首页> 中文期刊> 《新疆医科大学学报》 >基于中医临床科研信息一体化平台对新疆冠心病证候特点的研究

基于中医临床科研信息一体化平台对新疆冠心病证候特点的研究

         

摘要

Objective To better understand the types and stages of syndromes distribution characteristics of patients with coronary heart disease.Methods Data,which was obtained from the Xinjiang coronary heart disease (CHD)scientific research information integration platform,was analyzed using the computer sys-tem software for scientific research and medical record information.The data of 1 589 patients (June 2012 to October 2013)with coronary heart disease in the Affiliated Traditional Chinese Medicine Hospital of Xinjiang medical university was analyzed and integrated.And the characteristics of TCM syndrome of coro-nary heart disease and the law of syndrome distribution was summarized.Results (1)The numbers of Huizhuotanzhu syndrome group, Tanyuhujie group, Tanzuxueyu syndrome group, Tanzhuozhongzu group,Huizhuotanzhu partial stasis group,Huizhuotanzhu partial weakness group,Huizhuotanzhu partial sputum group,whikst Huizhuotanzhu group and Non Huizhuotanzhu syndrome group were 925 cases (58. 21%),230 cases (24.86%),143 cases (15.46%),15 cases (1.6%),342 cases (36.97%),21 cases (2. 27%),1 case (0.1%),173 cases (18.7%)and 664 cases (41.79%),respectively.Among the Non Huizhuotanzhu syndrome group,there were 8 cases of Xinxueyuzu (1.20%),8 cases of Xinshenliangxu (1.20%),4 cases of Xinpiliangxu (0.60%),3 cases of Reduxueyu (0.45%),35 cases of Qizhixueyu (5.27%),228 cases of deficiency of both Qi and Yin (34.34%)and 293 cases of Qi deficiency and blood stasis (44.13%),78 cases of liver and kidney Yin deficiency (11.75%),and 7 the other cases (3.0%).(2) The results shows that,among coronary heart disease (CHD)patients with symptomatic frequency distri-bution,the top three symptoms of HuiZhuoTanzhu syndrome and Non-HuiZhuoTanzhu syndrome were chest tightness,shortness of breath,and fluster in groups patients.And the main symptoms of the pa-tients are phlegm,turbid,and blood stasis.(3)There was no significant difference between the two groups of patients with hypertension or diabetes,while there was a significant difference between the two groups with hyperlipidemia (P <0.05).(4)According to the first sub-diagnosis of coronary heart disease, there was 404 patients with stable angina,162 patients with hypertension,119 patients with coronary an-giography and coronary stenting,71 patients with acute coronary syndrome,79 patients with old myocar-dial infarction,70 patients with cardiac arrhythmia.Conclusion The Huizhuotanzu syndrome is the main syndrome type of coronary heart disease in Xinjiang,and the higher emergence frequency type were Huizhuotanzu syndrome,Qi deficiency and blood stasis,Qi and Yin deficiency,liver and kidney Yin defi-ciency.And the stability of angina pectoris is primary and the first sub-diagnosis of coronary heart disease, which could guide the clinical treatment and prevention of Chinese and western medicine.%目的:探讨不同类型、不同阶段冠心病患者的证候分布特点。方法利用新疆冠心病科研信息一体化平台,选择2012年6月-2013年10月新疆医科大学附属中医医院明确诊断为冠心病的住院患者1589例,运用计算机系统软件对科研病历信息进行提取和整合,总结新疆冠心病(胸痹)中医证候特点、证候分布规律。结果(1)秽浊痰阻证组925例(58.21%),其中痰瘀互结230例(24.86%),痰阻血瘀143例(15.46%),痰浊中阻15例(1.6%),秽浊痰阻偏瘀342例(36.97%),秽浊痰阻偏虚21例(2.27%),秽浊痰阻偏痰1例(0.1%),秽浊痰阻173例(18.7%);非秽浊痰阻证组664例(41.79%),其中心血瘀阻8例(1.20%),心肾两虚8例(1.20%),心脾两虚4例(0.60%),热毒血瘀3例(0.45%),气滞血瘀35例(5.27%),气阴两虚228例(34.34%),气虚血瘀293例(44.13%),肝肾阴虚78例(11.75%),其他共7例(3.0%)。(2)秽浊痰阻证组患者与非秽浊痰阻证组患者居前3位的症状均为胸闷、气短、心慌,患者病机本质为痰、浊、瘀。(3)两组合并高血压及糖尿病患者差异均无统计学意义,两组合并高脂血症患者差异有统计学意义。(4)第一亚诊断为稳定性心绞痛404例,高血压病236例,冠脉造影+冠脉支架术后162例,心功能不全119例,急性冠脉综合征71例,陈旧性心肌梗死79例,心律失常70例。结论新疆冠心病证型以秽浊痰阻证为主要证型,其中医辨证分型出现频率较高的为秽浊痰阻、气虚血瘀、气阴两虚、肝肾阴虚。稳定性心绞痛是冠心病中主要的第一亚诊断,可指导中西医临床治疗及预防。

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