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148例慢性心力衰竭患者中医证候分布规律研究

孟永梅 陈婵 王伟

天津中医药2017,Vol.34Issue(7):446-450,5.
天津中医药2017,Vol.34Issue(7):446-450,5.DOI:10.11656/j.issn.1672-1519.2017.07.05

148例慢性心力衰竭患者中医证候分布规律研究

Distribution of traditional Chinese medicine syndrome of in 148 patients with chronic heart failure

孟永梅 1陈婵 2王伟3

作者信息

  • 1. 内蒙古医科大学,呼和浩特 010110
  • 2. 杭州市萧山区中医院,杭州 311201
  • 3. 北京中医药大学,北京 100029
  • 折叠

摘要

Abstract

[Objective] To study the rule of traditional Chinese medicine (TCM) syndrome of chronic heart failure (CHF) at Hohhot in the Inner Mongolia and it's Region, to explore the distribution characteristics of syndrome elements, which can provide a reference for the clinical syndrome differentiation of TCM. [Methods] Using the method of clinical epidemiology, the clinical data of 148 patients CHF were collected and analyzed by clinical epidemiology. [Results] the distribution of CHF was characterized, The overall proportion of male and female was 0.83:1, and mean age were (64.6±11.2) years old. TCM Syndromes distribution:CHF syndromes distribution with qi and yin deficiency syndrome mainly, secondly is qi deficiency and blood stasis, followed by heart and lung qi deficiency syndrome, heart and kidney yang deficiency syndrome, yang deficiency and water retention and turbid phlegm obstructing in the lung. Syndrome combination characteristics: 2-syndrome combinations were common, then 3-syndrome, single syndrome, 4-syndrome and 5-syndrome combinations were less. [Conclusion] Heart and lung qi deficiency was the basic syndrome in 148 CHF patients. TCM syndrome type distribution and change have its specific regularity, yang deficiency and water retention is slightly heavier;from disease point of view, heart failure disease not only in the heart, but also relates to the lung, liver, kidney, spleen and other the other organs, with the extension of the course of heart failure, etiology and pathogenesis also in change at any time, syndrome types tend to by asthenia to deficiency of both qi and yin or qi deficiency and blood stasis, and ultimately the development of yang deficiency and water retention based transformation process.

关键词

慢性心力衰竭/证候/证候要素/心功能

Key words

chronic heart failure/syndrome/syndrome factor/cardiac function

分类

医药卫生

引用本文复制引用

孟永梅,陈婵,王伟..148例慢性心力衰竭患者中医证候分布规律研究[J].天津中医药,2017,34(7):446-450,5.

基金项目

国家自然科学基金项目(81260596) (81260596)

中医药行业科研专项项目(2008007). (2008007)

天津中医药

OACSTPCD

1672-1519

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