血尿酸有逐渐的升高的趋势（P0.05）阳虚血瘀和 阳虚水泛之间差异无统计学意义（P0.05）。5）血尿酸与EF呈负性直线关系。 结论：1. 冠心病所致心力衰竭三种中医证型与血尿酸、心功能不全的级别、 EF值具有相关性，可以为中医辨证分型的客观化的提供一定的参考依据。2.血尿 酸升高有可能是心衰病机中标实的实验室的表现。3.血尿酸、EF值有可能作为心 衰中医证型量化的临床指标。 关键字： 冠心病 心力衰竭 血尿酸 ＥＦ值 中医证型 3 3 ABSTRACT Purpose：to study the relationships between serum uric acid 、EF values and the different TCM syndrome types of coronary heart disease and heart failure. Methods: By analyzing the TCM syndrome types、blood uric acid levelthe heart of the EF value of color Doppler of the 74 Collected cases with coronary heart disease due to heart failure ，to study the relationships between serum uric acid、EF values and the TCM syndrome types. Results 1) the TCM syndrome types of heart failure caused by coronary heart disease and the durationes of heart failure are relative (P 0.05). 2) the level of serum uric acid are rised corresponding with the changes of TCM syndrome types from the heart deficiency syndrome to Blood stasis and Yang deficiency syndrome then to Yang Pan-water syndrome. While the EF values are opposite. Distinctions between the TCM Syndromes are statistically significant(P 0.05).3)corresponded with the changes of TCM syndrome types from the heart deficiency syndrome to Blood stasis and Yang deficiency syndrome then to Yang Pan-water syndrome, the cardiac functions are gradually increased (P 0.05), Distinction between Blood stasis and Yang deficiency syndrome and Yang Yang Pan-water was not significant difference (P 0.05).4) serum uric acid increases following with the transformation of Ⅱ、Ⅲ、Ⅳgrade-level classification of the cardiac function(P 0.05)，Distinctions between blood