中医药学报2018，Vol.46Issue(1)：23-27,5.DOI:10.19664/j.cnki.1002-2392.180006
9326例心肌梗死中医证候特征分析
TCM Syndrome Characteristics of AMI: Study of 9326 Cases
摘要
Abstract
Objective: To analyze the features of the syndromes of AMI based on the distribution of TCM syndrome elements and syndrome types of AMI recorded in the literature. Methods: Literature about AMI were retrieved from databases of CNKI, CAJ, VIP, and Wanfang from 1999 to 2015.9326 AMI cases were included after the consideration of diagnosis criterion of both western medicine and TCM, using for TCM syndrome elements distribution analysis. Among them, 3912 cases with syndrome differentiation were used for TCM syndrome analysis at the same time. Results: It showed that there were deficient syndrome and excessive syndrome in 9326 cases; syndrome of qi - deficiency was at the top in the most common element (4438/9326, 22.73％ ) of the deficient syndrome, followed by yin - deficiency, yang - deficiency, and blood - deficiency; syndrome of blood stasis and phlegm turbidity (4123/9326, 21.12％ ) were at the top in the most common element(6309/9326, 32.31％ ) of the excessive syndrome, followed by qi stagnation, cold congealing, and damp -heat. According to TCM syndrome analysis in 3, 912 AMI cases, the most common syndrome were qi deficiency and blood stasis (653/3912, 16.69％ ), qi stagnation and blood stasis (592/3912, 15.13％), phlegm and blood stasis(569/3912, 14.55％ ), and phlegm turbidity(543/3912, 13.88％ ). And among those cases, TCM syndrome types which contain the syndrome elements of qi deficiency (38.79％ ), blood stasis (59.19％ ) or phlegm turbidity (40.48％ ) were more common. Conclusion: Qi deficiency, blood stasis and phlegm turbidity are the main pathological basis for AMI.关键词
心肌梗死/中医证素/中医证型Key words
Acute myocardial infarction (AMI)/TCM syndrome elements/TCM syndrome分类
医药卫生引用本文复制引用
崔丽华,郭书文..9326例心肌梗死中医证候特征分析[J].中医药学报,2018,46(1):23-27,5.基金项目
国家自然科学基金项目(81473552) （81473552）
