主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2014, Vol. 37 ›› Issue (2): 130-134.doi: 10.3969/j.issn.1006-2157.2014.02.014

• 临床研究 • 上一篇    下一篇

中医医院冠心病慢性心力衰竭患者中医证候要素分布特点分析

罗良涛1, 赵慧辉1, 王娟1, 陈建新1, 高阔1, 张鹏1,2, 陈婵1,3, 毕立夫1, 王伟1   

  1. 1 北京中医药大学基础医学院 北京 100029;
    2 武汉市中医院;
    3 杭州市萧山区中医院
  • 收稿日期:2013-03-09 出版日期:2014-02-28 发布日期:2014-02-28
  • 通讯作者: 王伟,男,博士,研究员,主任医师,博士生导师,E-mail: wangwei@bucm.edu.cn
  • 作者简介:罗良涛,男,在读博士生
  • 基金资助:
    国家中医药管理局中医药行业科研专项(No.200807007);北京中医药大学科研创新团队(No.2011-CXTD-06)

Distribution characteristics of TCM syndrome factors in patients with chronic heart failure of coronary heart disease in Chinese medicine hospitals

LUO Liang-tao1, ZHAO Hui-hui1, WANG Juan1, CHEN Jian-xin1, GAO Kuo1, ZHANG Peng1,2, CHEN Chan1,3, BI Li-fu1, WANG Wei1   

  1. 1 School of Preclinical Medicine, Beijing University of Chinese Medicine, Beijing 100029;
    2 Chinese Medicine Hospital of Wuhan City;
    3 Chinese Medicine Hospital of Xiaoshan District of Hangzhou City
  • Received:2013-03-09 Online:2014-02-28 Published:2014-02-28

摘要: 目的 研究基础病因为冠心病慢性心力衰竭(CHF)患者中医证候要素分布特点,为中医临床辨证论治提供借鉴。方法 设计并采用病例观察表,收集全国17家中医医院924例CHF患者,对其中915例患者证候要素(证素)分布进行描述性统计分析并探讨其分布规律。结果 CHF患者中医病名诊断以胸痹、心衰、心悸、喘证、水肿为主,总体病性证素分布以气虚、血瘀、水饮、阴虚、痰浊、阳虚为主,总体病位分布以心、肾、脾、肺、肝为主。11例心功能Ⅰ级患者,病性证素主要为血瘀(72.73%)、气虚(63.64%)、阴虚(45.45%)、痰浊(27.27%);247例心功能Ⅱ级患者病性证素主要为气虚(77.73%)、血瘀(76.52%)、痰浊(28.34%)、阴虚(27.53%);539例心功能Ⅲ级患者病性证素主要为血瘀(80.71%)、气虚(79.59%)、水饮(35.06%)、阴虚(21.34%)、阳虚(20.59%);118例心功能Ⅳ级患者病性证素主要为气虚(78.81%)、血瘀(74.58%)、水饮(57.63%)、阳虚(29.66%)、痰浊(29.66%)、阴虚(27.12%)。结论 随着心功能的恶化,CHF患者证素分布由气虚、血瘀、阴虚、痰浊为主向气虚、血瘀、阳虚、水饮为主转化,提示冠心病CHF患者证候要素分布随着心功能的恶化而发生一定转变。

关键词: 慢性心力衰竭, 冠心病, 证候要素, 心功能

Abstract: Objective To provide clinical reference for syndrome differentiation and treatment through investigating distribution characteristics of TCM syndrome factors in patients with chronic heart failure (CHF) of coronary heart disease (CHD). Methods The case observation form was designed and the patients with CHF (n=924) were chosen from 17 Chinese medicine hospitals. The distribution of syndrome factors was given descriptive statistical analysis and distribution rules of syndrome factors were discussed in 915 patients from 924 ones. Results The main names of TCM diseases were chest impediment, heart failure, heart palpitations, dyspnea syndrome and edema. The syndrome factors involving disease nature were mainly qi deficiency, blood stasis, water fluid, yin deficiency, phlegm turbidity and yang deficiency. The syndrome factors involving disease location were mainly heart, kidney, spleen, lung and liver. The syndrome factors involving disease nature were blood stasis (72.73%), qi deficiency (63.64%), yin deficiency (45.45%) and phlegm turbidity (27.27%) in 11 patients with grade Ⅰ cardiac function. The syndrome factors involving disease nature were qi deficiency (77.73%), blood stasis (76.52%), phlegm turbidity (28.34%) and yin deficiency (27.53%) in 247 patients with grade Ⅱ cardiac function. The syndrome factors involving disease nature were blood stasis (80.71%), qi deficiency (79.59%), water fluid (35.06%), yin deficiency (21.34%) and yang deficiency (20.59) in 539 patients with grade Ⅲ cardiac function. The syndrome factors involving disease nature were qi deficiency (78.81%), blood stasis (74.58%), water fluid (57.63%), yang deficiency (29.66%), phlegm turbidity (29.66%) and yin deficiency (27.12%) in 118 patients with grade Ⅳ cardiac function. Conclusion With the deterioration of cardiac function, the main syndrome factors will turn from qi deficiency, blood stasis, yin deficiency and phlegm turbidity into qi deficiency, blood stasis, yang deficiency and water fluid in patients with CHF, which suggests that the distribution of syndrome factors will change with the deterioration of cardiac function.

Key words: chronic heart failure, coronary heart disease, syndrome factors, cardiac function

中图分类号: 

  • R259.414