摘要
目的 明确冠心病的常见危险因素对胸痹心痛的证型影响 ,以寻找胸痹心痛的辨证客观化的宏观指标。方法 对 3 75例胸痹心痛病人进行辨证分型和冠状动脉造影检查 ,对比分析冠心病的不同危险因素对证型的影响。结果 女性阴虚证和气滞证的比例高于男性 ,男性血瘀证 (5 2 .1% )显著高于女性(3 1.5 % )。男性冠心病组的血瘀证显著高于男性非冠心病组和女性非冠心病组 (P <0 .0 5 )。冠状动脉狭窄组的女性的阴虚证和气滞证比例显著高于男性 ;女性的冠心病组和冠状动脉正常组的阴虚证显著高于男性正常组。虚证组的体重指数、发病年龄、胸痹心痛病程均分别低于虚实夹杂证 (P <0 .0 5 )。内向组的气滞证显著高于性情平和组和性情急躁组 ,而痰浊证则显著低于后两组 (P <0 .0 5 )。性情急躁组的气滞证显著高于性情平和组 (P <0 .0 5 )。非吸烟者的阴虚证显著高于吸烟者 (P <0 .0 5 ) ,吸烟者的血瘀证和痰浊证高于非吸烟者。饮酒对胸痹心痛的证型分布无显著性影响。肉食嗜好组的痰浊证显著高于非肉食嗜好组 (P <0 .0 5 ) ,肉食嗜好者的冠心病组和的痰浊证显著高于冠脉正常组 (Fat1c0 )和无肉食嗜好的冠心病组 (P <0 .0 5 ) ;早发冠心病家族史的证型分布无特殊性。结论 性别、体重指数、患病年龄、胸痹心痛病程。
Objective To define the effect of risk factors of coronary heart disease(CHD) on the traditional Chinese medicine(TCM) syndrome differentiation type and find the macroscopic value on syndrome differentiation type of chest pain. Methods 375 patients with chest pain,received coronary angiograph,were divided into differential syndrome types by risk factors. Results The percentage of female with insufficiency of Yin and blockage of Qi was 50% and 41.7% respectively, which was higher than that of male. The percentage of male (52.1%) with blood stasis was significantly higher than that of female (31.5%). In blood stasis group males with CHD were significantly more than those without CHD and females without CHD(P<0.05). Patients with coronary stenosis, the percentage of females with insufficiency of Yin and blockage of Qi was higher than that of males. The percentage of females with CHD and without CHD with insufficiency of Yin was higher than that of male without CHD. Body weight index, sick age and course of chest pain in group insufficiency syndrome were lower than that in group insufficiency and excess syndrome, respectively(P<0.05).Patients of diffidence were more belonging to blockage of Qi group than those of placidity and impatience. Patients of diffidence was lower belonging to phlegm group than those of placidity and impatience(P<0.05). Patients of impatience were more belonging to blockage of Qi group than those of placidity(P< 0.05).The percentage of no smoking with insufficiency of Yin was higher than that of smoking. The cases of blood stasis and phlegm producing in smoking were more than that in no smoking. Patients with phlegm group having meat addiction were more than those having no meat addiction(P<0.05).Patients with CHD with phlegm having meat addiction were more than those with CHD having no meat addiction and those without CHD(P<0.05).Patient with family history of CHD early onset. Conclusion The differential syndrome types of sex, body weight index, sick age, course of chest pain, temper, smoking and meat addiction were characterful respectively. Those of drinking and family history of CHD early onset were no difference.
出处
《中西医结合心脑血管病杂志》
2005年第2期97-99,共3页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
关键词
胸痹心痛
证候研究
冠心病
冠状动脉造影
危险因素
客观化
chest pain
syndrome research
coronary heart disease
coronary arteriongraphy
risk factor
objectivise
