慢性心力衰竭血液流变学、血脂、心脏舒缩功能与中医证型相关性研究-中医诊断学专业毕业论文.docxVIP

戏都中医药大学豫i学位论2-中文摘要 戏都中医药大学豫i学位论2- 中文摘要 目的：通过对慢性心力衰竭血液流变学、血脂、心脏舒缩功能与中医证型 相关性研究，试图可得出慢性心力衰竭的中医证型分布规律，尤其找出一些特 异性的客观指标，并将它引入中医对慢性心力衰竭的辨证，使辨证更为客观， 从而有利于辨证标准的统一，并为论治提供可靠的依据； 方法：按慢性心力衰竭的I临床诊断标准收集临床病例118例，并对其进行 辨证分型，同时收集其血液流变学、血脂、心彩超等检查结果，对慢性心力衰 竭的中医证型分布规律及其与血液流变学、血脂、心彩超的相关性进行分析。 结果：1慢性心力衰竭病程早期以心肺气虚证为主，随着病情发展多出现 气阴两亏证或出现气虚血瘀证，到后期常出现心‘肾阳虚证及阳虚水泛证。 般 患者以气虚血瘀证最多，重症患者则以阳虚水泛证所占比例最大。2气虚血瘀 证的全血高切值、全血低切值、红细胞聚集指数、血沉K值水平最高，阳虚水 泛证次之，但都远较其它各证型高。3气虚血瘀证的血脂指标(总胆固醇、甘油 三脂、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇)为最高，气阴两亏证次之， 但远较其它各证型高。4慢性心力衰竭一心肾阳虚证和阳虚水泛证心脏泵功能f左 室射血分数、短轴缩短分数)指标明显降低，心输出量(心搏量、心排出量)指标 则高于其它证型。并随着证型和病程的变化而变化。 结论：1慢性心力衰竭的中医证型分布及变化有其特定的规律性，阳虚水 泛证的病情较其它证型重。2 I临床辨证可将血流变学指标作为慢性心力衰竭气 虚血瘀证的参考指标。3临床辨证可将血脂指标作为慢性心力衰竭阳虚水泛证 及气虚血瘀证的参考指标。4心彩超检测可作为慢性心力衰竭阳虚水泛证的参 考指标。 关键词：慢性心力衰竭 证型 血液流变学血脂心功能相关性 啦韶幸医药是学硕士学位论文AB 啦韶幸医药是学硕士学位论文 AB STRACT Objective：through relative researches of the change of the Hemorheology,Serum lipid，heart function of CHF and its TCM syndrome patterns，trying to find some peculiar indexes and leading them to the TCM differentiation of CHF．These indexes which make the differentiation more practical Can help unify the differentiation standard and provide reliable basis for treatment，besides tlley can illuminate the distribution regularity ofTCM syndrome patterns ofCHF． Method：Collecting 1 1 8 patients according tO clinical diagnosis of CHF．Dividing the patients by differentiation standard and collecting their Hemorheology,Serum lipid and Doppler echocardiography tests results tO analyze the distribution regularity ofTCM patterns ofCHF and its relationship tO the levels ofthese tests results． 1 The differentiation of early stage of CHF is mainly qi deficiency of heart and Lung type．With the disease developing，it manifests deficiency of both qi and yin type，or turn up qi—deficiency and blood-stasis type and at the last stage often yang deficiency of heart and kidney type and Fluid Retention due to Yang—deficiency type．In SUlrl， qi-·deficiency and blood·-stasis type is the most common type in the CHF pati