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
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)